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Month: November 2021

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Fingers General

What Happens if You Cut or Damage a Nerve in Your Finger?

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If you cut a nerve in a finger, seek immediate attention from a hand surgeon.

Even the thought of cutting a nerve in your finger can send a chill up your spine. If you truly do cut the nerve itself, this really is as serious as it sounds, and you should seek care as soon as possible. The sooner you get help for a damaged nerve in your finger, the more likely it is that full functionality can be restored.

However, if the injury is not deep enough to sever the nerve, your hand can usually heal itself without surgery, although you still should seek emergency treatment when necessary.

What are nerves, really?

“This is getting on my nerves.”

“You really cut a nerve with that comment.”

“I’m nervous.”

Do these phrases and idioms really relate to what nerves really are and what they do? Well, yes, they do — in a sense — when you think of it in terms of nerves sending signals to your brain, which controls your emotions.

In simple terms, the body has two primary nervous systems: the central nervous system and the peripheral nervous system. The central nervous system includes the brain and spinal cord. The peripheral nervous system is located outside of this area throughout the body.

Peripheral nerves transmit electric impulses into or away from the central nervous system as a form of communication. It’s essentially a communication network.

The peripheral nervous system consists of more than 100 billion nerve cells, or neurons. They run throughout the body like wires, connecting the brain to other parts of the body or various parts of the body with each other.

The peripheral nerves are made of bundles of nerve fibers, which are wrapped with layers of tissue that form what is known as the myelin sheath. The myelin sheath is responsible for speeding up nerve impulses, the intensity of which vary depending on their and the amount of tissue around them.

This drawing shows the three main nerves of the hand: the ulnar nerve, the median nerve, and the radial nerve.

How many nerves are in your hands?

Although there are a countless number of nerve cells, there are three primary nerve systems in your hands, wrists, and arms.

1. Ulnar nerve

The ulnar nerve is located at the pinky finger and the adjacent side of the ring finger. It provides sensations on the palm side of the hand. It travels up through the elbow and is responsible for the pain we feel when we bump our elbow.

2. Radial nerve

The radial nerve is responsible for sensations at the back of the hand at the little finger and the other half of the ring finger.

3. Median nerve

The median nerve starts at the shoulder and enters the hand through the carpal tunnel in the wrist. The median nerve is responsible for sensations in the thumb, index finger, middle finger, and part of the ring finger.

What happens if you cut or damage a nerve in your finger?

Many of us are familiar with the throbbing pain of a cut or injured finger. If you cut your finger and it is bleeding, the first step is to apply pressure to stop the bleeding. If the bleeding does not stop, you should go to your nearest hospital or urgent care facility, as you may need stitches.

If the sheath that covers the nerve remains intact after a cut, only the nerves farthest from the brain will be affected and die. (In other words, the deeper the cut, the closer it is to the nerve itself.) However, those can heal and grow back over time. Surgery is usually not necessary, but you will need to have the injury addressed by a medical professional for optimal healing.

If the injury is deep enough, you should seek emergency care as soon as possible, which may entail surgery to reattach the severed ends of the nerve sheath to one another.

In some cases, the cut may be deep enough that it damages the nerve itself. If that happens, the gap between the two parts of the nerve will have to be repaired, usually through a nerve graft from another part of the body. Another possibility is using a synthetic nerve conduit to bridge the gap in the nerve.

If the nerve in your finger was damaged due to a crushing injury, you may have to wait for the initial crush trauma to heal before the nerve damage can be addressed.

If you have damaged or cut a nerve in your finger, it’s important to seek care as soon as possible. If the need for treatment is urgent, go to your nearest emergency room. Otherwise, contact one of our hand surgery offices, located in West Bloomfield, Warren, Howell, and Macomb, for treatment as soon as possible.

Categories
Hands

Common Causes of Stiff Hands

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Stiff hands can occur due to overuse and medical conditions, as depicted in this image of a man holding his hand in pain.

Stiff hands can hit you all of a sudden. One minute you’re going about your day and the next, you’re wiggling your wrists in hopes of bringing life back into your fingers.

Certain serious medical conditions can definitely bring this on, but in other cases, your hands may feel stiff for no apparent reason.

Well, there most likely is a reason why your hands are stiff, and self-care may be your first line of treatment and prevention.

5 Common Causes of Stiff Hands

Stiffness in your fingers, thumb, and palm occur when there is a problem in a joint, including the ligaments and muscles.

One of the greatest culprits is arthritis, which isn’t a condition as much of a description of more than 100 types of ailments. Types of arthritis that may lead to stiff hands include:

Other medical conditions that can contribute to the sensation include:

Environmental factors and how you use your hands may lead to stiffness as well, such as gaming for too long or spending too much time outside in freezing temperatures.

Questions and Answers

Whether your hands become stiff temporarily for a few minutes or it’s an ongoing symptom, the reasons why this happens can be mysterious. When you see Dr. Arora, tell him about your symptoms in detail, and he will help identify the source of your problems.

In the meantime, here are some of the common questions we hear about hand and joint stiffness along with the basic answers.

Why do my hands get stiff in the morning?

One of the simplest answers is that you slept on them or leaned on them too much as you were sleeping. Avoid leaning on your wrists or tucking your hands under your head as you sleep. Using a brace at night may help you keep your wrists straight.

Otherwise, a common cause of stiff hands in the morning is worn joints or muscle tightness. This may be an indicator of arthritis, but not necessarily. Over the course of your life, your joints experience a lot of wear-and-tear; specifically, the cartilage in your joints dries out, stiffens, and loses lubrication.

This can lead to weaker muscles and stiff tendons, which may tighten even more as you sleep because you’re not moving. Lack of movement allows fluid to build up, which can stiffen tissues. When we move, bodily fluids move through the body more evenly, which can increase flexibility.

Simple lifestyle changes may help combat stiffness in your hands in the morning, including using proper mattresses and pillows, avoiding cold temperatures, staying hydrated, and maintaining a healthy diet. You also should get regular exercise that is ideal for your body’s needs, so talk with Dr. Arora about stretches and exercises you can do to strengthen the muscles in your hands.

Why are the symptoms bad at night?

Just like our eyes and legs, our hands get a lot of use during the day. For that reason, you may feel more stiffness, pain, or throbbing in your hands in the evenings. Resting your hands will help them recover from the everyday grind. That’s the simple answer.

Otherwise, if your hands get stiff while you sleep, it could be a sign of a more serious condition, so talk with Dr. Arora about your symptoms.

Why does cold weather make my fingers stiff?

Momentarily, that’s actually a good sign; it means your body is working as it should. Our fingers and toes are designed to protect the rest of our bodies. In the cold, our blood vessels constrict to keep the core of our bodies and our vital organs warm. That may leave our fingers and toes colder and stiffer.

If you keep that up too long, though, you may experience frostbite in your extremities, which can be very dangerous. Help your body stay warm in the cold by wearing gloves, thick socks, and boots, as well as hats that can cover your ears. If they become wet, change into dry clothing as soon as possible. If you are outside shoveling or playing in the snow, go indoors every 15 minutes or so to warm up.

How do you treat stiff hands?

Treatment for stiff hands will depend on its causes, but some home remedies may help.

  1. Ask our hand therapist, Lodia, about hand exercises that can help you stimulate your blood flow in the morning or relieve overuse symptoms in the evening.
  2. Over-the-counter anti-inflammatory medications may help relieve swelling that is causing stiffness in your hands. Talk with Dr. Arora to determine if this will help you. He may have specific medications that would be preferable in your case.
  3. You can use a brace while you sleep, while participating in hobbies, or at work if your job requires intense use of your hands.
  4. Gently stretch your hand muscles to loosen them. Ask Dr. Arora or Lodia about how to loosen up your hand muscles safely.
  5. Take a lukewarm shower or bath to relieve stiff joints. Avoid water that is too hot, as this can dry your skin, which could make your hands feel tighter.
  6. Use a warm compress or heating pad for only several minutes to relieve stiffness. Be sure to wrap the heating device in a towel before placing it on your skin to avoid burns or swelling.

Diagnosis and Treatment

The first step is to determine why you are experiencing stiff hands. Once the cause is identified, we can advise you on the best course of action, whether it’s simple self-care, hand therapy, medication, or the use of support devices. Surgery may be required in some more serious cases when other remedies do not help.

If your stiff hands are regularly causing you discomfort or you are concerned that this may be due to a serious medical condition, call us to schedule an appointment with Dr. Arora. We will help you identify the cause of your hand symptoms and devise a treatment plan that works for you.

Categories
Conditions General Hands

What is the Difference Between Osteoarthritis and Rheumatoid Arthritis?

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There are many differences between osteoarthritis and rheumatoid arthritis. The symptoms are similar, but the conditions are actually very different. This is a closeup image of a doctor examining a patient's hand arthritis.

The differences between osteoarthritis and rheumatoid arthritis are significant, but the ability to identify one over the other can be somewhat elusive to the general public. A proper diagnosis is crucial for effective arthritis treatment.

The symptoms of these two common forms of arthritis may be similar, but the conditions are actually very different.

The word “arthritis” itself isn’t as much of a diagnosis as a description of more than 100 different types of ailments that involve joint pain or inflammation. Osteoarthritis and rheumatoid arthritis are two of the most common forms. According to the Centers for Disease Control, more than 32.5 million U.S. adults suffer from osteoarthritis. Rheumatoid arthritis affects more than 1.3 million adults in the U.S.

To help you communicate your concerns to Dr. Arora, we offer the following comparison as a guide.

What is Osteoarthritis?

In very general terms, osteoarthritis occurs when cartilage in a joint wears out. It usually begins in one joint and may never affect other joints.

The pain can be mild, moderate, or severe. Moderate or severe osteoarthritis pain can make it difficult for patients to complete everyday activities, such as buttoning a shirt or tying their shoes.

It is most common among women and occurs more frequently as people get older. Other risk factors for osteoarthritis include obesity, genetics, and joint injury or overuse.

What is Rheumatoid Arthritis?

Rheumatoid arthritis is an autoimmune disease. When this occurs, the immune system essentially “malfunctions” and attacks the synovial membrane that encases and protects the joints. It frequently affect several joints at the same time.

Beyond the pain, inflammation, and swelling common in other forms of arthritis, rheumatoid arthritis symptoms may include fever, anemia, fatigue, and loss of appetite. Rheumatoid arthritis may also show signs in the skin, eyes, lungs, heart, kidneys, salivary glands, nerve tissue, bone marrow, and blood vessels. It tends to be symmetrical, so symptoms may occur on both sides of the body simultaneously.

This form of arthritis is a chronic condition. There is no cure, and it is likely to progress over time. However, treatment options can reduce pain, make the symptoms manageable, and prevent significant joint damage.

Women are more likely to develop RA than men are. RA can begin at any age but most commonly starts in middle age. Other risk factors for rheumatoid arthritis include family history, smoking, and excess weight.

4 Key Differences Between Osteoarthritis and Rheumatoid Arthritis

1. Number of Joints Affected

Osteoarthritis may only affect one joint. Rheumatoid arthritis may affect several at the same time.

2. Symmetry

Rheumatoid arthritis tends to be symmetrical, meaning it affects both elbows, for instance. Osteoarthritis is more centralized, so it might or might not affect both sides of the body.

However, both sides of the body may become affected due to the exertion of too much pressure on one side. For example, if you experience osteoarthritis pain in your left wrist, you may use your right wrist more often, eventually causing the right wrist to act up as well.

3. Duration of Symptoms

The duration and extent of the pain is different.

With RA, joint pain and swelling can come and go, but the disease never really goes away. The goal of rheumatoid arthritis treatment is to make you feel better and get your symptoms under control, known as “remission.”

Osteoarthritis is also permanent and the pain and swelling are similar, but the condition can improve over time.

4. Additional Symptoms

Rheumatoid arthritis may have symptoms such as fever, fatigue, anemia, and loss of appetite. Osteoarthritis is usually only pain, swelling, and some loss of flexibility in the particular joint that is affected at the time.

If you are experiencing arthritis pain in your hands, wrists, or elbows, it’s important to determine the type of arthritis in order to create the best treatment and prevention plan for you. For an evaluation, diagnosis, and arthritis treatment, make an appointment to see Dr. Arora in Warren, West Bloomfield, Howell, or Macomb Township.

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Dr. Aroras office from my first call to schedule my appointment was friendly. Walking in the first day, I felt like I was in a nice atmosphere. Dr. Arora was EXCELLENT in taking great care of my hand injury. He was gentle and very understanding to the concerns I had about my hand. His expertise was admirable and I would recommend anyone with an injury to their hand to his office to be under his care. Because of him, I have healed faster than expected and will make an 100% recovery! Thank you Dr.

Jackie S.

I first thought I was going to have to have painful injections or surgery, but Dr. Arora suggested physical therapy may do the trick. I was doubtful, but I agreed to do it. Now, my pain is gone, and with the help of an ergonomic keyboard at work to keep my hands in the correct position, I am virtually pain free. The therapy strengthened my wrists and shoulders, and built more flexibility into my wrists.

Jerry T.

My experience with this doctor was positive from the outset. Dr. Arora was kind and spent a great deal of time with me. Staff was friendly. The office was nice and bright.

Ariel G.

Very friendly and helpful Great staff!!! Doctor Arora was very professional and did great work. I was very happy with everything!

L B.