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Treatment of pain in the wrist joint
Last reviewed: 23.04.2024
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Treatment of pain in the wrist joint depends on the cause that caused it. Therefore, there is no generally accepted method by which pain can be removed in each case of discomfort in the joints of the hand.
First of all, specialists resort to diagnostics to reveal the original cause of pain. Here are some symptoms of certain diseases that can be responsible for the appearance of discomfort in the radiocarpal joint:
- De Carven's disease (tendovaginitis) manifests itself in pain sensations that affect the region of the styloid process, which is present on the radius bone. Its location - the lateral surface of the brush, which is located on the side of the thumb. Unpleasant sensations are more pronounced when moving with a brush and a thumb. Sometimes the pain appears at night, and begin to give in the wrist and forearm. When palpation, which is carried out by a doctor, in the styloid process, the patient begins to experience painful sensations. For the affected area of the joint is characterized by the presence of some swelling.
- This disease is also characterized by the symptom of Finkelstein. This phenomenon is expressed in the following. It is necessary to press the thumb of the hand to the surface of the palm, and from above put the other fingers on it (squeeze everything into a fist). If you move your wrist in the direction of the elbow, a sharp pain will appear.
- The symptomatology is the same as in de Cervin's disease. Only the symptom of Finkelstein is excluded.
- Carpal tunnel syndrome (or carpal tunnel) reveals itself in pain that spreads over the surface of the palm of the wrist. In this case, there are sensations of numbness, tingling, and also pain, which spread to the four fingers of the hand. The fingers that are controlled by the median nerve are affected. They can hurt all at once or from one to three. From the very beginning, the sensations in the finger area may be unstable, but soon they are replaced by regular pain. Moreover, these pain sensations can intensify at night.
- Arthritis is manifested in the presence of severe pain in the joint, as well as in the appearance of swelling in the articular region and the appearance of a feeling of stiffness in the joint.
- Arthrosis is manifested in a decrease in the mobility of the affected joint, which occurs due to deformation of the cartilage. Also, arthrosis is characterized by the presence of pain in the area of the joint itself.
- Bursitis is characterized by the appearance of severe pain in the joint area, which accompanies the inflammatory process in the joint bag.
- Hygromes are characterized by pain in the joint area, as well as the appearance of an apparently visible tumor, which looks aesthetically ugly. Also, with hygromes, joint mobility is impaired due to the interfering movement of a benign tumor.
- Periarthritis is characterized by the presence of pain in the area of the affected wrist joint.
- Dislocations manifest themselves by sharp pain during movements, as well as the appearance of swelling in the area of the lesion and some redness of the skin in this place.
Specialists offer the following treatment options:
- With de Kerven's disease (tendovaginitis).
It is necessary to use non-steroidal anti-inflammatory drugs. These include drugs Voltaren, Nimesil and others. In this group of drugs there are those that need to be used inside, and which must be used topically.
It is also recommended to resort to physiotherapy. In addition, doctors advise to keep the arm and hand in peace until the discomfort disappears.
The blockade with use of preparations of Diprospan or Kenalogma has well proved.
- With styloidites.
The same methods are used as in de Cervin's disease.
- With carpal tunnel syndrome (or carpal tunnel).
In the treatment of this problem, a consultation of a neurologist and a jointly prescribed treatment with a surgeon or traumatologist are needed, to which (most likely) the patient will address.
Traditionally, specialists prescribe drugs with anti-inflammatory effect. These include drugs such as Voltaren, Movalis and the rest. Drugs that remove inflammatory processes should be taken orally and used topically in case of external application. Also, injections of B vitamins and nicotinic acid are recommended. Physiotherapy procedures are good. Blockade with the use of Diprospan is also effective.
The above methods of conservative therapy are good only at the initial stages of the disease. When the joint is started, the operative intervention is used - the squeezing nerve is dissected, which is placed in the fibrous ring.
- With arthritis.
The methods suggested by specialists depend on the cause that caused the disease. Acute arthritis suggests the use of non-steroidal drugs with anti-inflammatory effect, which is contraindicated in purulent arthritis. It is recommended to resort to the use of Voltaren, Movalis, Celebrex and other similar drugs. Sometimes, when there are indications for this, experts recommend resorting to blockade with glucocorticoid hormones - drugs Diprospan and Kenalog. Sometimes other symptomatic treatment is applied depending on the cause that caused arthritis.
- For arthrosis.
First of all, the damaged cartilage tissues for arthrosis need to be saturated with the necessary substances - hondoprotectors. These drugs help synthesize chondroitin, which is very necessary for restoring the structure of the cartilage.
In addition, the damaged joint needs to restore mobility in the bones, which are articulated in the wrist joint. For such purposes one of the ways of manual therapy is used - the method of mobilization. It is enough to have three or four sessions to restore joint mobility.
Then the diseased joint needs to restore the blood circulation in order to intensify the metabolic processes in it. To this end, the methods of physiotherapy - therapeutic mud, the use of ozocerite and paraffin therapy, sessions of compresses with bischofite or medical bile. Good will be massages and self-massage with ointments with anti-inflammatory effect. Suitable and laser therapy, magnetotherapy and electrophoresis.
In severe cases of arthrosis, the use of injections with hyaluronic acid directly into the affected joint is recommended. Three to five sessions of using hyaluronic acid derivatives give the effect of restoring the joint structure by seventy to eighty percent.
But still, with arthrosis, it is recommended to perform complex treatment: with chondroprotectors, manual therapy, procedures that improve blood circulation in the joint and injections with hyaluronic acid derivatives. Such treatment is characterized by the greatest effectiveness and lasting results.
- With bursitis.
It is recommended conservative treatment with medication, as well as finding the affected joint at rest. Sometimes specialists resort to puncture of exudate with further infusion into the formed cavity of antibacterial and other drugs. Physiotherapy procedures are also useful. When ineffective conservative treatment, doctors use surgical methods of intervention. Can be applied, instead of surgery, and treatment by shock wave therapy. This method is an excellent analogue of surgery, but also prevents relapse of the disease.
- With hygromes.
In this disease it is recommended to use conservative and surgical methods of treatment. Conservative methods include medication and physiotherapy methods.
The most well-known method is the puncture of the hygroma or its piercing with a syringe. Everything that is inside the hygroma is sucked off, and synthetic steroid hormones are injected into the resulting cavity, for example, Diprospan, which has an anti-inflammatory effect. If the hygroma is infected, antibacterial drugs such as Neomycin and Amicil are injected into the cavity.
It is also useful to use ointments with anti-inflammatory effect, for example, Diklak-gel or Fastum-gel. From physiotherapeutic procedures it is recommended to resort to magnetotherapy, phonophoresis with hydrocortisone, paraffin therapy and ozocerite.
The most effective surgical intervention is considered. Because the use of conservative therapy is likely to occur relapse.
The operation to remove the hygroma is performed under local anesthesia by the method of vyluschivaniya, in which the hygroma is removed simultaneously with the capsule in which it is located. At the same time, the likely recurrence decreases almost to zero.
Also, when removing the hygroma, laser surgery can be used. In this case, pain decreases, and blood loss is reduced and wound healing is accelerated.
- With dislocations.
Dislocations are treated, first of all, by anesthetizing and correcting the bones of the joint. In each case, the mode of action determines the data from the X-ray image. Then a plaster is applied to the place of the dislocation. And after the removal of gypsum, physiotherapy, methods of physiotherapy and mechanotherapy are recommended.
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Treatment of pain in the wrist joint with drugs
Of course, not only physiotherapy and other methods can improve the situation with this unpleasant symptom. The treatment of pain in the wrist joint with medicines is a traditional method of combating the diseases that caused it.
So, we list all the medicines used for the main diseases that caused pain in the joint:
- Voltaren,
- Nimesil,
- Diprospan,
- The Kenalog,
- Neomycin,
- Amycil,
- Movalis,
- Celebrex,
- Kenalog.
In this case, the list of drugs is presented only for reference. Because only a specialist can choose a suitable remedy and prescribe a course of treatment. And the doctor will resort to any recommendations only when he finally finds out the cause of the pain in the joint and the profiling disease that needs to be treated.
Ointments for pain in the wrist joint
With pain in the joints of the hand, experts recommend using various external agents with anti-inflammatory effect. Also, many of these drugs have an easy analgesic effect.
Ointments with pain in the radiocarpal joint are represented by the following names:
- Voltaren Emulgel.
This drug is prescribed for bursitis, arthritis, periarthritis, tendinitis and other diseases with rheumatic manifestations in soft tissues. A gel is good for use in such symptoms as pain syndromes, edema, inflammatory processes that were triggered by injuries injuring ligaments, tendons - dislocations, sprains and bruises. A medicine is also suitable for the treatment of injuries sustained in sports.
It is recommended to use ointment for adults and children from twelve years old. Apply the product to the dried clean skin with a thin layer three to four times a day. The course of treatment is determined by the attending physician, but not more than three weeks.
- Fastum gel.
This ointment is prescribed by specialists with pain syndrome, which has arisen due to bruises, dislocations, injuries and sprains in the joints.
It is recommended to use Fastum gel from one to two hours a day by rubbing a small amount of gel on a thin layer on the required skin area. You need to rub the ointment into the skin until the gel is absorbed completely. The course of treatment appoints a specialist, but on average this period is up to ten days.
- Dolgit is a gel or cream.
This drug is an anti-inflammatory and analgesic for joint diseases, which are accompanied by inflammatory processes and severe pain. The drug is useful for arthritis, osteoarthritis with a deforming character, bursitis and tendinitis.
Gel Dolgit is applied to the cleansed skin and rubbed lightly into the necessary area of the skin. The gel is not recommended for application to the occlusive dressing. It is necessary to avoid getting the gel on the mucous membranes in the eyes. Also, you can not rub the gel on the skin with broken integrity. After using it, you should thoroughly wash your hands. Gel is used from three to four times a day for adults and adolescents. The course of treatment is determined by the attending physician. Exactly the same recommendations apply to Dolgite cream.
- Diklak gel.
Used in the treatment of inflammatory processes and arresting edema caused by rematoid processes in the joints of the hand, namely, tendovaginitis, tendinitis, arthritis. Also good with arthrosis joints. It is used for domestic, sports and industrial injuries - bruises, sprains and swelling.
The method of applying the gel is as follows: apply a thin layer of ointment two or three times a day to the affected area. The course of treatment is from ten days to two weeks.
Alternative treatment of pain in radiocarpal joint
Not only medicines can help get rid of the pain in the wrist joint. There are methods of alternative medicine that will help to cope with this problem.
Methods of healing from tendovaginitis (or de Cervin's disease).
- Alternative ointment:
- take dry flowers of calendula and baby cream, all in equal proportions,
- ingredients are thoroughly mixed,
- The ointment is applied to a large area, overlapping the patient zone, covered with a fixative bandage and left for the night.
- Infusion with anti-inflammatory effect №1:
- take a tablespoon of dried flowers of chemist's daisy and pour a glass of boiling water,
- the infusion is left for cooking for half an hour in a thermos,
- after which it can be drunk three times a day for half a glass,
- course of treatment - fourteen days.
- Infusion with anti-inflammatory effect №2:
- it is necessary to do all the same, but instead of chamomile it is recommended to take St. John's Wort.
Methods of healing from arthrosis.
- Compress with the use of oat flakes:
- you need to take three tablespoons of flakes and pour them with two glasses of water,
- after which everything boils for ten minutes,
- the mixture is cooled to a warm temperature, and then superimposed as a compress on the affected area,
- the procedure is one hour, after which the compress can be removed.
Methods of healing from arthritis.
- Health drink:
- you need to make one tablespoon of olive oil (it is important that the quality of the oil is high), half a teaspoon of rubbed fresh garlic and one glass of boiling water,
- all the ingredients are thoroughly mixed, and the drink is ready for use,
- a medicinal preparation is taken twice a day until the pain in the joint disappears.
Methods of therapy of sprain.
- Compress with lemon and garlic juices:
- squeezed an equal amount of juice of garlic and lemon juice, after which the liquids are mixed,
- gauze is taken and impregnated with the resulting mixture,
- the tissue is applied to the affected area and holds until it becomes temperature equal to the temperature of the skin.
- Saline compress with flour:
- the ingredients are taken in equal proportions, after which a dough of steep consistency is kneaded with a small amount of water,
- then the dough is well kneaded and rolled into strips,
- The strips are bound to the affected area, a cloth bandage of wool threads is put on top, and everything is left for the night sleep.
Methods of healing from osteoarthritis.
- Tincture of alcohol with hot pepper:
- take three or four pods of hot red pepper (it can be used, both in the dried form, and in fresh),
- alcohol must be diluted to the state of vodka and then take half a liter of liquid,
- pepper is poured with liquid and left for ten days in a cool, sheltered from the light spot,
- after which the obtained drug should regularly rub the affected joint.
- Infusion of herbs:
- it is necessary to stock up the roots of elecampane - two parts, seeds of dill - with one part, chamomile flowers - one part, poplar buds - two parts, a nettle leaf - two parts, birch buds - three parts and leaves of mint -
- all components are thoroughly mixed, and from the resulting mixture is taken two tablespoons, which are brewed with one liter of boiling water,
- then the infusion is poured into a thermos bottle and left overnight,
- after which the received drink is taken five times a day for half a glass,
- the course of treatment is from two to three months.
Methods of healing hygroma.
- Compress with wine vinegar and eggs:
- mixes fifty grams of wine vinegar with one raw egg,
- The fabric is dipped in the mixture and superimposed on the location of the hygroma.
- Compress of horse chestnut:
- six chestnuts are ground with a meat grinder or blender,
- cooked gruel is applied to the hygromous, covered with gauze cloth and left alone for a couple of hours,
- After the compress is removed, the sore spot is smeared with iodine.
Methods of healing from a bruise.
- Compress from wormwood:
- raw materials must be crushed to obtain a homogeneous mass,
- the received weight is put by a thick layer on the necessary site of a skin, and on top of it the bandage is imposed.
- Composition of onions:
- The onion is rubbed on the grater and juice is squeezed out of the mass,
- gauze is taken, which is thoroughly impregnated with juice and applied to the site of the injury.
Methods of healing from periarthritis.
- Herbal infusion for rubbing:
- takes equal parts of leaves of plantain, peppermint, burdock, as well as flowers of chamomile,
- all carefully mixed and brewed from the calculation of four tablespoons per liter of water,
- the infusion is left for several hours, and then this liquid is rubbed off the affected area with the help of light movements.
- Tincture of calendula on alcohol:
- it is necessary to stock up fifty grams of calendula flowers and pour the raw material with half a liter of vodka (or divorced up to forty degrees of spit)
- the infusion is left for half a month in a cool dark place,
- After the expiration of this period, the obtained product must be rubbed off the sore spots.
Healing of inflammatory processes.
- Tincture on alcohol with leaves of aloe:
- first it is necessary to prepare crushed leaves of aloe and vodka in equal quantities,
- ingredients are mixed well and infused for seven days, placed in a cool and dark place,
- after the indicated period, the prepared tincture is rubbed onto the surface of the skin above the affected joint.
- Baths with essential oils:
- warm water is taken in sufficient quantity and in it are dissolved essential oils with anti-inflammatory action - for these purposes eucalyptus, calendula, St. John's wort and sandalwood,
- after which the diseased wrist falls into the water for ten or fifteen minutes.
Methods of healing edema.
- Compress with alcoholfuracilin:
- is taken pharmacy infusion furatsilina and diluted with alcohol in a ratio of one to one,
- The resulting solution is wetted with gauze, and compresses are superimposed on the affected joint for the whole night.
- Baths with the use of decoction from the comfrey medicinal:
- The cut branch of the comfrey is poured with one liter of water,
- after which everything is put on fire and boiled until the moment that half the water disappears from the tank,
- then the wrist descends into a warm medium and stays there for twenty minutes.
Universal methods of healing pain in the wrist joint.
Kashitsa of herbs with anti-inflammatory and analgesic effect:
- for its preparation are stored with flowers of a chemist's chamomile - two parts, a grass of a dumpling medicinal - two parts, leaves of an althaea medicinal - one part,
- then all ingredients are mixed, and boiling water is added to the herbal mass, but in such quantity that a gruel is formed,
- then the resulting mass is superimposed on the affected joint.
Collection of herbs:
- In equal parts you need to take the fruits of juniper, birch buds, grass horsetail, flowers of St. John's wort and cranberry leaves,
- all the ingredients are crushed and thoroughly mixed,
- A tablespoon of the collection is poured into one glass of boiling water and left for infusion (it is best to do it in a thermos),
- after two hours, the infusion is taken inwards in the amount of half a glass three times a day before meals,
- treatment should be a month and a half.
Alternative treatment of pain in the wrist joint is, of course, not a panacea, but an auxiliary tool in the complex approach to the problem. In any case, self-diagnosis and self-treatment is not recommended by specialists. Due to the fact that a person can confuse the cause of the disease and only worsen the state of their own health.
Prevention of pain in the wrist joint
Of course, it is impossible to envisage all situations in which the wrist joint can suffer. But to help prevent some health problems can and should be done.
Prophylaxis of pain in the wrist joint is as follows:
- First of all, it is necessary to refrain from excessive physical exertion on the body and specifically on the joints of the hand. Do not wear weight and constantly engage in physical work related to the transfer of goods.
- When forced to wear heavy loads on the zone of wrist joints, it is necessary to wear protective elastic bandages. They will help reduce the strain on the joint and prevent damage and stretching of the tendons.
- Proper nutrition also matters. Since some problems with the joints of the hand are associated with systemic diseases of the body. Which arise when a healthy lifestyle is violated, including when eating disorders.
It is recommended every day to use fresh fruits and vegetables, cereals from whole grains, salads with a small amount of salt and unrefined vegetable oil. It is also good to remember the seeds (especially the flax seed) and nuts, wheat and greens. Important is also fish and sometimes lean meat. Honey and other bee products are also useful. As drinks it is necessary to use infusions from medicinal herbs, fruit drinks without added sugar, infusions from dried fruits and compotes. Periodically you can pamper yourself with sour-milk products, natural cheeses and yoghurt.
Limit, and sometimes completely eliminate sugar and salt, flour and bakery products, all products with preservatives, dyes and flavor enhancers. Food should be natural, fresh and organic.
- At constant work with a load on a wrist joint it is necessary periodically during the day to carry out gymnastics for joints of a brush. This will help avoid occupational diseases of these joints.
- It is important to remember the correct distribution of labor and rest during the day.
- Smoking and alcohol abuse also lead to disturbances in metabolic processes that affect deformations arising in the wrist joint. Therefore, these frills are recommended to be abandoned. Especially, those people who have a hereditary predisposition to arthritis, arthrosis and other systemic diseases.
Pain in the wrist joint has many causes. Therefore, having felt this unpleasant symptom, it is necessary to turn to a specialist and undergo a comprehensive examination to find out the cause of pain.