Why do the fingers on my left hand go numb?

General information about the disease

Arthritis of the fingers is an inflammation of the metacarpophalangeal and interphalangeal joints of the fingers. The disease occurs quite often at any age. According to statistics, women over 40 years of age are more affected by it. This is explained by the fact that, compared to men, women have a greater load on their hands and fingers. ICD-10 code for finger arthritis of unspecified origin M13.

Depending on the cause that caused it, the disease can occur only in small joints of the fingers, or can be combined with damage to large joints. The onset of the disease can be acute, subacute and chronic, but then the course in most cases becomes protracted or chronic. The exception is post-traumatic arthritis of the fingers: with proper treatment, it ends in complete recovery. But if treatment was not prescribed on time, it also takes a chronic course.

Causes of inflammation in the joints of the fingers

The causes of the disease can be different. Most often, the small joints of the fingers are affected by rheumatoid arthritis, an autoimmune (allergy to the patient’s own tissues) disease, which is based on a hereditary predisposition. The starting point for the onset of the disease is usually some kind of infection. After some time, genetically predisposed individuals develop arthritis of the fingers. In the future, other, larger joints may be affected.

Another common cause of inflammation in the small joints of the hands is psoriatic arthritis. It is also an autoimmune hereditary disease that mainly affects the joints of the fingertips (distal) with simultaneous characteristic lesions of the nails. This usually occurs against the background of existing skin manifestations of psoriasis, but sometimes symptoms of arthritis in the joints of the fingers appear first.

Quite often, arthritis of the finger joints develops with gout. The disease has a metabolic (metabolic) origin - the metabolism of uric acid salts is disrupted, they are deposited in the articular and periarticular tissues, causing an inflammatory process.

Post-traumatic arthritis of the finger joints is sometimes of an occupational nature. It develops with constant minor trauma to the hands of jewelers, seamstresses, hairdressers, etc. The inflammatory process is constantly supported by additional trauma and becomes chronic. After acute (sports, household) injuries, acute arthritis can develop, which then completely disappears.

Other types of arthritis rarely cause damage to small joints. Provoking factors that contribute to the development of arthritis in the small joints of the hands are hormonal changes (adolescence, pregnancy, menopause), stress, frequent colds and allergies, bad habits, and professional activities.

Symptoms of arthritis in the fingers

Symptoms can be different, they depend on the nature of the inflammatory process (acute, subacute, chronic), as well as on the clinical form of the underlying disease.

First signs

Swelling and aching pain are the first signs of hand arthritis

The onset of the disease is slow in most cases. There are aching pains in the hands and stiffness of movements in the morning. At first, this symptom lasts on average no more than half an hour, and then goes away. The pain is aching, constant, and its intensity increases slowly.

Less often the onset is acute. Pain appears in one or more small finger joints, accompanied by redness and swelling of the surrounding tissues. The function of the joint is impaired: it is difficult to bend and unbend, sometimes it is impossible to do this due to pain.

With the acute onset of the disease, the patient’s general condition often suffers: fever, malaise, and headache appear. If the process develops subacutely or chronically, there may be no general manifestations; changes in the affected joints may also not be too pronounced.

The most important thing to do if you experience symptoms of arthritis is to seek medical help. The sooner this happens, the greater the chance of stopping the inflammatory process at the very beginning.

Obvious symptoms

Obvious signs of chronic hand arthritis include the appearance of swelling and redness of the tissues around the affected areas of the hands, as well as the involvement of other joints in the pathological process on the same or another hand. The appearance of new foci of inflammation may be accompanied by a slight rise in body temperature, increased pain and dysfunction of the affected joints. But more often, rheumatoid exacerbations occur without general manifestations.

After some time, the inflammatory process may somewhat reduce intensity, local inflammation and general symptoms decrease. After this, the process becomes chronic. Morning stiffness of movement appears, patients note the feeling of tight gloves on their hands, which do not allow them to move. Some time after getting up in the morning and starting physical activity, this feeling decreases or even disappears. The appearance of crepitus (friction and clicking) in the affected articular joints is also characteristic.

When the patient does not receive treatment for arthritis, there is an alternation of exacerbations and remissions with constant pain and rapid formation of joint deformation (with rheumatoid arthritis) or melting of the fingertips with their shortening (with psoriatic arthritis). Arthritis of the thumb most often develops with gout, occurs with severe pain, swelling, redness, then goes away without a trace, but with frequent relapses, deformation and loss of function of the joint also develops.

Dangerous symptoms

Emergency medical attention is required if the following symptoms of finger arthritis appear:

• high body temperature (38 - 39°) for 5 or more days;
• a sharp rise in temperature, increased inflammation and pain in the joint with an already existing inflammatory process - may indicate the onset of suppuration;
• involvement of new small or large joints in the pathological process;
• the appearance of blackened tissue on the fingertips (necrosis) in psoriatic arthritis.

If such symptoms appear, you should immediately consult a doctor.

Main reasons

There are two large groups of causes of numbness in the fingers on the left hand, which you can learn about below.

The main ones.

• Doctors say that such symptoms cause problems with the musculoskeletal system: osteochondrosis of the cervical spine, injuries and heavy loads on the vertebrae. All this causes compression of blood vessels and nerve processes. The person feels pain and goosebumps.
• Cerebral ischemia. Due to impaired blood flow, a deficiency of oxygen appears in the cells, which a person feels as numbness.
• A non-physiological posture may also be an explanation.
• Non-pathological reasons: carrying a child or squeezing the wrist with accessories.

Additional.

When wearing backpacks and bags, at low temperatures, or with the arm positioned for a long time above chest level, the plexus of nerve processes and blood vessels is compressed, which disrupts blood circulation and causes spasm of the arteries.

How dangerous is the disease?

The main danger of any type of chronic arthritis is the progression of the inflammatory process, which over time becomes degenerative-dystrophic with deformation of the limbs and disability. The longer arthritis lasts, the higher the risk of complications.

Stages of the disease

Any form of arthritis has serious complications, so you should not delay treatment.
See how easily the disease can be cured in 10-12 sessions.

Arthritis of the joints of the fingers has 4 stages of development depending on the degree of joint damage detected during instrumental examination:

1. Initial stage
   . If there are pronounced or minor clinical signs of inflammation, an x-ray can show signs of inflammation in the form of widening of the joint space. An ultrasound can show the presence of an increased volume of joint fluid. Symptoms can be pronounced or almost absent in the chronic course of the disease.
2. Progressive inflammation.
   Signs of inflammation are clearly visible on x-rays and ultrasound. Articular cartilage is destroyed, and in its place loose connective tissue - pannus - is formed. The process takes on a wave-like (exacerbation-remission) or constantly progressive course. Pain and stiffness of movement increase.
3. Connective tissue ankylosis.
   The connective tissue of the pannus becomes rough, it grows and connects the joint-forming bone surfaces with each other, as a result of which movement in the joint is limited. Fingers become deformed.
4. Bone ankylosis.
   Instead of connective tissue, bone tissue grows in the joint, which leads to complete immobility of the joint and loss of its function.

Possible complications

If arthritis of the hands and fingers is not treated, the disease will progress. The following complications are also possible:

• development of a purulent inflammatory process with transition to the tissue surrounding the joint, development of abscesses, phlegmon and sepsis;
• necrosis of the fingertips, their shortening and inflammation of the soft tissues;
• subluxations and dislocations of small joints;
• various types of joint deformities;
• complete loss of function of the fingers and hands.

What to do during an exacerbation

You can get rid of pain from arthritis of the hands with the help of drugs from the group of non-steroidal anti-inflammatory drugs

When arthritis worsens, the joints become sharply painful, the skin over them turns red, swells, and movements in the fingers become impossible due to pain. To reduce suffering you need to:

• give your hands a slightly elevated position - this will reduce swelling;
• take any medicine from the group of non-steroidal anti-inflammatory drugs (NSAIDs) - Diclofenac, Nise, Indomethacin, Ibuprofen; this will reduce pain and inflammation;
• apply any external agent from the NSAID group - gel or ointment - to the skin over the diseased joint; emulgel Voltaren helps a lot;
• consult a doctor or call him at home.

During an exacerbation, you cannot delay visiting a doctor; it is urgent to suppress the progression of the disease. It is impossible to do this on your own.

How does arthritis of the fingers proceed in different clinical forms of the disease?

The symptoms of hand arthritis and the nature of its course depend on the disease that led to its development. Damage to small joints of the hands is most often found in rheumatoid, psoriatic and gouty arthritis. But it can also occur in other clinical forms of arthritis.

Rheumatoid arthritis

In most cases, arthritis begins slowly and unnoticeably. Aching pain appears in the fingers. The nature of the pain is constant, aching, exhausting. In the morning after sleep, stiffness of movement appears, which can last up to 30 minutes or more.

After some time, the patient notices that the fingers begin to swell in the joints. Most often, the metacarpophalangeal and overlying interphalangeal joints of the 2nd and 3rd fingers are affected. The lesion is symmetrical on both hands. Pain of varying degrees of intensity is constant. Over time, characteristic spindle-shaped finger deformations appear

Small, painless subcutaneous rheumatoid nodules appear on the skin of the fingers and in the elbow area. The course of the disease is slow, steadily progressing, accompanied by constant debilitating pain, deformities and loss of joint function.

Psoriatic arthritis

Pictured is rheumatoid and psoriatic arthritis of the hands

With this disease, arthritis develops in the distal (end) interphalangeal finger joints against the background of existing skin manifestations of psoriasis. But sometimes joint symptoms appear before skin symptoms or simultaneously with them. The disease in most cases begins acutely or subacutely with the appearance of redness, swelling and pain in the small finger joints. The lesion is usually asymmetrical, with the fingers resembling sausages.

The disease occurs with severe exacerbations and remissions. Nail plates are almost always involved in the pathological process. Over time, deformation of the fingertips occurs, they thicken, the nails become thinner and also deformed, and a symptom of a thimble appears - pinpoint depressions on the nail plates.

With a long course of the disease, dislocations and subluxations of small distal joints develop, as well as lysis (melting) of the bones of the fingertips (radiological sign) and shortening of the fingers.

Chondroprotectors: what are they, how to choose, how effective are they?

Joint pain at rest

Gouty arthritis

An attack of gout begins acutely, with the appearance of severe pain, swelling and redness in the affected joints. Small joints are often involved. Typically, inflammation begins with the metacarpophalangeal joint of the 1st finger, and then can spread to the metacarpophalangeal and interphalangeal joints of other fingers.

The pain is very severe, the attack can last from several hours to several weeks, and then everything goes away. But with frequent attacks affecting the same joints, their function is impaired.

Post-traumatic arthritis

This type of arthritis of the fingers can develop against the background of an acute domestic, industrial or sports injury, occur acutely with subsequent complete recovery, or (in the absence of the necessary help) be complicated by the addition of a purulent infection. Sometimes such an inflammatory process can become chronic with subsequent deformation of the affected joints.

Initially, post-traumatic arthritis of the fingers takes a chronic course with constant minor unnoticeable injury to the fingers. Most often this occurs among people in certain professions who perform minor work. Arthritis develops slowly, affecting the joints that are most injured during work. If you do not change jobs, a permanent deformity develops with impaired finger function.

Other types of arthritis

With such types of arthritis as reactive, infectious, idiopathic, damage to the small joints of the fingers practically does not occur.

Clinical manifestations

Carpal tunnel syndrome is characterized by pain, numbness, paresthesia and weakness in the arm and hand.
Pain and numbness extend to the palmar surface of the thumb, index, middle and 1/2 ring finger, as well as to the dorsum of the index and middle finger. Initially, symptoms occur when performing any activities using a brush (working on a computer, drawing, driving), then numbness and pain appear at rest, sometimes occurring at night. The following tests are suggested to verify the diagnosis of carpal tunnel syndrome. Tinel test: tapping the wrist (above the median nerve) with a neurological hammer causes a tingling sensation in the fingers or pain radiating (electrical shooting) to the fingers (Fig. 2). Pain may also be felt in the tapping area. A positive Tinel sign is found in 26–73% of patients with carpal tunnel syndrome [Al Zamil M.H., 2008]. Durkan's test: compression of the wrist in the area of ​​the median nerve causes numbness and/or pain in the 1st–3rd, half of the 4th fingers (as with Tinel's symptom). Phalen Test: Wrist flexion (or extension) 90 degrees produces numbness, tingling, or pain in less than 60 seconds (Figure 3). A healthy person may also develop similar sensations, but not earlier than after 1 minute. Opposition test: with severe thenar weakness (which occurs at a later stage), the patient cannot connect the thumb and little finger (Fig. 4); or the doctor (researcher) can easily separate the patient’s closed thumb and little finger.

Diagnostics

The diagnosis is established based on the characteristic symptoms of the disease and is confirmed by examination data:

• laboratory tests - detect the presence of an inflammatory process, the presence or absence of infection, antibodies to infectious agents, rheumatoid factor;
• X-ray – reveals bone changes in joints;
• Ultrasound - the presence of an increased volume of exudate in the joint cavity is a sign of an active inflammatory process;
• MRI – changes in soft articular and periarticular tissues.

Without additional examination methods, it is impossible to establish the correct diagnosis (and therefore prescribe adequate treatment). Therefore, if you experience pain in the small joints of your fingers, you should consult a doctor as soon as possible.

Diagnosis of finger pain

CELT specialists recommend seeking medical help if you experience even a slight feeling of numbness in your fingers. Along with pain, this is a reason to visit a rheumatologist or neurologist in our Pain Clinic, conduct diagnostic tests and treatment.

In order to correctly make a diagnosis, in addition to a clinical examination and history taking, other diagnostic tests are carried out:

• radiography;
• manual muscle testing;
• ultrasonography;
• Magnetic resonance imaging.

Treatment of arthritis of the fingers

After a final diagnosis has been established, treatment for arthritis of the fingers is prescribed, which is carried out by a rheumatologist (sometimes together with other specialists - a surgeon, a dermatovenerologist). It should be comprehensive, aimed at suppressing the progression of the pathological process and preventing disorders of joint function. The complex treatment includes:

• drug therapy;
• physiotherapeutic procedures;
• therapeutic exercises and massage;
• reflexology courses;
• folk remedies.

Drug therapy

The primary goal of drug therapy is to alleviate the condition of a sick person. For this purpose, NSAID medications are prescribed to relieve pain, inflammation and tissue swelling. Depending on the degree of activity of the inflammatory process, these drugs are prescribed in the form of injections (shots) or tablets for oral administration. In addition, drugs in this group are prescribed externally in the form of gels, ointments and creams.

The most effective NSAID is Diclofenac, but it has an irritating effect on the walls of the gastrointestinal tract, so it cannot be taken for a long time. Instead of Diclofenac, more modern drugs of the NSAID group are prescribed - Nise, Celebrex, etc. Such products as Pentalgin gel and Diclofencac ointment are used externally. The best ointment for arthritis of the fingers is Voltaren emulgel. The use of NSAIDs can bring significant relief to the patient.

Drugs for the treatment of hand arthritis

Sometimes the inflammatory process is so severe that it cannot be relieved with NSAID medications. In this case, glucocorticoid hormones are used - Prednisolone, Dexamethasone, etc. in the form of injections, orally in tablets or externally in the form of ointments. Intra-articular injection of hormones into small joints is rarely practiced.

To suppress autoimmune processes, basic group drugs are prescribed - Methotrexate, Sulfasalazine, Leflunomide and biological agents (MabThera, Redditux). These drugs are selected by a rheumatologist and prescribed according to a special regimen in long courses.

To restore joint function, chondroprotectors are prescribed - medications that restore the cartilage tissue of joints (Dona, Structum, etc.). They are also prescribed in long courses.

Agents that improve blood circulation and metabolism in tissues - Pentoxifylline, Actovegin, etc. help restore tissue trophism.

Vitamins and minerals are prescribed as general tonics, improving metabolism and helping to restore overall balance in the body.

Physiotherapeutic procedures

The complex treatment of arthritis of the fingers necessarily includes physiotherapeutic procedures. They, just like medications, are selected individually depending on the clinical form and activity of the pathological process. This can be electrophoresis with Hydrocortisone, UHF, laser or magnetic therapy, etc.

Crunching in joints - when to worry

Intra-articular injections of hyaluronic acid

Massage and exercise therapy

Courses of massage and therapeutic exercises are prescribed during the period of subsidence of the inflammatory process. They help improve blood circulation and metabolism in tissues, restore the function of small joints. At home, you can do the following physical exercises to improve mobility:

• roll a small elastic ball on the table surface with your finger surfaces for a minute, actively involving the affected finger joints in the process;
• with the fingertips of one hand, touch the pad of the 1st finger of the opposite hand; start with the little finger and end with the index finger; repeat the exercise 10 times;
• position your hands so that your fingertips are slightly bent and touch the surface of the table; bend each finger in turn and hit the table with it (like the keys of a piano);
• repeat three times.

Such exercises should be done daily, gradually increasing the number of approaches.

Folk remedies

A doctor should tell you how to treat arthritis of the fingers with folk remedies. He also selects the most suitable method. You can use both herbal decoctions and infusions for oral administration and external agents:

• a compress of kefir mixed with crushed chalk at the rate of 50 g of chalk per 75 - 100 ml of kefir; You should get a thick mixture that needs to be applied once a day at night; to do this, you need to apply it on a cotton napkin, apply it to the sore spot, and put polyethylene and insulation on top; leave it like that all night; perfectly relieves swelling and pain;
• infusion of celery roots; Place 20 g of crushed raw materials (dry or fresh) in a thermos overnight, pour 200 ml of boiling water; the next day, drink 3 to 4 times before meals; course of treatment – ​​2 weeks; relieves pain and swelling well.

Surgery

This type of treatment for arthritis of small joints is rarely used. In cases of severe arthritis that cannot be treated conservatively, a synovectomy is sometimes performed - removal of part of the synovial membrane that produces a large volume of exudate.

In some cases, the joint is replaced with an artificial one, but this is a fairly rare operation.

Modern treatment strategy for rheumatoid arthritis in this article.

Treatment

First aid

For traumatic injuries, cold and an elevated position of the limb are recommended. The hand is fixed using a splint or available materials (for example, a plank). The hand is raised upward or a scarf is used. In case of intense pain, an analgesic is given; in the absence of external damage, chloroethyl is applied.

Help for diseases is determined by the nature of the pathology - changing the position of the limb, warming or, conversely, cooling can help. The most common measure is rest, however, in some diseases (carpal tunnel syndrome, arthritis), the pain syndrome decreases while maintaining motor activity. Acute jerking pain, pronounced signs of inflammation, general hyperthermia are reasons for urgent consultation with a specialist.

Conservative therapy

For dislocations and fractures, local anesthesia is administered, reduction is performed, and a plaster cast is applied. Conservative treatment of traumatic and non-traumatic finger pathologies involves the following measures:

• Protective mode
  . It is selected taking into account the nature and severity of the disease. Recommendations for limiting the load, using orthopedic devices, and applying a plaster cast are possible.
• Drug therapy
  . Nonsteroidal anti-inflammatory drugs, antibiotics, drugs to improve blood circulation, and neurotropic medications are used. According to indications, blockades with corticosteroids are performed.
• Non-drug methods
  . Exercise therapy, massage, physiotherapy, manual therapy, and kinesio taping are prescribed.

Surgical interventions

Operations are performed when conservative methods are ineffective, to reduce the time and improve long-term results of treatment. Taking into account the characteristics of the lesion, the following is carried out:

• Injuries
  : fixation of fractures and dislocations with knitting needles, necrectomy and amputation of fingers due to frostbite.
• Infectious diseases
  : opening, drainage of felon, in case of severe lesions in some cases - amputation or disarticulation.
• Diseases of tendons and ligaments
  : dissection of the dorsal ligament and excision of adhesions for de Quervain’s disease, dissection of the annular ligaments for stenosing ligamentitis.
• Neoplasms
  : removal of neoplasia, bone resection.
• Neurological diseases
  : nerve decompression.

After surgery, antibiotic therapy is prescribed. Patients undergo comprehensive rehabilitation aimed at maximizing the restoration of hand function.

Approach to the treatment of arthritis of the fingers at the Paramita clinic

.
In our clinic, the patient is thoroughly examined using the latest laboratory and instrumental methods, including MRI, and only after that is treatment individually selected for each patient prescribed.

A special feature of treatment in our clinic is that complex therapy includes:

• modern Western methods of treatment
  , allowing to eliminate the main manifestations of arthritis of the fingers;
• traditional oriental methods of treating diseases
  , allowing to restore balance in the body, establish the relationship of all organs and systems; this leads to the elimination of inflammation, swelling and pain in the joints and suppresses the progression of the disease.

The combination of Western and Eastern techniques makes it possible to quickly and painlessly relieve our patients of pain, and then effectively restore the function of damaged joints. The specialists at the Paramita Clinic have extensive experience in treating arthritis of the fingers. You can find out more about treatment methods in our clinic on our website.

We combine proven techniques of the East and innovative methods of Western medicine.
Read more about our unique method of treating arthritis

Clinical manifestations

The main symptoms of cubital tunnel syndrome are pain, numbness and/or tingling. Pain and paresthesia are felt in the lateral part of the shoulder and radiate to the little finger and half of the fourth finger. At first, discomfort and pain occur only when pressure is applied to the elbow or after prolonged bending. In a more severe stage, pain and numbness are felt constantly. Another sign of the disease is weakness in the arm. It manifests itself as a loss of “confidence” in the hand: suddenly objects begin to fall out of it during some habitual actions. For example, it becomes difficult for a person to pour water from a kettle. In advanced stages, the hand on the sore arm begins to lose weight, and pits appear between the bones due to muscle atrophy.

General clinical recommendations

For patients suffering from arthritis of the fingers, it is recommended:

• lead a healthy lifestyle, toughen up;
• be treated in a timely manner, eliminate all foci of infection that may become a trigger in the development of exacerbations of arthritis;
• get rid of bad habits;
• eat right, regulate sleep and wakefulness;
• if arthritis worsens, do not put stress on your fingers, do not do housework, including washing dishes;
• during remission, do physical exercises for your arms at home; classes should be held daily;
• completely abandon self-medication and adhere to the doctor’s recommendations in everything.

Prevention of arthritis of the fingers

Preventing arthritis is especially important for people who have a genetic predisposition to this disease (close relatives with this pathology). In order to maintain health, they need to adhere to the following recommendations:

• you should not overload your hands with heavy physical or long-term painstaking work, including at home;
• you should not overcool, you should avoid overcooling your hands;
• lead a healthy lifestyle, eat right, toughen up;
• engage in feasible sports, conduct daily training;
• avoid prolonged stress.

Diet

Special nutrition is required only for gouty arthritis of the fingers. The diet of such patients should not contain strong broths, offal, meat of young animals, alcohol, sorrel, lettuce, strong tea, coffee, or chocolate.

If you have gouty arthritis, you should follow a diet

In other cases, it is enough to adhere to the principles of a healthy diet: eat lean meat and dairy products, fish (fatty sea fish is healthy), grains, cereals, vegetables, and fruits. High-calorie foods, sweets, baked goods, spicy seasonings, fried and smoked foods should be avoided. Meals should be regular.

Frequently asked questions about the disease

Which doctor should I see for arthritis of the fingers?

It is better to immediately see a rheumatologist; if necessary, he will refer you for consultation to another specialist.

Can folk remedies be used for treatment?

You can, but not on your own, but only as prescribed by a doctor.

Rheumatologists often prescribe hormonal drugs; are they harmful?

Hormones are prescribed in short courses to eliminate pain and swelling. Such treatment cannot harm.

Arthritis of the fingers often develops unnoticed. It is very important to pay attention to aching pain in your fingers in a timely manner and consult a doctor in a timely manner. But even if you have missed time and obvious signs of arthritis appear, do not despair: you can help at any stage. It is difficult to completely cure a chronic disease, but it is quite possible to stop its progression, relieve you of pain and improve your quality of life. Doctors at the Paramita clinic (Moscow) know how to do this.

Literature:

1. Zabolotnykh, I.I. Diseases of the joints / I.I. Zabolotnykh. - M.: SpetsLit, 2009. - 256 p.
2. Velyaminov, N.A. The doctrine of joint diseases from a clinical point of view / N.A. Velyaminov. - M.: State Publishing House, 2011. - 434 p.
3. Shostak N. A. Psoriatic arthritis: new approaches to treatment // Clinician. 2008. No. 2. P. 41–45.

Themes

Arthritis, Joints, Pain, Treatment without surgery Date of publication: 11/13/2020 Date of update: 04/03/2021

Reader rating

Rating: 4.6 / 5 (5)