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What is hand and wrist osteoarthritis?

Osteoarthritis is the most common form of arthritis and a leading cause of disability in the U.S. It gradually worsens as the joint space decreases and the protective cartilage and the bones wear down over time. This degenerative joint disease can affect any joint in the body, including the joints of the hand and wrist.

What are the symptoms of osteoarthritis of the hand and wrist?

Symptoms of hand and wrist osteoarthritis vary from person to person. Common symptoms with this condition include:

  • Joint stiffness, which may be more pronounced in the mornings
  • An ache with use of the hands
  • Difficulty moving the fingers
  • A weak grip
  • Swelling and tenderness of the knuckles or around the wrist
Woman wrapping wrist before working out

What treatment options are available?

If the symptoms persist, it is recommended to schedule a consultation with Dr. Yoon. A comprehensive evaluation will be performed and a treatment plan can then be discussed based on the findings.

Osteoarthritis FAQ's

Are there specific joints in the hands and wrists that are more affected by OA?

Yes, OA commonly affects the base of the thumb (carpometacarpal joint), the tips of the fingers (distal interphalangeal joints), and the middle joints of the fingers (proximal interphalangeal joints). The wrist joint itself is less commonly involved but can still be affected, particularly after injuries.

How is osteoarthritis of the hands and wrists diagnosed?

Diagnosis is typically made through a combination of medical history, physical examination, and imaging studies such as X-rays, which can reveal joint space narrowing, bone spurs, or deformities. In some cases, an MRI or blood tests may be used to rule out other conditions like rheumatoid arthritis.

How important is exercise in the treatment of hand and wrist OA?

Regular, gentle exercises are vital to maintain joint function, improve flexibility, and strengthen the surrounding muscles. Hand-stretching exercises, grip-strengthening techniques, and wrist rotations can be very beneficial. Working with a hand therapist can provide personalized guidance.

Can alternative therapies aid in OA symptom management?

Some people find relief using complementary therapies like acupuncture, hand massage, or herbal supplements (e.g., turmeric or glucosamine). However, the evidence is mixed, and it’s advisable to consult a healthcare provider before starting any alternative treatment.

What role does diet and nutrition play in OA management?

A balanced diet rich in anti-inflammatory foods, such as omega-3 fatty acids from fish, nuts, and seeds, may help manage inflammation. Adequate vitamin D and calcium intake supports bone health, while antioxidants from fruits and vegetables can promote joint health.

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