Hands are complex instruments. This article explains how common conditions such as carpal tunnel syndrome, rhizarthrosis and trigger finger develop – and which treatments restore quality of life for those affected.
Carpal Tunnel Syndrome – when hands go numb
The carpal canal is a narrow passage in the wrist. Thickened tendons or inflammatory processes increase pressure on the median nerve.
Typical features include nocturnal pain, tingling in the thumb, index and middle fingers, and loss of strength. Nerve conduction studies confirm the diagnosis and help determine the most appropriate treatment approach.
- ✓Orthoses and immobilisation relieve pressure on the nerve
- ✓Injections or physical therapy reduce inflammation
- ✓For persistent symptoms, gentle division of the carpal roof provides relief
Rhizarthrosis – wear of the thumb carpometacarpal joint
The thumb carpometacarpal joint enables opposition movement. Wear of the articular cartilage causes stabbing pain, particularly when gripping and rotating.
Conservative measures such as hand therapy, orthoses and anti-inflammatory medication slow disease progression. For advanced arthritis, surgery – such as resection arthroplasty – provides lasting relief.
Trigger finger – when tendons catch
In trigger finger, the annular ligament through which the flexor tendon glides becomes thickened. The finger catches, snaps, or can only be straightened with pain.
In early stages, rest, splinting and injections are helpful. If symptoms persist, a minimally invasive procedure permanently releases the tendon.
Stay attentive before pain sets in
Regular breaks, ergonomic working practices and targeted hand exercises help prevent overuse injuries. Those who take early warning signs seriously need not fear lasting damage.
