Hand Pain

Hands-On Healing: Cracking the Code to a Pain-Free Grip!

Our hands, intricate and versatile, are essential for daily tasks, making hand pain a matter of significant concern. This article delves into the complexities of hand pain, exploring its causes, diagnostic methods, and advanced treatment options, with a special emphasis on interventional modalities.

Causes of Hand Pain:

Hand pain can arise from various factors, ranging from overuse injuries to underlying medical conditions. Common causes include:

  • Carpal Tunnel Syndrome: Compression of the median nerve in the wrist, leading to pain, tingling, and numbness in the hand.
  • Arthritis: Osteoarthritis or rheumatoid arthritis can cause inflammation, pain, and stiffness in the joints of the hand.
  • Tendinitis: Inflammation of hand tendons due to repetitive movements, resulting in pain and swelling.
  • Trigger Finger: A condition where a finger gets stuck in a bent position, causing pain and difficulty in movement.
  • Dupuytren’s Contracture: Thickening of the tissue beneath the skin of the palm, leading to hand deformities.

Location of Pain Indicating a Possible Source:

The specific location of hand pain provides valuable insights into its origin:

  • Wrist Pain: May suggest issues like carpal tunnel syndrome or tendinitis.
  • Knuckle Pain: Common in arthritis, such as rheumatoid arthritis or osteoarthritis.
  • Palm Pain: Linked to conditions like Dupuytren’s contracture or inflammation of the palmar fascia.

Examination and Diagnostic Tests:

Accurate diagnosis of hand pain involves a comprehensive assessment. Healthcare professionals may use the following methods:

  • Physical Examination: Assessing range of motion, strength, and specific tests to identify pain triggers.
  • X-rays: Useful for detecting fractures, arthritis, or structural abnormalities in the hand.
  • MRI or CT Scans: Provide detailed images to evaluate soft tissues, ligaments, and tendons.
  • Electrodiagnostic Studies: Nerve conduction studies or electromyography can help diagnose nerve-related issues.

Treatment Options:

Effective management of hand pain often requires a tailored approach. Interventional modalities can offer targeted relief:

  • Corticosteroid Injections: Administered to reduce inflammation and alleviate pain, particularly effective for conditions like carpal tunnel syndrome or tendinitis.
  • Joint Injections: Hyaluronic acid injections may be used for arthritis to improve joint lubrication and reduce pain.
  • Physical Therapy: Customized exercises to improve hand strength, flexibility, and reduce pain.
  • Occupational Therapy: Techniques to optimize hand function in daily activities and minimize pain.
  • Minimally Invasive Procedures: TenJet, Arthroscopy or endoscopic techniques may be employed to diagnose and treat certain hand conditions, minimizing surgical impact.


Hand pain can significantly impact daily life, but with advancements in diagnostic techniques and treatment modalities, effective relief is attainable. A comprehensive and individualized approach, considering the specific cause and utilizing innovative interventions, can pave the way for improved hand function and reduced pain.


Green, D. P., Hotchkiss, R. N., & Pederson, W. C. (2010). Green’s Operative Hand Surgery (6th ed.). Elsevier.
Chung, K. C., & Shauver, M. J. (2009). Outcomes Studies in Hand Surgery: Where Have We Been and Where Should We Go? The Journal of Hand Surgery, 34(9), 1691–1693.
Weiss, A. P. (2010). Hand Surgery. Lippincott Williams & Wilkins.

Further Reading:

Slutsky, D. J., & Osterman, A. L. (2016). Principles of Hand Surgery and Therapy (3rd ed.). Saunders.
Trumble, T. E., & Rayan, G. M. (2017). Master Techniques in Orthopaedic Surgery: The Hand (3rd ed.). Wolters Kluwer.

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