Hand Injuries

Hand injuries can arise from various causes, including acute trauma, repetitive strain, and degenerative conditions. Acute trauma, such as fractures or dislocations, is often the result of direct impact or a fall, causing immediate pain, swelling, and bruising. Sports, especially contact or high-impact activities, are common sources of hand injuries, as are accidents in the workplace, particularly in occupations requiring heavy lifting or use of machinery.

Repetitive strain injuries, such as tendonitis or carpal tunnel syndrome, result from overuse of the hand muscles and tendons, often due to repetitive tasks like typing, gripping, or manual work. These repetitive motions place strain on the tendons and nerves, causing pain, stiffness, and inflammation over time.

Degenerative conditions, such as arthritis, are another common cause of hand injuries, particularly in older adults. Arthritis affects the joints, leading to pain, stiffness, and reduced flexibility, making it difficult to perform simple tasks. Identifying the underlying cause is essential for effective treatment and long-term relief.

Diagnosing a hand injury involves a physical examination and an assessment of symptoms and medical history. The clinician will examine the affected hand, assessing pain levels, range of motion, and signs of swelling or bruising. Specific tests may be performed to assess joint stability and muscle strength, helping to pinpoint the type and extent of the injury.

Imaging tests, such as X-rays, ultrasound, and MRI, are commonly used to confirm the diagnosis and assess the severity of hand injuries. X-rays provide detailed imaging of the bones, helping to detect fractures, dislocations, or bone spurs. Ultrasound is useful for assessing soft tissue injuries, such as tendonitis, as it provides real-time images of the tendons and muscles.

MRI offers a comprehensive view of both soft tissues and bone structures, making it valuable for diagnosing complex injuries involving the ligaments, tendons, or nerves. In cases where nerve involvement is suspected, electromyography (EMG) may be conducted to evaluate nerve function and detect any potential nerve damage.

Treatment for hand injuries varies based on the type and severity of the injury. Initial treatment often includes rest, ice application, and immobilisation with splints or braces to stabilise the hand and prevent further damage. For minor injuries, over-the-counter pain relievers may be recommended to alleviate pain and inflammation.

Physical therapy plays an essential role in hand injury recovery, focusing on exercises that restore flexibility, strength, and coordination. Stretching and strengthening exercises are introduced gradually to promote healing and prevent re-injury. For conditions like tendonitis or carpal tunnel syndrome, specific ergonomic adjustments may be recommended to reduce strain on the hand and wrist during daily tasks.

In cases of severe injuries, such as fractures or complete tendon tears, surgery may be required to repair damaged structures. Surgical intervention may be followed by rehabilitation to ensure full recovery. For patients with arthritis or chronic conditions, corticosteroid injections can provide relief from inflammation and pain, improving hand function.

Booking an initial consultation at The Clinica is the first step towards assessing and managing a hand injury effectively. During this consultation, our specialist will conduct a thorough evaluation of your hand, discussing your symptoms, medical history, and any contributing activities. A physical examination of the hand will help identify the affected area and assess the severity of the injury.

If necessary, imaging tests will be arranged to confirm the diagnosis and guide treatment. Based on these findings, a personalised treatment plan will be developed, focusing on pain relief, rehabilitation, and strategies to support recovery, ensuring a structured approach to restoring hand function.