Comments on: Osteoarthritis of Hand http://boneandspine.com/non-traumatic-disorders/joints/arthritis/osteoarthiritis/osteoarthritis-of-hand/ Orthopedic Care and Consultation Fri, 10 Feb 2012 00:06:48 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Dr Arun Pal Singh http://boneandspine.com/non-traumatic-disorders/joints/arthritis/osteoarthiritis/osteoarthritis-of-hand/comment-page-1/#comment-5538 Dr Arun Pal Singh Sat, 09 Jul 2011 08:13:03 +0000 http://boneandspine.com/arthritis/osteoarthiritis/osteoarthritis-of-hand/#comment-5538 @dano, If there is no other pathology, you seem to have repetitive strain injury and from your description there seems a definite link with your profession. You can discuss it more with your treating physician. Try restricting your activities and try shifting to ergonomic gadgets. If you have RSI, you must reduce further insult tp the involved area. @dano,

If there is no other pathology, you seem to have repetitive strain injury and from your description there seems a definite link with your profession.

You can discuss it more with your treating physician.

Try restricting your activities and try shifting to ergonomic gadgets.

If you have RSI, you must reduce further insult tp the involved area.

]]> By: dano http://boneandspine.com/non-traumatic-disorders/joints/arthritis/osteoarthiritis/osteoarthritis-of-hand/comment-page-1/#comment-5512 dano Sun, 03 Jul 2011 00:14:35 +0000 http://boneandspine.com/arthritis/osteoarthiritis/osteoarthritis-of-hand/#comment-5512 Hello, I have been diagnosed with OA in both hands. I have had two operations on the right thumb (trapezium arthroplasty and a revision). At the time of my original diagnosis and subsequent surgery the left thumb exhibited the same symptoms as the right thumb but I did not have any pain in it. I am currently training to upgrade some of my IT certifications so that I can return to my job as a network engineer (great job but long hours and massive amounts of keyboarding) and have had to switch the load to my left hand. I am now having the same pain in the left as I did in the right. I was seen by my doctor this past week and x-rays showed that I am bone on bone at the base of the left thumb. I used to have a very active life style....cycling, golf, softball, weights, etc. All of those activities are now long gone and the only thing left is my job activities. Even during retraining I am really working the left hand 8-10hrs per day and am in a lot of pain and discomfort now. I am not sure why but my doctor seems to be reluctant to associate my issues with the keyboarding, cabling, server racking, etc that are all part of my job. I am really becoming nervous and depressed over this. Can you shed any light on why this might be happening to me. I have also had carpal tunnel releases in both hands back in 2001-2002. We are trying splinting and anti-inflammatory medication for 30 days but possible surgery had been discussed as well. This would be my fifth hand surgery and i am just not up for any more of this. Anything you can share with me would be appreciated....Thanks Hello,

I have been diagnosed with OA in both hands. I have had two operations on the right thumb (trapezium arthroplasty and a revision). At the time of my original diagnosis and subsequent surgery the left thumb exhibited the same symptoms as the right thumb but I did not have any pain in it. I am currently training to upgrade some of my IT certifications so that I can return to my job as a network engineer (great job but long hours and massive amounts of keyboarding) and have had to switch the load to my left hand. I am now having the same pain in the left as I did in the right. I was seen by my doctor this past week and x-rays showed that I am bone on bone at the base of the left thumb. I used to have a very active life style….cycling, golf, softball, weights, etc. All of those activities are now long gone and the only thing left is my job activities. Even during retraining I am really working the left hand 8-10hrs per day and am in a lot of pain and discomfort now. I am not sure why but my doctor seems to be reluctant to associate my issues with the keyboarding, cabling, server racking, etc that are all part of my job. I am really becoming nervous and depressed over this. Can you shed any light on why this might be happening to me. I have also had carpal tunnel releases in both hands back in 2001-2002. We are trying splinting and anti-inflammatory medication for 30 days but possible surgery had been discussed as well. This would be my fifth hand surgery and i am just not up for any more of this. Anything you can share with me would be appreciated….Thanks

]]> By: Dr Arun Pal Singh http://boneandspine.com/non-traumatic-disorders/joints/arthritis/osteoarthiritis/osteoarthritis-of-hand/comment-page-1/#comment-4591 Dr Arun Pal Singh Sun, 06 Mar 2011 13:21:26 +0000 http://boneandspine.com/arthritis/osteoarthiritis/osteoarthritis-of-hand/#comment-4591 @kjl, It is one part of the treatment. Other measures like local heat, antiinflammatory gel application can also be considered. @kjl,

It is one part of the treatment. Other measures like local heat, antiinflammatory gel application can also be considered.

]]> By: kjl http://boneandspine.com/non-traumatic-disorders/joints/arthritis/osteoarthiritis/osteoarthritis-of-hand/comment-page-1/#comment-4407 kjl Fri, 18 Feb 2011 06:44:55 +0000 http://boneandspine.com/arthritis/osteoarthiritis/osteoarthritis-of-hand/#comment-4407 Hello I have been diagnosed with Erosive Osteo Arthritis in both hands but my index finger and little finger on my right hand are the worst. Similar on left hand but not as bad or painful. Have nodes close to the fingertip which are on 4 fingers on left hand but only on 3 fingers on right hand and less noticeable. Is taking anti infammatories really the only solution? Hello
I have been diagnosed with Erosive Osteo Arthritis in both hands but my index finger and little finger on my right hand are the worst. Similar on left hand but not as bad or painful.

Have nodes close to the fingertip which are on 4 fingers on left hand but only on 3 fingers on right hand and less noticeable.

Is taking anti infammatories really the only solution?

]]> By: Dr Arun Pal Singh http://boneandspine.com/non-traumatic-disorders/joints/arthritis/osteoarthiritis/osteoarthritis-of-hand/comment-page-1/#comment-3361 Dr Arun Pal Singh Wed, 10 Nov 2010 16:53:38 +0000 http://boneandspine.com/arthritis/osteoarthiritis/osteoarthritis-of-hand/#comment-3361 @Team Roster, Thanks for the suggestion. I am initiating the changes. @Team Roster,

Thanks for the suggestion. I am initiating the changes.

]]> By: Team Roster http://boneandspine.com/non-traumatic-disorders/joints/arthritis/osteoarthiritis/osteoarthritis-of-hand/comment-page-1/#comment-3314 Team Roster Sat, 30 Oct 2010 10:20:17 +0000 http://boneandspine.com/arthritis/osteoarthiritis/osteoarthritis-of-hand/#comment-3314 Maybe you should change the webpage subject title Osteoarthritis of Hand — Bone and Spine to something more generic for your blog post you write. I loved the the writing all the same. Maybe you should change the webpage subject title Osteoarthritis of Hand — Bone and Spine to something more generic for your blog post you write. I loved the the writing all the same.

]]> By: Dr Arun Pal Singh http://boneandspine.com/non-traumatic-disorders/joints/arthritis/osteoarthiritis/osteoarthritis-of-hand/comment-page-1/#comment-2987 Dr Arun Pal Singh Thu, 02 Sep 2010 01:43:37 +0000 http://boneandspine.com/arthritis/osteoarthiritis/osteoarthritis-of-hand/#comment-2987 @Dave, You have not mentioned what caused erosive osteoarthritis. It could be rheumatoid arthritis or any other inflammatory disease. Anyway, I would come to your question. The answer is not straightforward. So you would need to understand few details. Per se there is no evidence that erosive or inflammatory arthritis gets worsened with repetitive trauma. But few studies have suggested that repetitive trauma leads to degenerative osteoarthritis. With EOA, your joints are already showing degeneration. So if you apply those studies to your case, there is a risk that your degeneration gets worsened by repetitive usage. Here is an article for you that says repetitive usage is a risk factor for degenerative osteoarthritis as suggested by few studies. http://rheumatology.oxfordjournals.org/cgi/content/full/44/4/521 I hope that helps @Dave,

You have not mentioned what caused erosive osteoarthritis. It could be rheumatoid arthritis or any other inflammatory disease.

Anyway, I would come to your question. The answer is not straightforward. So you would need to understand few details.

Per se there is no evidence that erosive or inflammatory arthritis gets worsened with repetitive trauma.

But few studies have suggested that repetitive trauma leads to degenerative osteoarthritis.

With EOA, your joints are already showing degeneration. So if you apply those studies to your case, there is a risk that your degeneration gets worsened by repetitive usage.

Here is an article for you that says repetitive usage is a risk factor for degenerative osteoarthritis as suggested by few studies.

http://rheumatology.oxfordjournals.org/cgi/content/full/44/4/521

I hope that helps

]]> By: Dave http://boneandspine.com/non-traumatic-disorders/joints/arthritis/osteoarthiritis/osteoarthritis-of-hand/comment-page-1/#comment-2964 Dave Sat, 28 Aug 2010 17:45:58 +0000 http://boneandspine.com/arthritis/osteoarthiritis/osteoarthritis-of-hand/#comment-2964 I have been diagnosed with Erosive Osteo-Arthritis. The first and long fingers of both hands show sympyoms, but my right hand is much worse. On the right hand my fingers are grossly swollen, painful, and have a very distinct bend to the side (similar to ulnar shift). I worked as a programmer and used a keyboard and mouse almost constantly for many hours each day for 35 years. My fingers finally hurt so badly I could not perform my job. My orhtopedic surgeon said that repetitive motion trauma would worsen the condition. In order to delay surgery to fuse my fingers (I’m just 61 and otherwise healthy and active), he referred me to a rheumatologist for possible pain control. However, when queried by Worker’s Comp, the rheumatologist said that repetitive motion trauma would only cause pain, not a worsening of the EOA. What is your opinion and is there a written study that suggests a worsening of Erosive Osteo-Arthritis by continued repetitive motion trauma? Thanks, Dave I have been diagnosed with Erosive Osteo-Arthritis. The first and long fingers of both hands show sympyoms, but my right hand is much worse. On the right hand my fingers are grossly swollen, painful, and have a very distinct bend to the side (similar to ulnar shift). I worked as a programmer and used a keyboard and mouse almost constantly for many hours each day for 35 years. My fingers finally hurt so badly I could not perform my job. My orhtopedic surgeon said that repetitive motion trauma would worsen the condition. In order to delay surgery to fuse my fingers (I’m just 61 and otherwise healthy and active), he referred me to a rheumatologist for possible pain control. However, when queried by Worker’s Comp, the rheumatologist said that repetitive motion trauma would only cause pain, not a worsening of the EOA. What is your opinion and is there a written study that suggests a worsening of Erosive Osteo-Arthritis by continued repetitive motion trauma?

Thanks,
Dave

]]> By: Dr Arun Pal Singh http://boneandspine.com/non-traumatic-disorders/joints/arthritis/osteoarthiritis/osteoarthritis-of-hand/comment-page-1/#comment-2961 Dr Arun Pal Singh Sat, 28 Aug 2010 16:14:03 +0000 http://boneandspine.com/arthritis/osteoarthiritis/osteoarthritis-of-hand/#comment-2961 @Dave May, You would need to update me. I cannot get the meaning of EOA. @Dave May,

You would need to update me. I cannot get the meaning of EOA.

]]> By: Dave May http://boneandspine.com/non-traumatic-disorders/joints/arthritis/osteoarthiritis/osteoarthritis-of-hand/comment-page-1/#comment-2883 Dave May Wed, 18 Aug 2010 12:00:08 +0000 http://boneandspine.com/arthritis/osteoarthiritis/osteoarthritis-of-hand/#comment-2883 I have been diagnosed with EOA. The first and long fingers of both hands show sympyoms, but my right hand is much worse. On the right hand my fingers are grossly swollen, painful, and have a very distinct bend to the side (similar to ulnar shift). I worked as a programmer and used a keyboard and mouse almost constantly for many hours each day for 35 years. My fingers finally hurt so badly I could not perform my job. My orhtopedic surgeon said that repetitive motion trauma would worsen the condition. In order to delay surgery to fuse my fingers (I'm just 61 and otherwise healthy and active), he referred me to a rheumatologist for possible pain control. However, when queried by Worker's Comp, the rheumatologist said that repetitive motion trauma would only cause pain, not a worsening of the EOA. What is your opinion and is there a written study that suggests a worsening of EOA by continued repetitive motion trauma? Thanks, Dave I have been diagnosed with EOA. The first and long fingers of both hands show sympyoms, but my right hand is much worse. On the right hand my fingers are grossly swollen, painful, and have a very distinct bend to the side (similar to ulnar shift). I worked as a programmer and used a keyboard and mouse almost constantly for many hours each day for 35 years. My fingers finally hurt so badly I could not perform my job. My orhtopedic surgeon said that repetitive motion trauma would worsen the condition. In order to delay surgery to fuse my fingers (I’m just 61 and otherwise healthy and active), he referred me to a rheumatologist for possible pain control. However, when queried by Worker’s Comp, the rheumatologist said that repetitive motion trauma would only cause pain, not a worsening of the EOA. What is your opinion and is there a written study that suggests a worsening of EOA by continued repetitive motion trauma?

Thanks,
Dave

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