
Введение
Hand and fingers are the tools and weapon of human beings to perform any activity or self-protection. We can undoubtedly say that it is the most used motor organ. Any pain in hand or fingers can affect the person’s productivity and daily life seriously. Hand pain is often the result of a recent injury or from overusing the hand or wrist. However, persistent or reoccurring pain in the hand may be the sign of an underlying condition. Finger pain is often the result of minor injuries. People can often treat finger pain at home with rest and immobilization. However, severe, worsening, or recurring pain may be the sign of a more serious injury or an underlying condition. Possible causes of finger pain include tendon conditions, arthritis, ganglion cysts, and infections.
Signs & symptoms
Pain in the hand and fingers
Restricted movements
Tenderness in the affected area
Swelling may or may not be present
Причины
Hand injuries – Repetitive movements or overuse of the hands and wrists
Ganglion cysts are fluid-filled lumps that can develop near joints and tendons in the hand and wrist.
Trigger finger – Stenosing tenosynovitis, or trigger finger can make it difficult to move the affected finger or thumb.
Scleroderma is a group of conditions that result in unusual growth of connective tissue under the skin or around internal organs.
Raynaud’s phenomenon
Артрит
Carpal tunnel syndrome occurs when the median nerve, which runs through the wrist, becomes compressed or squeezed.
Остеопороз
Infection
Dupuytren’s contracture
Патофизиология
Peripheral neuropathy in hands occurs when the peripheral nerves are damaged. There are a number of things that can cause peripheral nerve damage, including diabetes, traumatic injuries, infections, and metabolic problems. Peripheral neuropathy can affect the nerve that goes into the hand and fingers which cause pain and other symptoms. Any compression or damage to any spinal nerves can cause pain and other discomforts in the area supplied by that nerve. Any disorder to spinal nerve roots from C7 to T1 and radial & ulnar nerves supplying the arm to the hand from brachial plexus can cause pain in the hand and fingers.
Диагноз
Medical history
Physical examination
X ray
MRI
CT scan
Treatments
Лечение
A person can usually treat a minor finger injury using RICE therapy:
Rest. Avoid using the finger as much as possible until it has had time to heal. It may also help to immobilize the finger using a splint or by buddy taping it to a neighboring finger.
Ice. Apply an ice pack to the injured finger for up to 20 minutes several times per day. Ice packs can help reduce pain and swelling.
Compression. Wrap the injured finger snuggly, but not too tight to cause constriction of the blood vessels, in a soft dressing or bandage.
Elevation. Keeping the finger elevated above the level of the heart can help reduce swelling.
Taking over-the-counter (OTC) pain relief medications, such as acetaminophen, ibuprofen, and naproxen, may also help reduce pain and swelling.
People who suspect a fracture or dislocation should avoid moving the finger and seek prompt medical attention.
A trained healthcare professional will reset the bone and immobilize the finger to allow it to heal properly, which reduces the risk of further complications.
Прогноз
In most of the cases, hand and wrist pain will not be a sign of a serious or long-term problem. It will settle in a few days or weeks. But there are several conditions that can cause pain or other symptoms in the hands and wrists, including types of arthritis which may show very bad prognosis.
Осложнения
Severe pain and restricted movements
Poor quality of work
Deformities
Переломы
Disease & Ayurveda
` Khallwi/Viswachi
Нидана
Causative factors for the vitiation of Vaatadosha
Injury
Пурваарупа
Не упоминается
Сампрапти
When Vaatadosha gets aggravated and affects the kandaras goint into fingers, it causes severe pain & loss of movement of the hand and fingers
Лакшана
Pain in the hand and fingers
Loss of mobility of hands and fingers
Подразделения
Не упоминается
Прогноз
Yaapya
Чикитса
Самана
Lepanam with rooksha & Soolahara dravyas if Aama or vitiated kapha present
Abhyanga or pradesikadhara with oil in conditions without aama or kapha
Содхана
Snehanam
Swedanam
Ashtapanavasti
Anuvasanavasti
Agnikarma
Часто используемые лекарства
Maharasnadi kashayam
Ksheerabalatailam avarthy
Бренды в наличии
AVS Коттакал
AVP Коимбатур
СНС Ушадхасала
Вайдьяратнам ушадхасала
Домашние средства
- applying an ice pack to the affected area for up to 20 minutes at a time
- resting the hand and fingers as much as possible
- protecting and immobilizing the affected finger using a splint or by buddy taping it
- keeping the finger elevated above the level of the heart to reduce swelling
- taking OTC pain relievers, such as acetaminophen, ibuprofen, and naproxen
- In no case of injury, exercises and stretching are advised
- Следует избегать
Heavy meals and difficult to digest foods – cause indigestion.
Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine
Carbonated drinks – makes the stomach more acidic and disturbed digestion
Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)
Milk and milk products – increase kapha, cause obstruction in channels and obesity
Curd – causes vidaaha and thereby many other diseases
- To be added
Light meals and easily digestible foods
Green gram, soups.
Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc
Behaviour:
Protect yourself from cold climate.
Better to avoid exposure to excessive sunlight wind rain or dust.
Maintain a regular food and sleep schedule.
Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc.
Avoid sedentary lifestyle. Be active.
Йога
Regular stretching and cardio exercises are advised. Also, specific yogacharya is recommended.
Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health.
Yoga can maintain harmony within the body and with the surrounding system.
Yoga for hands and wrists
Паванамуктасана
Надисудхи пранаяма
Бхуджангасана
All the exercises and physical exertions must be decided and done under the supervision of a medical expert only.
Научные статьи
https://pubmed.ncbi.nlm.nih.gov/26611383/
https://pubmed.ncbi.nlm.nih.gov/3814245/
Эти заявления не были оценены Управлением по контролю за продуктами и лекарствами США. Данный продукт не предназначен для диагностики, лечения, излечения или профилактики каких-либо заболеваний. Пожалуйста, проконсультируйтесь с вашим лечащим врачом перед приемом.
Писатель:
Доктор Раджеш Наир, соучредитель и главный консультант Ayurvedaforall.Com, окончил престижный аюрведический колледж Vaidyaratnam (филиал Университета Каликут), штат Керала, Индия. Кроме того, он получил диплом об окончании аспирантуры по йогатерапии в Университете Аннамалай.
Доктор Наир проводит консультации в двух оживленных клиниках в Харипаде и его окрестностях, Аллеппи, Керала, южном штате, известном на весь мир аутентичным аюрведическим лечением и врачами. Предлагая консультации по всем аспектам аюрведического лечения, доктор Наир проявляет особый интерес к панчакарме, йоге и массажу.
Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India.
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