Dr. Kinner Avashia

The hands are one of the most important organs responsible for our mobility. We have lots of muscles, ligaments and bones in our hands that allow for greater flexibility and movement.

The human hands are pretty delicate and complex structures, containing around 27 bones. As a lot of movement is made by them, they are also quite vulnerable to injury. There are many reasons for hand pain. The types also vary. Hand pain can originate in the bones, the nerves, the tendons, the connective tissues and the joints. They can develop from inflammation, sprains and fractures, nerve damage, repetitive injuries due to movement and various chronic conditions of health.

Carpal Tunnel Syndrome

Let us quickly go through some reasons why you can have unbearable pain in your hands:

This condition arises when the median nerve gets pressured by a carpal tunnel that starts narrowing. Now, how can this narrowing start? It can be the result of an inflammation, the irritated tendons getting thickened or anything that can result in swelling of the area.

If you are not already aware of what a carpal tunnel is, let us know more. It is a narrow path of bones and ligaments that remain located at the base of the hand. It constitutes the median nerve and the tendons which allow the fingers to move. The median nerve is a nerve running from the forearm to the palm of the hand.

The symptoms of carpal tunnel syndrome can start gradually and can reach different degrees of seriousness. The symptoms include:

  • Itching numbness in the fingers or in the palms.
  • A frequent sensation of burning.
  • Pain in the index finger, the middle finger and the thumb.
  • Having a swollen feeling, even when there is no swelling at all.
  • Decrease in the strength of gripping.
  • Difficulty in differentiating between cold and hot.
  • Wasting away of the thumb base muscles.
  • Trouble in grasping or doing a job.

Carpal Tunnel Syndrome treatment have some standard procedures. They include:

  • Opting for acupuncture.
  • Getting injected by anaesthetics or steroids.
  • Having surgery.
  • Taking steroids orally.
  • Taking OTC medications for pain.
  • Avoiding activities that might aggravate the pain.
  • Stretching and exercising.
  • Using cool or ice packs.

Ganglion Cysts

Ganglion Cysts usually take place in the wrists. They appear as a large lump of flesh coming out from the back of the wrist. A ganglion cyst wrist can occur in different sizes on the lower side of the wrist, the base of the finger or the end joint of the finger. These cysts are full of fluid and can disappear, re-appear or change the size. If the ganglion cysts become big enough to pressurise the nearby nerves, there can be numbness, pain or tingling around the hand’s wrist.

The exact ganglion cysts causes are not known. It is attributed to the accumulation of fluid in the tissues that surround a tendon or a joint.

De Quervain’s tenosynovitis:

This is a severe condition that can affect the tendons surrounding the thumb. The area gets inflamed, and this swelling puts pressure on the adjacent nerves. The base of the thumb starts suffering from numbness and pain.

The common symptoms are swelling near the base of the thumb, pain around the thumb part, trouble in folding the fingers or grasping objects and a popping sensation when the thumb is moved.


Gout is a complex stage of arthritis. It is a very painful condition that can severely affect anyone. People who suffer from gout can experience a sudden and severe attack of hand pain in the joint. Primarily, gout attacks the joint at the big toe’s base, but it can also attack the knees, the feet, the wrists and the hand.

If you are suffering from gout in your wrists or your hands, there will be severe attacks of burning, redness, pain and tenderness. The pain is often unbearable to the extent that one cannot have a peaceful night’s sleep. There is an extreme burning sensation, and even the smallest of weights seem intolerable.

Other than the above hand pain causes, you can suffer from pain in the hand due to lupus, arthritis, peripheral neuropathy, Raynaud’s phenomenon, traumatic injury, etc.

Some general tips to get a relief

  • You can use a splint to stabilise the joints and avoid any further injury.
  • You may opt for over-the-counter medications.
  • You can use a hot compress for reducing stiffness and a cold compress for reducing swelling.

These are not long-term solutions in some cases, though. When you are looking for far-reaching treatment for hand pain, you have to consult doctors.

Next, we focus on how to get hand pain relief, but with expert guidance.

Splinting - A splint can stabilise the positioning of your fingers, wrist or thumb. As per the suggestions from orthopaedics, wearing a splint for a few weeks can reduce the pain of arthritis for good.

Injections - A corticosteroid injection into a joint can lessen the inflammation to a great extent. This relief can last for a year at least. The pain also diminishes if subsequent injections are taken.

Heat and cold - Heat can loosen the stiffness of the hands a lot. Some people say that taking a shower can go a long way. Coldwater or ice is good for pain that results from any kind of activity. It is better to apply this in the form of gel pads available in the market. They can be kept in the freezers for some time and used. This technique conforms very well to the complexities of the hand.

Exercises and stretches - The various exercises have been developed in a way that they can address the muscles and the tendons. The occupational therapists and the physical therapists help with activities that help in strengthening the muscles so that the pain is better absorbed.

NSAIDs - These are anti-inflammatory drugs devoid of steroids. They block the enzymes that are responsible for causing swelling and pain. These drugs are not effective for carpal tunnel syndrome.

Post Author: jbadmin

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