Wrist, Elbow, and Finger Pain: Causes and Solutions

10 fingers / wrist / elbow

Dear Dr.
Yeh,
My left wrist, elbow, and fingers hurt all the time when I cook, crochet, knit, write letters, or clean the house.
I always used cold water to wash my hands when I was in Taiwan.
I wonder if it is arthritis or osteoporosis! I’m married and live in Arizona, USA.
Have a nice weekend!
Sincerely,
Mimi
You can type in Chinese or English to me! Thank you very much!

Mimi, 40~49 year old female. Ask Date: 2005/04/16

Dr. Ye Qingnian reply Orthopedics

Pain in the left wrist, elbow, and fingers during work in middle-aged women with multiple joint pain should raise suspicion for rheumatoid arthritis.
The primary symptoms include symmetrical involvement of both hands, swelling and pain in the distal finger joints, and stiffness.
Blood tests can confirm the diagnosis.
Additionally, it should be considered whether the pain is due to overexertion, particularly if the left hand is frequently used for heavy lifting, which can lead to tendonitis.
This is especially true for activities like lifting heavy pots, resulting in wrist pain, or twisting a towel, which can cause lateral elbow pain (lateral epicondylitis) due to excessive strain.
Rest, heat therapy, and NSAIDs are typically sufficient for treatment.

Reply Date: 2005/04/16

More Info

Dear Mimi,
Thank you for reaching out with your concerns regarding the persistent pain in your left wrist, elbow, and fingers. Based on your description, it sounds like you are experiencing discomfort during various activities, which can be quite debilitating. Let's explore the potential causes and solutions for your symptoms.

Possible Causes of Pain
1. Repetitive Strain Injury (RSI): Given that you engage in activities such as cooking, crocheting, knitting, and writing, it's possible that you are experiencing a repetitive strain injury. This condition arises from repetitive motions that can lead to inflammation of the tendons and muscles around the joints, resulting in pain.

2. Arthritis: Your mention of concerns about arthritis (關節炎) is valid. Osteoarthritis, the most common form of arthritis, can develop due to wear and tear on the joints over time. Symptoms often include joint pain, stiffness, and swelling, particularly after periods of activity. Rheumatoid arthritis is another possibility, especially if you experience morning stiffness or swelling in multiple joints.

3. Tendonitis: This is an inflammation of the tendons, which can occur in the wrist and elbow due to overuse. Activities that require repetitive wrist movements can lead to conditions like De Quervain's tenosynovitis, which affects the tendons on the thumb side of the wrist.

4. Carpal Tunnel Syndrome: If you experience numbness or tingling in your fingers, this could indicate carpal tunnel syndrome, where the median nerve is compressed at the wrist. This condition is often associated with repetitive wrist movements and can lead to pain in the wrist and fingers.

5. Osteoporosis (骨質疏鬆症): While osteoporosis primarily affects bone density and strength, it can lead to fractures and pain in the joints if the bones become weak. This is more common in postmenopausal women and can be exacerbated by a lack of calcium and vitamin D.

Suggested Solutions
1. Rest and Modify Activities: It’s essential to give your joints a break. Try to alternate activities and incorporate rest periods to prevent overuse. If certain tasks exacerbate your pain, consider modifying how you perform them or taking frequent breaks.

2. Ergonomic Adjustments: Evaluate your workspace and the tools you use. Ergonomic tools can help reduce strain on your wrists and hands. For instance, using a padded wrist rest while typing or an ergonomic crochet hook can make a significant difference.

3. Physical Therapy: A physical therapist can provide exercises tailored to strengthen the muscles around your joints and improve flexibility. They can also teach you proper techniques to reduce strain during activities.

4. Cold and Heat Therapy: Applying ice packs to the affected areas can help reduce inflammation, while heat can help relax and soothe stiff muscles. Alternating between the two may provide relief.

5. Medication: Over-the-counter anti-inflammatory medications, such as ibuprofen or naproxen, can help alleviate pain and reduce inflammation. However, consult with a healthcare provider before starting any medication.

6. Consult a Specialist: If your symptoms persist or worsen, it’s crucial to see a healthcare professional. A rheumatologist can evaluate for arthritis, while an orthopedic specialist can assess for tendonitis or carpal tunnel syndrome. Diagnostic imaging, such as X-rays or MRIs, may be necessary to determine the underlying cause of your pain.

7. Lifestyle Changes: Incorporating a balanced diet rich in calcium and vitamin D can help maintain bone health. Regular low-impact exercises, such as swimming or walking, can also improve overall joint function and strength.

In conclusion, while your symptoms may be indicative of various conditions, a thorough evaluation by a healthcare professional is essential for an accurate diagnosis and appropriate treatment plan. I hope this information helps you understand your situation better and guides you toward effective solutions.

Wishing you a pain-free and enjoyable weekend!
Sincerely,
Doctor Q&A Teams

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