Nails and joints
Dear Doctor: I have a habit of frequently cracking my finger joints, which has caused them to become quite thick over time.
What should I do about this? Is surgery the only solution? Additionally, I used to have a bad habit of biting my nails as a child, which has resulted in some deformity of my index finger's nail.
How should I address this issue? Thank you, Doctor!
Dà Huá, 10~19 year old female. Ask Date: 2014/08/18
Dr. Lu Daokuan reply Plastic Surgery
Hello: Long-term joint cracking from finger manipulation can indeed lead to a thicker appearance, but there are no indications for surgery.
The habit of biting fingers may also cause deformity of the nail bed, which might be difficult to correct.
Reply Date: 2014/08/18
More Info
Managing joint and nail issues, particularly finger deformities, can be a complex process that often requires a multifaceted approach. Your concerns about joint deformities from habitual finger cracking and nail biting are valid, and addressing them can significantly improve both function and aesthetics.
Understanding Finger Deformities:
Habitual finger cracking, while often harmless in the short term, can lead to joint issues over time. The sound produced during cracking is due to the rapid release of gas bubbles in the synovial fluid of the joint. However, excessive manipulation can lead to joint laxity, inflammation, and even deformities, particularly if there is underlying ligamentous instability. This may result in a condition known as "Boxer's Knuckle," where the extensor tendons are affected, leading to difficulty in finger extension.
In your case, the thickening of the joints could be a result of chronic inflammation or changes in the joint structure due to repetitive stress. While surgery is an option for severe deformities or functional impairments, it is not the only solution. Non-surgical methods such as physical therapy, splinting, and targeted exercises can often yield positive results.
Addressing Nail Deformities:
Nail biting, on the other hand, can lead to several issues, including nail deformities, infections, and damage to the surrounding skin. The changes in your index finger's nail shape may be due to repeated trauma from biting, which can disrupt the normal growth pattern of the nail. To address this, consider the following steps:
1. Behavior Modification: The first step is to break the habit of nail biting. This can be challenging, but strategies such as keeping your nails trimmed short, using bitter-tasting nail polish, or finding alternative stress-relief methods can be effective.
2. Nail Care: Regularly moisturizing your nails and cuticles can promote healthier nail growth. If there are signs of infection or significant deformity, consulting a dermatologist or a hand specialist is advisable.
3. Physical Therapy: Engaging in hand therapy can help improve the strength and flexibility of your fingers. A therapist can provide exercises tailored to your specific needs, which may help in reducing joint stiffness and improving function.
4. Splinting: In some cases, using a splint to stabilize the affected fingers may help in reducing discomfort and preventing further deformity. This is particularly useful if there is joint instability.
5. Surgical Options: If non-surgical treatments do not yield satisfactory results and if the deformities significantly impact your daily activities, surgical intervention may be warranted. Procedures can range from arthroscopy to correct joint alignment to more extensive reconstructive surgeries, depending on the severity of the deformity.
Conclusion:
In summary, while surgery is a potential option for correcting finger deformities and nail issues, it is not the only path forward. A combination of behavioral changes, physical therapy, and proper nail care can often lead to significant improvements. It is essential to consult with a healthcare professional who specializes in hand therapy or orthopedics to assess your specific situation and develop a personalized treatment plan. Early intervention can prevent further complications and improve your overall hand function and appearance.
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