Experience lasting relief from hand and wrist pain with personalized physiotherapy treatment at Quantum Physiotherapy in London, Ontario.
The hand is one of the most intricate and specific parts of our body. Its ability to perform fine motor skills, strength to grip, tear and lift, and dexterity to pinch, write and feel things, sets the hand apart as our most useful body part. Even the function of the thumb is so complex and it is regarded as half hand. A huge variety of injuries can affect the joints, muscles, tendons and specific structures of the hand, and these injuries can have a huge impact on someone’s life.
The balance between strength and dexterity in our hands and fingers is what allows us to be as functional and perform as many tasks as we do. The muscles that control your fingers actually originate on your forearm or elbow, with a series of tendons in control of your dexterity.
In order for this to work, there are a series of ‘pulleys’ that are made of soft tissue (much like ligaments) that fixate the tendons closer to the bone. As well as keeping the tendons attached to the arm, they also allow tendons to influence and move specific joints in the hand.
The carpal tunnel is made up of the carpal bones (wrist bones) and the transverse carpal ligament. Through the ‘tunnel’ that these structures create, travels 9 tendons and the median nerve.
When structures in the carpal tunnel become inflamed or thickened, they decrease the space available for normal movement, often compressing the median nerve. In other cases, the size of the carpal tunnel is naturally too small for these structures, increasing the chances of median nerve compression. This causes pain and numbness in your hand and can also lead to grip weakness, things falling from the hand. Physiotherapy can help in relieving these symptoms.
De Quervain’s Syndrome or Tenosynovitis is characterised by pain on the thumb side of the wrist when you rotate your wrist, grip or pinch.
Thickening of the sheath that covers the extensor pollicis longus tendon of the thumb causes this pain. It is often described in new mothers, as they have to continually deviate their wrist to lift their baby, and is frequently seen in people who have to perform ‘wrist dominant’ activities.
Hand pain can be a result of a wide range of different things, depending on your activities and other medical conditions.
Osteoarthritis (OA) and rheumatoid arthritis (RA) are common age-related conditions that can contribute to hand and wrist pain. Conditions like De Quervain's syndrome tend to be more prevalent amongst new mothers and people who repeatedly laterally flex their wrists. Trauma to the hand, wrist or fingers can cause a few different types of injuries, and should be correctly assessed.
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