
Giriş
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
Nedenler
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
Artrit
Carpal tunnel syndrome occurs when the median nerve, which runs through the wrist, becomes compressed or squeezed.
Osteoporoz
Enfeksiyon
Dupuytren’s contracture
Patofizyoloji
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.
Teşhis
Medical history
Physical examination
X ray
MRI
CT scan
Treatments
Tedavi
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.
Prognoz
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.
Komplikasyonlar
Severe pain and restricted movements
Poor quality of work
Deformities
Kırıklar
Disease & Ayurveda
` Khallwi/Viswachi
Nidana
Causative factors for the vitiation of Vaatadosha
Injury
Purvaaroopa
Belirtilmemiş
Samprapti
When Vaatadosha gets aggravated and affects the kandaras goint into fingers, it causes severe pain & loss of movement of the hand and fingers
Lakshana
Pain in the hand and fingers
Loss of mobility of hands and fingers
Bölümler
Belirtilmemiş
Prognoz
Yaapya
Chikithsa
Samana
Lepanam with rooksha & Soolahara dravyas if Aama or vitiated kapha present
Abhyanga or pradesikadhara with oil in conditions without aama or kapha
Sodhana
Snehanam
Swedanam
Ashtapanavasti
Anuvasanavasti
Agnikarma
Yaygın olarak kullanılan ilaçlar
Maharasnadi kashayam
Ksheerabalatailam avarthy
Mevcut markalar
AVS Kottakal
AVP Coimbatore
SNA oushadhasala
Vaidyaratnam oushadhasala
Ev ilaçları
- 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
- Kaçınılması gerekenler
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
- Eklenecek
Hafif yemekler ve kolay sindirilebilir gıdalar
Green gram, soups.
Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc
Davranışlar:
Protect yourself from cold climate.
Aşırı güneş ışığı, rüzgar, yağmur veya toza maruz kalmaktan kaçınmak daha iyidir.
Maintain a regular food and sleep schedule.
İdrar, dışkı, öksürük, hapşırık vb. dürtüleri tutmaktan veya zorlamaktan kaçının.
Avoid sedentary lifestyle. Be active.
Yoga
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, vücut içinde ve çevredeki sistemle uyumu koruyabilir.
Yoga for hands and wrists
Pavanamuktasana
Nadisudhi pranayama
Bhujangasana
Tüm egzersizler ve fiziksel eforlar sadece bir tıp uzmanının gözetimi altında kararlaştırılmalı ve yapılmalıdır.
Araştırma makaleleri
https://pubmed.ncbi.nlm.nih.gov/26611383/
https://pubmed.ncbi.nlm.nih.gov/3814245/
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Yazar:
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