Hand Pain

Hand pain encompasses a wide range of conditions affecting the intricate structures of the hand—bones, joints, tendons, ligaments, nerves, and muscles. Common causes include arthritis, trigger finger, carpal tunnel syndrome, Dupuytren's contracture, fractures, and tendon injuries. Because the hand is essential for nearly every daily activity, pain in this area can significantly impact quality of life.

At Mountain Spine & Orthopedics, our hand specialists use comprehensive evaluation to pinpoint the exact cause of your hand pain. With 27 bones, numerous joints, and a complex network of tendons and nerves, accurate diagnosis requires expertise and often advanced imaging.

Hand pain symptoms depend on the underlying condition:

• Joint pain and stiffness in the fingers, often worse in the morning (arthritis)
• Finger catching or locking with painful release (trigger finger)
• Numbness and tingling in specific fingers (nerve compression)
• Pain with gripping or pinching activities
• Swelling, warmth, or visible deformity after injury
• Visible nodules or cord-like bands in the palm (Dupuytren's contracture)

Risk factors for hand pain include:

• Aging—osteoarthritis becomes more common after age 50
• Repetitive hand motions from work or hobbies
• Previous hand injuries or fractures
• Medical conditions: diabetes, rheumatoid arthritis, gout, thyroid disorders
• Genetic predisposition to conditions like Dupuytren's contracture
• Smoking, which impairs circulation and tissue healing

Diagnosis starts with a detailed history and physical examination. Our specialists assess hand strength, range of motion, sensation, and specific joint and tendon function. We perform targeted tests to identify conditions like Finkelstein test for De Quervain's, sensory testing for nerve compression, and joint examination for arthritis.

Imaging studies help confirm diagnoses: X-rays for arthritis and fractures, ultrasound for tendon problems and cysts, and MRI for ligament injuries or complex soft tissue conditions. We offer complimentary imaging reviews for comprehensive evaluation.

Non-Surgical Treatment

Many hand conditions respond well to conservative management:

• Splinting to rest affected structures
• Anti-inflammatory medications and topical treatments
• Occupational therapy to maintain function and learn adaptive techniques
• Corticosteroid injections for trigger finger, arthritis, and tendinitis
• Activity modification and ergonomic adjustments

Surgical Options

When non-surgical treatment fails, our surgeons offer minimally invasive procedures:

• Trigger finger release
• Carpal tunnel release
• Fracture fixation
• Dupuytren's surgery
• Joint replacement or fusion for severe arthritis

Hand pain can arise from inflammatory, mechanical, or neurogenic sources. Arthritic pain is typically worse with activity and in cold weather. Tendon-related pain occurs with specific movements. Nerve pain often includes numbness, tingling, or burning sensations. Our comprehensive approach addresses the specific pain mechanism for effective relief.

Prevention Tips

• Take breaks during repetitive hand activities
• Use ergonomic tools and proper hand positioning
• Strengthen hand and finger muscles with specific exercises
• Protect hands from cold temperatures
• Seek early treatment for minor hand symptoms before they worsen

Hand pain shouldn't limit your ability to work and enjoy life. Schedule a consultation with our hand specialists today. We offer same-day and next-day appointments at multiple FL, NJ, NY, & PA locations to evaluate your condition and start treatment promptly.