Relieving Pain in the Right Hand: Tips for Recovery and Rehabilitation - Rehabilitation

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Right hand muscle and joint pain?


I have pain in the tendon from my right thumb down to my wrist, and it hurts a lot when I move my thumb.
When I'm not moving, there's no pain, but even a light tap can make me cry from the pain, especially in the wrist area.
I'm currently in Southeast Asia, and it's inconvenient to see a doctor; I won't be able to see one until November.
Are there any exercises or movements that can help with recovery? I've heard that continuing to do the movements that cause pain can lead to improvement.
Is there any truth to that?

Xiao Ying, 20~29 year old female. Ask Date: 2006/05/17

Dr. Chen Xianchang reply Rehabilitation


1.
You may have inflammation of the abductor pollicis longus and extensor pollicis brevis tendons, commonly known as "De Quervain's tenosynovitis." 2.
You can apply ice for ten minutes.
3.
Movement will only exacerbate the condition and increase inflammation.
4.
You can perform acupressure on the interphalangeal points (Ba Xie points) to alleviate pain.

Reply Date: 2006/05/17

More Info


When dealing with pain in the right hand, particularly in the area from the thumb down to the wrist, it’s essential to approach recovery and rehabilitation with caution, especially when you are currently unable to see a doctor. The symptoms you describe suggest that you may be experiencing tendonitis or a strain in the flexor tendons of your hand, which can be exacerbated by movement. Here are some tips and exercises that may help alleviate your pain and promote recovery.


Understanding Your Pain
The pain you feel when moving your thumb or wrist, especially if it causes you to tear up, indicates that there may be inflammation or irritation in the tendons or surrounding tissues. This is often the result of overuse, repetitive motions, or even an acute injury. It’s crucial to listen to your body; if a movement causes pain, it’s a sign that you should avoid it until you can get a proper diagnosis and treatment.


Initial Management
1. Rest: Avoid any activities that exacerbate the pain. Resting the affected hand is crucial to prevent further irritation of the tendons.

2. Ice Therapy: Applying ice to the painful area for 15-20 minutes every few hours can help reduce inflammation and numb the pain. Make sure to wrap the ice in a cloth to avoid direct contact with the skin.

3. Compression: If possible, use a compression bandage to help reduce swelling. However, ensure it’s not too tight, as this can impede circulation.

4. Elevation: Keep your hand elevated above heart level whenever possible to help reduce swelling.


Gentle Exercises
Once the acute pain subsides, you can begin gentle stretching and strengthening exercises. However, if any exercise causes pain, stop immediately. Here are some exercises to consider:
1. Finger Flexion and Extension: Gently bend your fingers into a fist and then extend them out straight. Repeat this 10-15 times, ensuring that you do not push through pain.

2. Thumb Stretch: Hold your hand out with your palm facing up. Gently pull your thumb back with the opposite hand until you feel a stretch. Hold for 15-30 seconds and repeat 2-3 times.

3. Wrist Flexor Stretch: Extend your arm in front of you with your palm facing up. Use your other hand to gently pull back on your fingers, stretching the wrist flexors. Hold for 15-30 seconds and repeat 2-3 times.

4. Tendon Gliding Exercises: These exercises help maintain mobility in the tendons. Start with your fingers straight, then bend them into a hook position, followed by a fist position, and finally extend them again. Repeat this sequence 5-10 times.


Ergonomic Adjustments
While you are in Southeast Asia, consider making adjustments to how you use your hand. If you are typing or using your phone, ensure that your wrist is in a neutral position, and take frequent breaks to avoid strain.

The Myth of "No Pain, No Gain"
The idea that you should continue to perform movements that cause pain in order to "toughen up" or recover is misleading and can lead to further injury. Pain is a signal from your body indicating that something is wrong. Instead, focus on gentle movements that do not provoke pain and allow your body to heal.


Conclusion
While you are waiting to see a doctor, it’s essential to manage your symptoms conservatively. Rest, ice, and gentle stretching can help alleviate pain and promote recovery. However, if your symptoms persist or worsen, it’s crucial to seek medical attention as soon as you are able. A healthcare professional can provide a thorough evaluation and recommend appropriate treatments, which may include physical therapy, medication, or other interventions. Remember, your health is paramount, and taking care of your body now will lead to better outcomes in the future.

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