What is Hand/Wrist Osteoarthritis?
There are many kinds of arthritis, but osteoarthritis (OA) is one of the most common causes of pain and stiffness in the hand and wrist. It is a progressive condition, sometimes called “wear and tear” arthritis. Healthy joints have a smooth gliding surface provided by cartilage that covers the ends of the bones; this surface is lubricated by a slippery fluid called synovium. When osteoarthritis sets in, the cartilage begins to wear away, leaving the bare bones to rub against each other.
Symptoms
Pain and stiffness are the most common symptoms of hand/wrist OA. Pain is frequently worse in the morning, and may feel like a dull ache or burning sensation. Gripping and grasping become more difficult, interfering with daily activities. There might also be swelling and warmth in the affected joints, caused by the body’s inflammation response. Occasionally, there is a sensation of grating or grinding.
Diagnosis and Treatment
Diagnosis begins with a thorough physical examination of the hand, which may include x-rays and other diagnostic tests. Treatment depends on the severity of the condition and how long it has persisted. Fortunately, there are a wide range of treatment options available, both non-surgical and surgical, that can reduce pain and restore movement.
Although renowned for his surgical ability, Dr. Asif is a firm believer in using conservative, non-operative treatment plans before considering surgery. For hand/wrist OA, these might include medication, splinting, hand therapy, ergonomic modifications, and lifestyle changes.
