Managing Finger and Arm Pain: Rehabilitation Options for Your Loved Ones - Rehabilitation

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Finger and arm pain?


Hello Dr.
Chen! My father has been experiencing pain in his fingers and more severe pain in his arm due to the tight schedule and heavy workload of delivering newspapers in the early morning.
May I ask if it's advisable to take him for rehabilitation? If daily treatment isn't possible, what other options can we consider? Thank you!

Yiwen, 20~29 year old female. Ask Date: 2007/07/06

Dr. Chen Xianchang reply Rehabilitation


Hello: Thank you for your inquiry.
Here are my responses and recommendations: 1.
The finger may be suffering from overuse or degenerative arthritis, while the arm could be experiencing a muscle strain or cervical radiculopathy, which requires further examination.
2.
Rehabilitation with electrotherapy, such as ultrasound, can help alleviate pain.
If rehabilitation has not yet started, soaking in warm water at home and massaging the interphalangeal acupressure points may provide some relief.

Reply Date: 2007/07/06

More Info


Managing finger and arm pain, especially in older adults or those with chronic conditions, is a multifaceted approach that often involves rehabilitation therapy. Given your father's situation, where he experiences persistent pain in his fingers and arms due to the physical demands of his newspaper delivery job, seeking rehabilitation is a sensible and effective option.

Rehabilitation therapy can be beneficial for several reasons. First, it can help identify the underlying causes of pain, which may include overuse injuries, degenerative conditions like arthritis, or even nerve compression syndromes. A thorough assessment by a rehabilitation specialist can lead to a tailored treatment plan that addresses specific issues.
In your father's case, if he is experiencing pain from repetitive motions, such as gripping and throwing newspapers, he may benefit from physical therapy that focuses on strengthening the muscles of the hand and arm, improving flexibility, and enhancing overall function. Techniques such as ultrasound therapy, electrical stimulation, and manual therapy can help alleviate pain and promote healing.
If daily visits to a rehabilitation center are not feasible, there are still several strategies you can implement at home. Here are some suggestions:
1. Home Exercises: Encourage your father to perform gentle stretching and strengthening exercises at home. Simple exercises like finger stretches, wrist flexor stretches, and grip strengthening can be beneficial. A physical therapist can provide a customized exercise program that he can follow independently.

2. Heat and Cold Therapy: Applying heat can help relax and loosen tissues and stimulate blood flow to the area. Cold therapy can reduce inflammation and numb sharp pain. Alternating between heat and cold can be particularly effective.

3. Ergonomic Adjustments: Evaluate the way your father performs his newspaper delivery. Adjusting his technique or using ergonomic tools can reduce strain on his hands and arms. For example, using a bag with a comfortable strap or a cart can help distribute weight more evenly.

4. Rest and Recovery: It's crucial to allow time for recovery. Encourage your father to take breaks during his delivery route to rest his hands and arms. If possible, he might consider reducing the number of newspapers he delivers at one time to lessen the strain.

5. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation. However, it's essential to consult with a healthcare provider before starting any medication, especially considering any existing health conditions.

6. Professional Guidance: If pain persists or worsens, it may be necessary to consult with a healthcare provider for further evaluation. They may recommend imaging studies, such as X-rays or MRIs, to rule out any serious underlying conditions.

7. Supportive Devices: Depending on the severity of the pain, your father might benefit from using splints or braces to support his fingers and wrists during activities.

In conclusion, rehabilitation therapy is a viable option for managing your father's finger and arm pain. It can provide him with the tools and strategies needed to alleviate pain and improve function. Even if daily therapy sessions are not possible, implementing home exercises, ergonomic adjustments, and pain management strategies can significantly enhance his quality of life. Always consult with a healthcare professional to ensure that any treatment plan is safe and appropriate for his specific needs.

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