Rheumatoid arthritis (RA) is a chronic inflammatory disorder that primarily affects the joints. It typically results in warm, swollen, and painful joints, with pain and stiffness often worsening following rest. Early rheumatoid arthritis tends to affect smaller joints first, such as those that attach fingers to hands and toes to feet. As the disease progresses, symptoms can spread to larger joints like the wrists and knees.
A comprehensive approach is essential for managing rheumatoid arthritis in the hands. This includes medical management, occupational therapy interventions, and, in some cases, surgery. Treatment aims to reduce inflammation, alleviate pain, and maintain joint mobility. Medications are a cornerstone of rheumatoid arthritis treatment, often involving a combination of drugs to control inflammation and prevent joint damage.
Occupational therapy plays a crucial role in managing RA in the hands. Therapists may recommend splinting and the use of adaptive aids to minimize stress on the joints and maintain hand function. Exercises, both strengthening and stretching, are also important to reduce symptoms and improve function. Additionally, hand therapists can guide the application of hot and cold packs, which can help reduce pain and swelling.
In more severe cases, surgery may be necessary. Procedures like synovectomy, which involves removing the inflamed joint lining, or tendon repair, can help reduce pain and improve joint flexibility. It’s important for patients to stick to their prescribed treatment plan and work closely with their healthcare providers to manage their condition effectively.
Other symptoms of rheumatoid arthritis in the hands and wrists include soft lumps over the back of the hand, a creaking sound during movement, fingers shifting toward the pinky finger, and swelling of the tendons that bend the fingers.
For more information, visit Mayo Clinic, Arthritis Foundation, and Massachusetts General Hospital.
