Compression of one of the nerves controlling movements of muscles in the hand (the median nerve) occurring within the carpal tunnel (a passageway within the wrist for nerves and blood vessels to travel from the forearm to the hand) causes hand pain or tingling sensations on the palm and weakness in the thumb and index fingers. Ultimately, treatment for the carpal tunnel will be required to alleviate the pain and tingling in the forearm area.
Any of the tendons around the wrist can become irritated and inflamed. When it affects the tendons that control movements of the thumb it is termed De Quervains tenosynovitis. Named after a Swiss surgeon who first diagnosed this condition in 1895. The tendons involved are extensor pollicus brevis and abductor pollicus longus. Mostly caused by overuse. Symptoms include pain, tenderness and occasionally swelling at the thumb side of the wrist. Differential diagnosis includes arthritis of the thumb carpometacarpal joint, entrapment of nerves such as the superficial branch of the radial nerve( condition called Cheiralgia paraesthetica or Wartenberg’s syndrome) and intersection syndrome ( where muscles cross over each other, typically pain is more towards the middle of the back of the forearm about 5cm above the wrist).
Joint swelling and / or pain due to trauma, degenerative or inflammatory causes
Traumatic cause usually. Usually conservative treatment will allow these tears to heal. Occasionally injection therapy is required.
This is where normally produced fluid protrudes through a weakness or tear in supporting structures producing swellings often felt as a hard lump. Can be painful, produce dull ache or compress adjacent structures such as nerves.
Common condition of the fingers, characterised by the finger(s) locking, catching or snapping. Associated pain and dysfunction. Tendons of the fingers are held in place by little bands of tissues called ‘pulleys’. Either the pulley or the tendon becomes thickened causing the tendon to catch on the pulley. Typically affects the A1 pulley at the base of the finger or thumb.