03 September 2010Artikel

Clumsy Hands: Osteoarthritis – Wear and Tear of the Hands

Osteoarthritis is one of the most common degenerative conditions of the hand joints. As the cartilage layer gradually wears away, the joint loses its smooth gliding surface – movements become more painful and grip strength less reliable. The body attempts to compensate for the damage but forms bone spurs that make the fingers and thumb appear bulkier.

Detect early, act decisively

The earlier osteoarthritis is diagnosed, the better the wear and tear can be slowed. Even at stage 2 or 3, adjusted lifestyle measures, physical therapies, and targeted medication can be used to counteract its progression.

Typical symptoms

  • Rapid fatigue or restricted mobility of the fingers
  • Morning stiffness – hands feel 'rusty' but loosen up after a short time
  • Pain initially only under load, later also at rest
  • Visible changes: thickened, bulky joints due to bone spurs

Treatment components

Non-pharmacological measures

Education, ergonomic adjustments, physiotherapy (heat, acupuncture), and orthopaedic aids such as splints stabilise joints and reduce pain.

Pharmacological support

Analgesics such as paracetamol or – when required – non-steroidal anti-inflammatory drugs relieve symptoms and maintain mobility.

Targeted follow-up care

Early treatment at stage 2 or 3 can positively influence the course of the condition. Regular monitoring helps to plan interventions and prevent secondary damage.

What patients should bear in mind

Regular exercise, joint-friendly daily routines, and individually tailored aids support treatment success. For persistent or worsening symptoms, a further medical assessment is recommended in order to discuss options such as injections, hand therapy, or surgical intervention.

FAQ

What happens with osteoarthritis of the hands?

The cartilage layer in the joints becomes thinner, defects develop, and the bone is exposed. This causes bone to rub against bone – resulting in pain and stiffness.

Which symptoms indicate osteoarthritis at an early stage?

Fatigue, declining mobility, morning stiffness, and pulling pain under load are typical warning signs. Later, pain also occurs at rest.

How is osteoarthritis of the hands treated?

A combination of lifestyle adjustments, physiotherapy, splint provision, and medication is well established. Importantly: begin treatment as early as possible.

When should I seek medical advice?

When load-related pain, stiffness, or visible changes occur. The sooner treatment begins, the better mobility and quality of life can be preserved.

Über den Autor

Dr. med. Karl Schuhmann

Dr. med. Karl Schuhmann

Facharzt für Plastische und Ästhetische Chirurgie & Handchirurg

Mit mehr als 30.000 Eingriffen und mehrjähriger Tätigkeit als Chefarzt führt Dr. Schuhmann seit 2016 als Gründer von artethic® seine Praxen in Düsseldorf und Berlin.

Das könnte Sie auch interessieren