The source of the pain will typically have a significant impact on the effective therapy of hand discomfort. Physical therapy, at-home care, medication, and surgery are all examples of management strategies, the specifics of each are provided below.
The RICE treatment works best to reduce swelling and discomfort in cases of hand pain that involves inflammation. The four steps are as follows: ice, compression, elevation, and rest. It’s crucial to limit how much the hand moves. Ice therapy might assist to lessen swelling. To stop the hand from swelling anymore, keep it elevated and bandage it. This is also good to relieve hand pain.
It is advised to remove any jewelry or timepieces from the fingers and wrist as soon as possible if an injury or other conditions are leading to hand pain. This is due to the fact that when the swelling is at its worst and the pain may also get worse, it might be more difficult to remove these objects.
When it’s freezing outside, it’s best to stay indoors or wear gloves to protect your hands from the intense cold. Also, it is advised to avoid resting on your hands because doing so might reduce blood flow to your hands and make the discomfort worse.
For the alleviation of hand pain, simple analgesic drugs like acetaminophen (paracetamol) or aspirin are frequently helpful. Also helpful are non-steroidal anti-inflammatory medicines (NSAIDS), such as ibuprofen, ketoprofen, or naproxen. Several of these drugs may frequently be purchased at a pharmacy over-the-counter without a prescription from a physician.
Corticosteroid drugs like cortisone may also be advised in specific circumstances. This helps to decrease inflammation that is connected to hand pain and can be provided via an injection to the specific site of pain.
Disease-modifying anti-rheumatic medications (DMARDs) can assist to alter the course of inflammatory diseases like rheumatoid arthritis or lupus and reduce the development of pain. Another group of drugs known as biologic response modifiers can also aid in reducing hand pain brought on by inflammatory diseases.
Rarely, hand pain may need to be treated surgically.
In the case of the wrist, for instance, the damaged joint surfaces are removed, and the bones are subsequently linked together with plates or screws to promote bone regeneration and fusion.
The wrist joint may potentially need to be replaced if it has serious injury or inflammation. This can typically be done as an outpatient operation, allowing patients to still move their wrists somewhat afterward.
Procedures for replacing or fusing the finger or thumb joints are another option for treating hand discomfort. This procedure uses the finger joints rather than the wrist in a manner similar to wrist fusion or replacement.
Another surgical method that includes separating the carpal ligament from the median nerve is the carpal tunnel release. Carpal tunnel syndrome-related hand pain may benefit from this surgery.