Hand Arthritis
Dealing with Osteoarthritis
Being active
Being active can help to manage pain and fatigue caused by arthritis. There is no set approach that has been shown to be the best so feel free to try different types of exercise and activity. Be guided by what you enjoy and what you feel able to start. It can be any type of activity and not specific to the hand/wrist to still get pain relieving benefits. An example may be a brisk walk, a bike ride or an aqua-aerobics class. General exercise is positively encouraged as this is a natural painkiller.
If you are local to Sheffield and you would like support to increase your physical activity, then you can:
- Self-refer to Move Well for personalised support and access to a wide range of physical activity opportunities, tailored to your specific needs and preferences.
- Find sport, leisure and activity groups in your local area.
- For more activity tips, visit our physical activity page under the wider health section of the website.
Exercise
Specific Exercise to keep the joints healthy and stimulate the natural lubricating fluid. The health of the joints is maintained through regular relaxed movement and maintaining the strength of the muscles around it. Exercise should form the core part of your treatment. See the exercise section for some ideas.
Try to continue, where you can, your normal daily activities including social, work-related and hobbies.
Heat or Ice treatment for pain
Heat packs
A warm pack can help ease muscle tightness and pain. Use a microwaveable wheat bag or hot water bottle wrapped in a towel for 15-20 minutes, 2-3 times a day. Avoid using heat on swollen areas.
Ice treatment
Ice can numb pain. Apply an ice pack (or frozen vegetables wrapped in a towel) for up to 10 minutes, 2-3 times a day.
Pain medication
Pain medication can help you stay mobile. Consult your GP or pharmacist for advice.
Steroid injections
In some cases when pain is severe, a steroid injection into the joint can be beneficial, to provide short term pain relief. This might help by reducing inflammation within the joint allowing you to regain the mobility of the joint, without pain being a barrier. It is worth noting that steroid injections are not a long term management option as they can make the tissue less healthy in the long term.
Surgery
A very small proportion of people with osteoarthritis may be suitable for surgery, however this type of surgery comes with risks and fortunately most people benefit from conservative treatment. Your health care professional can guide you with this option.
Don’t
Treatments which are not recommended by National Guidelines:
- Acupuncture or dry needling
- Electrotherapy treatments such as TENS machines
- Routine use of supports or taping but flexible neoprene supports are suggested by national specialists in hand/wrist pain.
- Hyaluronic acid injections
- Glucosamine and chondroitin
See NICE guidelines for Osteoarthritis for further information