Finger Joint Pain: Causes, Treatments, and Rehabilitation Tips - Rehabilitation

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Finger joint pain


It sounds like you may be experiencing symptoms of trigger finger (stenosing tenosynovitis), especially since you have difficulty bending your fingers and experience pain at the base of your fingers where they meet the palm.
This condition can cause stiffness and discomfort when trying to flex or extend the fingers.
If you have been experiencing this for a while, it is advisable to follow your doctor's recommendations, which may include rest, splinting, or corticosteroid injections to reduce inflammation.

For self-massage and rehabilitation, consider the following suggestions:
1.
Gentle Stretching: Perform gentle finger stretches to improve flexibility.
Hold your fingers straight and then slowly bend them back towards your wrist, holding the stretch for a few seconds.
2.
Massage: Gently massage the affected area, focusing on the base of the finger and the palm.
Use your thumb to apply pressure in circular motions.
3.
Heat Therapy: Applying a warm compress to the affected area can help relax the muscles and improve blood flow.
4.
Strengthening Exercises: Once the pain decreases, you can start strengthening exercises, such as squeezing a soft ball or using therapy putty.
5.
Avoid Repetitive Motions: Try to avoid activities that require repetitive gripping or pinching, as this can exacerbate the condition.
Always consult with your healthcare provider before starting any new treatment or rehabilitation program to ensure it is appropriate for your specific situation.

Mr. Huang, 20~29 year old female. Ask Date: 2016/04/12

Dr. Zhou Jianwen reply Rehabilitation


It is suspected that you have trigger finger; it is recommended to visit the rehabilitation department for further examination and treatment.

Reply Date: 2016/04/12

More Info


Understanding finger joint pain, particularly in the context of your symptoms, involves recognizing the potential causes, treatments, and rehabilitation strategies that can help alleviate discomfort and restore function. Based on your description, it seems you may be experiencing symptoms consistent with trigger finger (stenosing tenosynovitis), a condition where the tendons in the fingers become inflamed, leading to pain and difficulty in movement.


Causes of Finger Joint Pain
1. Tendon Inflammation: Trigger finger occurs when the tendons that control finger movement become inflamed, causing them to catch or lock when you try to bend or straighten your finger. This can lead to pain at the base of the finger, particularly where it meets the palm.

2. Overuse: Repetitive gripping or grasping activities, such as those involved in climbing or manual labor, can strain the tendons and lead to inflammation.

3. Underlying Conditions: Conditions such as diabetes, rheumatoid arthritis, or gout can increase the risk of developing trigger finger or other forms of joint pain.

4. Scar Tissue: If you have a history of finger injuries, scar tissue can form around the tendons, leading to restricted movement and pain.


Treatment Options
1. Rest and Activity Modification: Reducing activities that exacerbate the pain is crucial. Allowing the finger to rest can help reduce inflammation.

2. Ice Therapy: Applying ice packs to the affected area can help reduce swelling and numb the pain. It’s advisable to apply ice for 15-20 minutes several times a day.

3. Splinting: A splint can help immobilize the finger, allowing the tendons to rest and heal. This is particularly useful at night to prevent involuntary movements that might aggravate the condition.

4. Anti-inflammatory Medications: Over-the-counter medications like ibuprofen or naproxen can help reduce pain and inflammation.

5. Corticosteroid Injections: If conservative treatments do not provide relief, your doctor may recommend corticosteroid injections to reduce inflammation in the tendon sheath.

6. Physical Therapy: Engaging in physical therapy can be beneficial. A therapist can guide you through specific exercises designed to improve flexibility and strength in the affected finger.


Rehabilitation Tips
1. Gentle Stretching: Once the acute pain subsides, gentle stretching exercises can help improve flexibility. For instance, try to gently stretch your fingers by extending them and holding the position for a few seconds.

2. Massage: Self-massage around the base of the finger and the palm can help alleviate tension in the tendons. Use your thumb to apply gentle pressure to the painful area.

3. Strengthening Exercises: As your pain decreases, incorporate strengthening exercises. Squeezing a soft ball or using therapy putty can help build strength in the finger muscles.

4. Gradual Return to Activities: Gradually reintroduce activities that involve gripping or bending the fingers, ensuring you listen to your body and stop if pain occurs.

5. Ergonomic Adjustments: If your activities involve repetitive hand movements, consider ergonomic tools or techniques to reduce strain on your fingers.


When to Seek Further Help
If your symptoms persist despite these interventions, or if you experience severe pain, swelling, or a locking sensation in your finger, it’s essential to consult with a healthcare professional. They may recommend further diagnostic imaging, such as an ultrasound or MRI, to assess the condition of the tendons and joints.

In conclusion, understanding the causes and implementing appropriate treatment and rehabilitation strategies can significantly improve your finger joint pain. It’s important to be patient and consistent with your rehabilitation efforts, as recovery can take time. Always consult with your healthcare provider before starting any new treatment or rehabilitation program to ensure it’s appropriate for your specific condition.

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