Osteoarthritis of the Fingers

Osteoarthritis (OA) of the Digits: Managing Pain and Improving Function with Physiotherapy 

Osteoarthritis (OA) of the digits, or fingers, is a common condition that affects the small joints in the hands, leading to pain, stiffness, and reduced hand function. As one of the most prevalent forms of arthritis, OA of the digits can make simple tasks like gripping objects, writing, or using utensils difficult. Fortunately, physiotherapy can play a crucial role in managing symptoms, reducing pain, and maintaining hand mobility. At Brisbane Physiotherapy, we offer targeted treatments to help individuals manage OA of the digits and maintain an active, independent lifestyle. 

What is Osteoarthritis of the Digits? 

Osteoarthritis is a degenerative joint disease caused by the breakdown of cartilage, the tissue that cushions the ends of bones in a joint. In the fingers, OA most commonly affects the distal interphalangeal joints (the joints closest to the fingertips), the proximal interphalangeal joints (the middle joints of the fingers), and the base of the thumb. Over time, the protective cartilage wears down, causing bones to rub against each other. This can lead to joint pain, swelling, and deformity. 

Symptoms of OA of the Digits 

The symptoms of osteoarthritis in the fingers often develop gradually, worsening over time. Common symptoms include: 

  • Pain: Pain in the fingers, particularly with movement or gripping objects. 

  • Stiffness: Joints may feel stiff, especially after periods of inactivity, such as in the morning or after resting. 

  • Swelling and Inflammation: Affected joints may become swollen and tender, with visible enlargement. 

  • Reduced Range of Motion: Movement of the fingers may become limited, making it difficult to perform everyday tasks. 

  • Bony Nodules: Over time, bony enlargements (called Heberden’s or Bouchard’s nodes) can form at the joints of the fingers, leading to visible deformity. 

How Physiotherapy Can Help 

While OA of the digits is a progressive condition, physiotherapy can help manage symptoms, reduce pain, and improve hand function. At Brisbane Physiotherapy, our treatment programs are personalised to meet the specific needs of each patient. 

  1. Pain Management: We use techniques such as heat therapy, cold therapy, and manual therapy to alleviate pain and reduce joint stiffness. 

  2. Range of Motion Exercises: Gentle, targeted exercises are prescribed to maintain flexibility and prevent stiffness in the finger joints. These exercises can help improve hand function and make daily activities easier. 

  3. Strengthening Exercises: Strengthening the muscles around the joints helps support and stabilise the hand, reducing the strain on affected joints. Grip-strengthening exercises are often incorporated to enhance overall hand function. 

  4. Joint Protection Techniques: Physiotherapists provide education on how to modify activities to protect the joints from further damage. This includes advice on using ergonomic tools and adaptive devices to reduce joint stress during daily tasks. 

  5. Splinting: In some cases, splints or braces may be recommended to support the affected joints and prevent excessive movement that could worsen symptoms. 

Conclusion 

Osteoarthritis of the digits can significantly impact your hand function and quality of life, but with the right treatment plan, you can manage symptoms and maintain independence. Physiotherapy offers a comprehensive approach to managing OA, focusing on pain relief, improving mobility, and preserving hand function. At Brisbane Physiotherapy, we tailor our treatments to meet the needs of each patient, ensuring optimal outcomes. If you're struggling with OA of the digits, contact us today to learn how our team can help you manage your condition and keep your hands moving comfortably. 

 

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