Treatment of hand pain in Munich
Diagnosis of hand pain in Munich
At the beginning, the focus is on a detailed discussion with the patient about the medical history and causes. This is followed by a detailed clinical examination with a movement check to determine the exact extent of the functional impairment. In many cases we use what are known as imaging procedures; these are helpful to consolidate the diagnosis. Ultrasound (sonography), x-rays, magnetic resonance imaging (MRT) or computed tomography (CT) are available. We then create a therapy concept that is individually tailored to the patient and initially focuses on the broad spectrum of conservative treatment options. This will usually treat you effectively and safely for most hand complaints.
Your advantages at OrthoCenter Munich
- Orthopedic treatment focus on spinetherapy
- Wide range of conservative and operative procedures
- Gentle procedures in focus: Dr. Riedel specializes in gentle pain therapy. He was head physician in various pain clinics for over 20 years
- Joints and surgical expert: Prof. Dr. Lill specializes in the treatment of joints. He has years of experience in the field of minimally invasiveand arthroscopic ops.
- Cooperation with clinics and research institutes worldwide
- Renowned private practice: the OrthoCenter is internationally known and repeatedly welcomes patients from abroad who come to Munich for treatment
OUR ORTHOPEDIC SERVICES FOR PAIN IN THE HAND
Causes & symptoms:
Usually occurring as a benign connective-tissue growth, this usually causes a contracture of the middle and ring fingers. Frequently, the patient will experience pain and knots on the palm of the hand. Morbus Dupuytren rarely affects the index finger and thumb. Treatment is always necessary even if the disease causes no pain, as the benign growths will not cease to enlarge. Therefore the earlier one undergoes surgery, the better chance one has of a successful outcome.
Surgery is necessary to treat Dupuytren’s Contracture if one or more of your fingers cannot be straightened from their bent position. The diseased connective tissue will be removed, restoring full movement of the hand and fingers. You should not wait long to have surgery, as the longer you wait, the lower your chances of a complete recovery. It is therefore advisable that you contact a specialist as soon as possible.
Carpal tunnel syndrome
Causes & Symptoms:
The median nerve goes through the so-called “carpal tunnel” which runs along the palm and flexor tendons. This nerve is responsible for the rotation of the hand as well as for flexion of the hand. If this tunnel becomes narrower and therefore susceptible to additional pressure, we call this Carpal Tunnel Syndrome. Most people affected by this condition are over the age of 35.
The first sign of Carpal Tunnel Syndrome is a spreading of pain at night from the hand into the lower and upper arm. As the disease progresses, the pain will be felt throughout the daytime as well. More and more you will notice the muscles in your hands becoming weak and you may even experience paralysis. Although the pain may disappear at times, this may not be a good sign. This is an indication that the median nerve is being gradually destroyed. Carpal Tunnel Syndrome generally occurs in conjunction with tendonitis. Causes can range from injuries, such as dislocations, to hormonal changes, such as those experienced during pregnancy. Measuring the speed of conduction in the nerves helps to provide an accurate diagnosis.
Once Carpal Tunnel Syndrome is diagnosed, the first course of treatment involves the implementation of orthopaedic devices like splints and braces. Additionally, heat and cold therapy and the use of anti-inflammatory drugs can have a positive result. If these conservative treatments fail to produce results, surgical treatment is unavoidable. By enlarging the carpal tunnel, pressure will be taken off the median nerve and full conductivity will be restored.
Trigger or tenosynovitis finger
Causes & Symptoms:
If one of your fingers snaps outward when you try to extend it, you may be experiencing what is known as trigger finger. This happens because the tendon that allows for flexion of the finger no longer slides freely through the first annular ligament. At an advanced stage of the condition, the only way to straighten the finger is by using the other hand to help it. This form of tenosynovitis can cause pain and treatment is necessary to correct this problem.
Most cases of trigger finger require surgery in order to completely correct the condition. In this case, the annular ligament is cut open and the flexor tendon cut in half. The now smaller tendon should be able to glide freely while bending the finger.
Arthritis finger joint
Causes & Symptoms:
Whether you are typing on a computer, trying to pick up an object or attempting to make a fist, the first signs and symptoms of arthritis include stiffness coupled with swelling and joint pain. If the arthritis is already well advanced, you may even notice joint pain without moving your fingers. Excessive wear on the basal thumb joint, called rhizarthrosis, is a common type of arthritis. An orthopaedic specialist can accurately diagnose the type of arthritis by using an x-ray. Different treatments will then be implemented depending on the type of arthritis and the stage of the condition.
Treatment of finger joint arthritis aims to relieve pain, improve mobility and strength and simultaneously stop the excessive wear that may have caused the problem. It will be up to the specialist whether or not your arthritis is treated with orthopaedic devices and/or drugs. Working with an occupational therapist to change your typical movement patterns can have a positive effect on the progression of your arthritis. Surgical procedures are generally only considered when the arthritis has reached an advanced stage and all other treatment options have been exhausted. In an advanced case of rhizarthrosis, full mobility can be restored with the help of a prosthetic joint. Nerves can also be severed to achieve life-long relief from joint pain. Finger and joint pain are typical symptoms of arthritis and should be examined by a specialist. If left untreated, arthritis can progress, causing severe pain and loss of mobility.