Finger arthrosis of the hands which doctor treats

Finger arthrosis treatment is carried out immediately after diagnosis and, as a rule, is carried out comprehensively. It is aimed at the regeneration of cartilaginous tissue of the hands, increasing joint mobility, enhancing blood microcirculation in the vessels, relieving edema and pain syndromes. Some tablets will not be able to cope with such a difficult task, so the treatment of finger arthrosis should be carried out comprehensively. It lasts several months, and recovery occurs only if the patient strictly fulfills all the doctor’s prescriptions.

It should be remembered that the ailment is not formed in one week or a month. Arthrosis is a chronic disease that has been increasing for years. Finger disease is treated in several ways, each of which we will consider separately:

  • medication;
  • physiotherapeutic;
  • medical gymnastics;
  • special massage;
  • manual therapy;
  • folk remedies;
  • surgical intervention.

Medication

The official medicine recognizes the medical method as the most important treatment for arthrosis of the fingers. The disease occurs due to stress, trauma, poor ecology, unbalanced nutrition, joint inflammation, systematic hypothermia. The disease can also develop against the background of immune disorders and diseases such as arthritis, lupus erythematosus, ankylosing spondylitis, tuberculosis.

To relieve a pain symptom, doctors use several groups of drugs:

  1. NSAIDs and NSAIDs are non-steroidal anti-inflammatory drugs. Their goal is to quickly relieve severe pain. Medicines are used in the form of tablets, injections, ointments and rubbing. The duration of the injection course should not exceed 10 injections, otherwise the gastrointestinal mucosa is destroyed. The most famous: “Diclofenac”, “Voltaren”, “Fastum gel”, “Piroxicam”, “Ibuprofen”, “Movalis”.
  2. Steroid drugs. These are anti-inflammatory drugs that have a fast analgesic and are used for intramuscular injection. These are drugs such as Prednisone, Cortisone, Dexamethasone.
  3. Analgesics and glucocorticoids are designed to prevent inflammatory processes in the joints of the fingers and to enhance blood circulation. Available in tablets, ointments, solutions for intramuscular and intravenous administration. Popular drugs: Spazmalgon, Nurofen, Hydrocortisone, Sinaflan.
  4. Chondroprotectors that can treat the source of the disease are destroyed cartilage. Their composition is identical to the structure of cartilage. But these drugs are effective at the initial stage of the disease, and it is useless to treat an advanced disease with them. Famous: Trental, Chondroxid, Teraflex.
  5. Muscle relaxants also help to quickly deal with pain. They dilate blood vessels during cramping. Popular: Midokalm, Baclofen, Sirdalud.

Physiotherapy

It is impossible to achieve a sustainable effect with medications alone, therefore physiotherapeutic measures come to the aid of the patient. They not only enhance the positive effect of drug treatment, but also contribute to the regeneration of articular cartilage, stimulating the body’s defenses. Physiotherapy is carried out both at home and on an outpatient basis.

The treatment includes:

  1. Ultrasound. Shock wave therapy is aimed at blocking pain with the help of special equipment. The principle of ultrasound is the impact on certain parts of the body of a shock sound wave, which stimulates tissue repair, which contributes to the patient’s quick recovery.
  2. Magnetotherapy. This treatment is based on decongestant, anti-inflammatory and sedative effects. A low frequency magnetic field acts on the articular cartilages of the fingers, prov >

Therapeutic gymnastics (LFK)

Therapeutic exercises for fingers with arthrosis will help increase the range of motion, strengthen the ligamentous apparatus. The exercises should be performed not to pain, but as far as possible stretching your fingers daily several times with each hand.

  1. Warm up fists. Lock your hands in your fist for 30 seconds, then unclench it, spreading your fingers wide apart.
  2. Stretching the palm. Place your palm on the surface so that your wrist and fingers touch it and the middle is raised. Then straighten your palm sharply to make it flat.
  3. Tiger claw. Turn your palm towards your face, squeeze your fingers to resemble the claws of a predator and lock for 30 seconds, then return to the starting position.

Hand massage and manual therapy

For joint diseases, manual therapy and massage are effective. These procedures are used as part of a comprehensive rehabilitation treatment, combining well with physiotherapy and physiotherapy. For the treatment of arthrosis, acupressure and segmental-reflex massage are used, in which an impact on the reflex zones is performed. With the help of manual therapy, it is effective to treat arthrosis of the thumb and arthrosis of the index finger, even without drug therapy.

Folk remedies

  1. Applications with paraffin. Immerse your hands in melted paraffin for 10 minutes, and then hold them in any herbal broth for 15-20 minutes. Do not be afraid to burn yourself – paraffin melts at a temperature of +52, very slowly giving off heat. Perform the procedure 2-3 times a week.
  2. Medicines of natural origin “Ozokerite” and “Bischofite”. These are natural materials in which there are many trace elements that contribute to the rapid regeneration of tissues. Apply drugs in the form of a compress on the fingers. Apply the heated preparation to 35-50 degrees on gauze, put it on the brush, fix it with an elastic bandage, leave it overnight. Compresses should be done every other day until pain is reduced.
  3. Effective internal remedies include rye grain infusion, which is prepared as follows: take 1 kg of grain, pour 7 liters. water, bring to a boil and let it brew for a couple of hours. Then strain, add 1 kg of honey, 200 g of alcohol and store for 3 weeks in a dark place. Use tincture daily for 3 tbsp. tablespoons before meals until it runs out.

Operative intervention

Surgical treatment of finger arthrosis consists in removing all growths and a damaged joint, after which it is replaced with a prosthesis. But such surgery is carried out in the most advanced cases. More often in the second stage, if drug treatment does not give tangible results, an arthroscopic operation is indicated, in which there is minimal intervention with several punctures. An optical device examines the joint from the inside, and the surgeon removes even the smallest violations of the anatomical structure of the finger.

Patients diagnosed with arthrosis are shown a diet with a lot of protein foods, because proteins help restore cartilage. They are found in dairy products, cottage cheese, hard cheeses, fish, and legumes. B vitamins are no less important, so you need to eat more potatoes, lentils, eggs, bananas. Fatty meat should be completely excluded from the diet: pork, lamb, goose. You can not overeat with arthrosis – you should eat in small portions 4-5 times a day.

Prevention

To reduce the likelihood of arthrosis of the fingers, motor loads that enhance blood flow are needed. They supply cartilage with oxygen and nutrients. In winter, overcooling should be avoided, and in cold weather, be sure to wear gloves or mittens. Constant control over weight, protecting fingers from injuries, balanced nutrition will keep fingers moving until they are very old.

Which doctor treats arthrosis of the joints of the fingers

If you notice pain or suspicious creaks in the fingers that did not occur against the background of an injury, you should immediately consult a doctor. All diseases associated with the joints are treated by a rheumatologist, who, after a thorough examination and examination of the test results, will make an unmistakable diagnosis, and then prescribe a complex therapy. The key to the successful treatment of arthrosis of the fingers is its timely detection.

Videos

With developing arthrosis, cracking of the cartilage tissue occurs, which over time will lead to big problems in everyday life. Therefore, self-medication is not worth it, but in the process of treatment, which is under the supervision of a doctor, you can help yourself to alleviate pain with the help of baths, lotions, massage and therapeutic exercises. Watch the video on how to do therapeutic exercises at home in the treatment of finger arthrosis:

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Which doctor should I contact for the development of finger arthritis?

Keeping of

With arthritis of the joints of the fingers, aching pain occurs when moving. The mobility of the joints of the hand is limited, and there is a feeling of stiffness after sleep. Swelling in the joint area and redness of the skin above it, as well as an increase in temperature are possible.

Arthritis (inflammation of the joint) is acute. In this case, severe pain may occur and swelling may appear. In a chronic form, the disease itself proceeds slowly, only occasionally accompanied by aching pains. The latter form is more dangerous due to implicit symptoms. In this case, the joint can be deformed due to the prolonged inflammatory process. Sometimes the disease occurs due to an infection that gets into the joint with a blood stream.

From Crunch to Arthritis

An obsessive desire to crunch your fingers, which subsequently causes unpleasant sensations in them and even pain, may not be as harmless as it seems at first glance. Do not neglect complaints of pain in the joints of the hands, because the sooner a possible disease is diagnosed, the sooner you can start treatment.

Finger arthritis is a fairly common joint disease, in which the small joints, particularly the fingers or toes, suffer. Most often, this type of arthritis affects the elderly (from 40 years old), but it is possible that in young people it is also possible to detect this disease. At the advanced stages of the disease, the joints begin to collapse, the cartilage tissue becomes thinner, and numerous foci of inflammation occur in the joints, causing severe pain and restricting the patient’s freedom of movement. Arthritis of the extremities, which was not diagnosed in a timely manner and whose treatment was not started on time, can even lead to disability.

How does arthritis of the fingers

From early childhood, a person develops fine motor skills, actively using fingers. The fingers consist of three bones (they are called proximal, distal and middle phalanges) and three joints. Finger arthritis of the fingers involves precisely these joints: they become inflamed along with the cartilaginous tissues adjacent to them. In this case, painful sensations disturb a person not only with the movement of the fingers, but also at rest. If the patient felt physical discomfort, it is necessary to immediately consult a specialist doctor. Delay in calling for qualified assistance is fraught with partial or complete restriction of the mobility of the joints of the hands or feet.

The causes of the disease can be very diverse, among the main experts call the following:

  • local injuries, bruises of the fingers and / or feet, previous operations;
  • overweight, metabolic problems, stress;
  • tobacco smoking;
  • severe hypothermia of the body;
  • weakening of immunity;
  • genetic factors (heredity).

Arthritis hands: know the enemy in person

Arthritis of the fingers, as a rule, occurs with characteristic symptoms: the patient during remission of the disease is worried about sharp pains in the joints and permanent high temperature. There are two types of arthritis of the fingers: acute and chronic.

Acute arthritis can develop in a patient in a very short time, proceeding with fever and unbearable pain in the joints of the fingers. Local causes can cause acute arthritis (sprain, swelling, bruising of the finger joint, and other causes). At the first signs of the disease, you should seek help from specialist doctors.

Chronic finger arthritis does not proceed as rapidly as acute, and more time is needed for its remission. This disease goes away with painful, uncomfortable sensations in the area of ​​the joints of the fingers of the hands, often the patient is worried about the stiffness of the joints and the partial limited movement of the fingers. Swelling and redness in the joints can also occur simultaneously with pain.

The nature of the course of this disease depends on the individual characteristics of the patient’s body and the general state of his health. Therefore, arthritis of the fingers or toes of each patient proceeds in their own way, respectively, treatment should also be prescribed by a doctor individually.

Which doctor treats arthritis of the fingers?

Joint diseases are serious and dangerous diseases, because of which a person may even lose the ability to move independently. Therefore, the key to successful treatment is the timely detection of symptoms of this disease. To begin with, the patient should decide which doctor to contact, who treats arthritis of the fingers and which specialized clinic you can go to. Turning to specialists, a person will be able to correctly diagnose his condition, because only professionals will help to make an accurate, error-free diagnosis.

First of all, a person suffering from arthritis will receive a comprehensive medical examination and numerous tests. Only in this way will doctors be able to establish a complete picture of the condition of the body of a sick person. An experienced rheumatologist treats diseases of the joints, after examining the entire body.

After the medical commission and tests, the doctor can begin to treat. With finger arthritis, medication is indicated (for example, a course of antibiotics together with corticosteroids). Chondroprotectors help to restore the affected cartilage tissue. Ointments, gels, creams and rubbing with anti-inflammatory and cooling effect are quite successfully used for arthritis of the fingers. For a general strengthening effect that enhances the immunity of the whole organism, vitamin courses are used (often doctors prescribe a course of thiamine – vitamin B1, which helps normalize metabolism).

With arthritis of the fingers, the patient is recommended to attend physiotherapeutic procedures:

  • ultrasound therapy;
  • electrophoresis;
  • magnetotherapy;
  • diadynamic therapy (effect on the affected area with low-frequency pulse currents);
  • hydromassages, mud therapy, classes in the pool and exercise therapy (physiotherapy exercises).

How to behave during the treatment of finger arthritis?

There are a number of rules that must be observed in order to minimize the negative symptoms that cause physical discomfort to the patient. During treatment, it is worthwhile to limit unnecessary stress on sore joints (do not lift weights, do not make sudden movements), but do not forget about the benefits of therapeutic and preventive gymnastics.

A patient with finger arthritis should remember about proper nutrition, which directly affects the metabolism in the human body. Specialists, as a rule, make up a special diet for the patient, rich in vitamins E and D, antioxidants, useful microelements and omega-3 fatty acids for joint nutrition. Accordingly, it is recommended that you include fresh vegetables and fruits, pumpkin seeds, bran, linseed oil, walnuts and sunflower seeds in the diet. The patient cannot do without a full night’s sleep, which will help restore body strength. If possible, the patient should avoid neurosis and stressful situations.

And one of the key rules: for alarming symptoms and regular complaints of discomfort in the joints, consult a doctor immediately. If you see a doctor in a timely manner, then a patient with arthritis will have less chance that the disease will lead to surgery. Only a qualified specialist can accurately diagnose the ongoing disease and choose the right, effective treatment.

Arthrosis of the fingers

Among joint diseases, arthrosis is one of the first places in prevalence. Most often, large bone-cartilaginous formations undergo destruction. However, in 20% of cases they say about arthrosis of the fingers.

The development of the disease, as a rule, is observed in women over 40 years old, however, pathology also occurs among young people. It is manifested by acute pain, limited mobility, changes in the shape of the joints. In the early stages, the disease is much easier to cure. Therefore, when the first symptoms appear, consult a doctor.

Causes

Many experts argue that the development of the disease is associated exclusively with a hereditary predisposition. They say that there is a gene that is responsible for impaired synthesis of cartilage. Others adhere to the point of view that the cause of arthrosis of the fingers, the symptoms of which are taken into account during treatment, can be transferred diseases, age, infections. Risk factors for pathology include:

  • a weakened immune system;
  • metabolic disorders;
  • injuries and microtraumas;
  • developmental abnormalities;
  • monotonous manual labor;
  • intense load;
  • psoriasis, rheumatoid arthritis;
  • infection;
  • hypothermia

Which doctor treats arthrosis?

In order to understand how serious your condition is, as well as which specialist to ask for help with if there are signs of an illness, go through an online self-diagnosis. The service you can find on the Internet in the public domain. As a result, you will receive a list of the diseases that your symptoms speak about, and a list of doctors who treat them. In case of arthrosis, the following doctors are involved in the diagnosis and therapy: arthrologist, rheumatologist, traumatologist, orthopedic surgeon, physiotherapist. The consultation of which specialist is necessary depends on the cause of the pathology, as well as the stage of its development.

As part of the initial doctor’s appointment, an anamnesis is taken, an analysis of symptoms, examination of the upper limbs, palpation of the joints. An important stage of diagnosis is a survey, in which the doctor can clarify:

  1. Has the patient been chilled lately?
  2. Is the patient’s activity related to finger pressure?
  3. When did the pain first appear, other symptoms?
  4. How often do they occur?
  5. Does the patient have any serious chronic pathologies?

At the end of the survey, the doctor may prescribe treatment or send for additional studies.

How to treat finger arthrosis?

If arthrosis of the fingers is detected, how to treat it, only a doctor can tell. When developing a therapy strategy, a specialist takes into account:

  • research results (radiography, MSCT, MRI, blood tests);
  • an anamnesis of pathology;
  • severity of manifestations;
  • physiological characteristics of the patient;
  • contraindications available to the patient.

With arthrosis of the fingers in order to understand how to treat it, it is important to consider the symptoms. They differ based on the stage of development of the disease:

  • the first stage is characterized by the appearance of a crunch when moving, aching pain, swelling;
  • at the second stage, visible deformations of the joints appear, the patient begins to worry about regular severe pain, mobility is limited, skin integuments change color;
  • the third stage is manifested by constant discomfort, severe curvature of the fingers, while mobility is practically absent, there is a clear deformation of the bones.

Often patients complain of numbness of the limbs. Among the manifestations, there is often a tingling sensation and decreased sensitivity of the fingertips.

Arthrosis treatment should be comprehensive. It is important to understand that it is impossible to get rid of the changes that have already occurred. Therapy aims to stop the destruction of joints and prevent relapse. With arthrosis of the fingers, depending on the symptoms, treatment includes:

  • taking medications (painkillers, non-steroidal anti-inflammatory, chondoprotectors);
  • physiotherapeutic procedures (electrophoresis, reflexology, laser therapy);
  • massage;
  • special diets (inclusion in the diet of products containing collagen and gelatin, rejection of salted, fatty, smoked, alcoholic beverages);
  • medical gymnastics (used at the stage of remission for the speedy rehabilitation and consolidation of the effect of therapy).

At advanced stages, therapy can be carried out using corticosteroid anti-inflammatory drugs. They help relieve pain and stop the inflammatory process.

Shishkevich Vladimir, orthopedic and traumatologistShishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.

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Alternative methods for treating arthrosis of the hands

Mustard meal compresses.

Drink tea from the plant, cut into a salad.

As tea leaves use linden, nettle.

Anti-inflammatory teas from St. John’s wort and thyme.

Gelatin. 1 teaspoon is poured with 100 ml of cold water and left overnight. In the morning, add a spoonful of honey, hot water to a full glass and drink it on an empty stomach.

Who treats arthritis and arthrosis of the joints?

As you know, such joint diseases as arthrosis and arthritis are currently widespread. What is the reason for this? The environment can adversely affect the joints, it can also be a lack of minerals and vitamins or an improper lifestyle. To prevent these diseases from progressing, you should always consult a doctor. Also, let’s see who treats arthritis and arthrosis.

The main differences between arthrosis and arthritis

Both diseases affect not only joints, but also periarticular tissues. In addition, this significantly affects the quality of human life, because in this case there are violations of the regenerative and motor functions of the cartilage. Many people confuse arthritis with arthrosis due to consonance, but they have significant differences.

Arthritis

Arthritis is called an inflammatory process in which the whole body is affected. In addition, the disease can develop even before the age of forty. It occurs in both adults and children. Arthritis varies by type:

    Gouty. This is a fairly common type of arthritis, which involves the deposition of uric ac >

Also, the following factors can serve as the cause of this disease:

In this case, the inflamed joint can not only turn red, but also swell and hurt a lot. The joint is especially sore at night. It is also necessary to distinguish a group of arthritis, such as psoriatic, rheumatic, systemic lupus erythematosus, which are treated for quite a long time and can even cause disability.

Most noted are arthritis of the fingers or toes, as well as the spine, pelvic bones and knee joint. If we take into account systemic diseases, then in this case there is a lesion not only of the musculoskeletal system, but also of the heart, liver, kidneys, and even vision.

There are main stages of the development of this disease:

  1. At first, arthritis does not show any signs, unless you take an X-ray, which shows the rudiments of the inflammatory process. Often, the patient may feel slight stiffness and slight pain, for example, during physical exertion. Arthritis is a must.
  2. Then the inflammation progresses, resulting in a thinning of the tissues of the articular structures themselves. Swelling appears, the temperature rises, the skin in the affected area turns red, and a crunch is heard during movements.
  3. The joints are destroyed and significantly deformed. In addition, the patient feels constant pain during movements.
  4. After this, the affected joint is completely immobilized. Ankylosis also develops. Ankylosis is the fusion of the heads of the articular bones. This is due to the fact that the joint capsule is filled with fibrous or bone tissue.

Arthrosis

This disease is usually diagnosed in the elderly. As a rule, starting from the age of 45. In the course of the disease, the cartilage is gradually destroyed. Usually this happens as a result of age-related wear and tear. By what signs can the presence of this disease be determined? As a rule, a person feels:

  • pain during movement;
  • stiffness, for example, at the time of walking.

As a rule, after a short rest, such discomfort goes away. If arthrosis is not treated, then it will begin to progress rapidly. In this case, not only impaired mobility of the joints themselves, but also severe pain cannot be avoided. It is imperative to consult a doctor who treats arthrosis.

There is one curious fact, according to which in 80% of cases a disease such as arthrosis is diagnosed in people with a complete set, especially if they lead a sedentary lifestyle. In order to prevent the disease, you need to eat well and exercise regularly.

As a rule, if the stage of any disease is started, then in this case human health is at risk. In addition, arthritis itself can be diagnosed less frequently than arthrosis.

Which doctor treats arthritis and arthrosis?

Usually, the patient consults a doctor if he is worried about severe pain, and also feels discomfort in his movements. But who treats arthritis and arthrosis of the joints? If these are the first symptoms that have not been previously observed, then first you should consult with your local therapist.

What will the doctor do? After examining the joints, he will need to appoint additional diagnostic methods. As soon as the examination is completed, the diagnosis is determined, although for now it is preliminary. And only after that the direction for consultation with a certain specialist is written out. Now let’s find out the difference between a rheumatologist and an orthopedist.

Why do I need to contact a rheumatologist?

The treatment of arthritis is carried out by a rheumatologist. As a rule, such a specialist can be taken both in regional treatment centers and in large cities. Private clinics will not be an exception. To get an appointment, you should take along the direction of the therapist, test results and an outpatient card. How does a rheumatologist conduct an examination?

In this case, the rheumatologist is interested in the patient what pains bother him. After that, he finds out why the disease began to develop. Treatment is also of interest to a specialist. Only after that the rheumatologist makes an examination of the diseased joints. It is necessary to find out how mobile the joints are, how painfully they react to this or that movement, and even at rest.

Also, the doctor must check the condition of the oral cavity and pharynx, feel the abdomen and listen to the heart and breathing. If you take into account arthrosis or arthritis, what examinations are needed? The list includes:

  • blood test for sialic acids;
  • general blood analysis;
  • biochemistry of blood;
  • Ultrasound of the joints;
  • radiography of the ileo-sacral joints.

After the examination is completed, the final diagnosis will be determined. Next, the doctor should draw up a course of therapeutic therapy. If the diagnosis remains unclear the first time, then additional diagnostic methods will be needed.

What does an orthopedic traumatologist treat?

In what cases is it necessary to contact an orthopedic traumatologist? As a rule, in the case of arthritis or arthrosis in an advanced stage. As a rule, this doctor specializes in the surgical treatment of a particular disease, and can also provide orthopedic care. In addition, it is necessary to carry out surgical intervention for those patients who have arthrosis of the third degree, as well as psoriatic and rheumatoid arthritis.

How can this orthopedic care be characterized? As a rule, the doctor selects special shoes for the patient, as well as all the necessary devices to make it easier for him to move around.

Also, the patient needs to take note that there will be a need to undergo examinations, as well as a course of rehabilitation therapy, which can last quite a long time. What is the reception? In this case, the doctor examines the medical record and a complete examination of the joints. Then there is the likelihood that an operation will follow.

How are arthritis and arthrosis treated?

It is best to start treating arthritis as soon as possible. Why is it important? The fact is that in the first stages of the disease, they do not yet mean a significant deformation of the joints. Also, the treatment regimen should be selected depending on the reason why arthritis began to develop.

How is the treatment carried out? First of all, the doctor tries to reduce pain, eliminate the inflammatory process itself. In the future, prevention of the progress of arthritis is necessary. There are several methods that treat not only arthritis, but also arthrosis:

Vitamin therapy

In this case, the patient takes such amino acids that may be necessary for the construction of new tissues. For example, it is arginine.

Pharmacological method

The patient is prescribed anti-inflammatory ointments, gels, creams. Also, glucocorticosteroids are injected into the joints.

Non-drug method

The doctor selects otropedic shoes, prescribes therapeutic exercises, massage, as well as hydrotherapy. In this case, the patient must abandon all his bad habits.

Surgical method

Joint endoprosthetics, in other words, prosthetics, should be used only when the arthritis stage is sufficiently advanced.

It happens that stem cells are introduced. This is necessary when the disease progresses too seriously. Also, patients must undergo special complexes of physiotherapy exercises aimed directly at the development of flexibility. Aerobic exercises must be on the list. For some, it may seem that patients simply cannot perform them due to excessive workload, but this is an erroneous opinion. Why so? Classes should be held at the time of remission, in addition, the complex itself is selected individually. And, of course, you must follow a special diet.

Morozov Georgiy

Georgy Morozov, rheumatologist. For more than 20 years, he has been involved in the diagnosis, treatment and prevention of joint diseases.

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