The hand has been painful for a long time. It hurts when force is applied?
Hello Doctor: I am Xiaoyu.
My mother has been experiencing hand pain for a long time and has visited many clinics.
The doctors have advised her to apply heat daily, use topical medications, and sometimes undergo physical therapy, but there has been no improvement.
She has tried electrical stimulation and massage, yet the pain persists.
What should we do? Is massage advisable? It can be very painful.
She is unable to lift heavy objects or exert herself, and it seems to be getting worse.
Could you please suggest any better methods or precautions we should take? I apologize for the trouble!
Xiao Yu, 10~19 year old female. Ask Date: 2008/01/07
Dr. Zheng Shunping reply Rehabilitation
In response to your question: Based on the symptoms described for your mother, it is possible that there is an issue with her fingers or wrists.
Since she has not seen improvement after treatment at multiple clinics, there may be underlying joint or even immune system problems.
It is recommended that you take your mother to a nearby hospital's rehabilitation department for a thorough examination to identify the cause of her condition, which will allow for targeted treatment to alleviate her pain and improve her quality of life.
Reply Date: 2008/01/07
More Info
Chronic hand pain can be a debilitating condition that significantly impacts daily activities and quality of life. It is essential to approach this issue with a comprehensive rehabilitation strategy that addresses both the symptoms and underlying causes of the pain. Here are some effective rehabilitation strategies and tips that may help your mother manage her chronic hand pain.
Understanding Chronic Hand Pain
Chronic hand pain can arise from various conditions, including arthritis, tendinitis, nerve compression syndromes (like carpal tunnel syndrome), or repetitive strain injuries. It is crucial to have a proper diagnosis to tailor the rehabilitation approach effectively. If your mother has already seen multiple doctors and undergone various treatments without improvement, it may be beneficial to seek a second opinion from a specialist, such as a hand surgeon or a rehabilitation physician.
Rehabilitation Strategies
1. Physical Therapy: Engaging in a structured physical therapy program can be highly beneficial. A physical therapist can design a personalized exercise regimen that focuses on improving strength, flexibility, and range of motion in the hand. This may include:
- Stretching Exercises: Gentle stretching can help alleviate stiffness and improve flexibility.
- Strengthening Exercises: Gradually strengthening the muscles in the hand and forearm can provide better support and reduce pain.
- Functional Activities: Therapists often incorporate daily activities into therapy to help patients regain function.
2. Occupational Therapy: An occupational therapist can assist in modifying daily activities to reduce strain on the hands. They can also provide adaptive devices or splints that can help alleviate pain during activities.
3. Pain Management Techniques:
- Heat and Cold Therapy: While heat can help relax muscles and improve blood flow, cold therapy can reduce inflammation and numb sharp pain. Alternating between heat and cold may provide relief.
- Transcutaneous Electrical Nerve Stimulation (TENS): This method uses low-voltage electrical currents to relieve pain and may be beneficial for chronic pain conditions.
4. Medication: If your mother is experiencing significant pain, over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen may help. However, it is essential to consult with a healthcare provider before starting any medication, especially if she has other health conditions.
5. Mind-Body Techniques: Stress can exacerbate pain perception. Techniques such as mindfulness meditation, yoga, or tai chi can help manage stress and improve overall well-being.
6. Ergonomic Adjustments: If your mother engages in activities that require repetitive hand movements, it may be beneficial to evaluate her workspace and make ergonomic adjustments. This could include using tools that reduce strain on the hands or changing her posture during activities.
Important Considerations
- Avoid Overexertion: It is crucial for your mother to listen to her body and avoid activities that exacerbate her pain. While some discomfort may be expected during rehabilitation, sharp or severe pain should not be ignored.
- Gradual Progression: Rehabilitation should be approached gradually. Increasing the intensity or duration of exercises too quickly can lead to setbacks.
- Regular Follow-ups: Continuous communication with healthcare providers is essential. Regular follow-ups can help monitor progress and make necessary adjustments to the treatment plan.
Conclusion
Chronic hand pain can be challenging to manage, but with a comprehensive rehabilitation strategy that includes physical and occupational therapy, pain management techniques, and ergonomic adjustments, your mother may find relief and improve her hand function. It is essential to remain patient and persistent, as recovery from chronic pain can take time. If current treatments are not yielding results, seeking further evaluation from specialists may provide new insights and options for effective management.
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