Hand lymphedema is chronic swelling caused by the accumulation of lymph fluid in the soft tissues of the hand. Lymphedema of the arm may occur months or years after breast removal surgery. This is a chronic condition that develops in 25% of women after breast removal and progresses steadily without treatment. Modern treatment can reduce swelling and reduce the risk of erysipelas and complications. Microsurgical operations can permanently get rid of lymphedema after mastectomy.
The hand has developed - how is it, why is it that the hand has spread?
Perhaps you mean developed?
with emphasis on the second A. This is what they say in this case if a tendon is sprained. Most often it happens from a sharp swing (throw). If you give your hand rest, it goes away quickly. When we were children, we had woolen threads tied around our wrists. Most often, this phenomenon occurs due to excessive long-term loads, for example, they took a hammer and decided to nail a fence with a picket fence, and so the next day you will feel pain inside your wrist (physical or emotional suffering, painful or unpleasant sensation)
-
this is what it is .
This happens due to micro-strains of the tendons, it is not fatal, and it is not much pleasant. What to do to prevent this from happening? – you need to buy a wristband at a sports store and put it on your wrist before work, or bandage it even with a handkerchief and your hand won’t rip apart, and if that happens, then there’s only one thing, rest and rub it with an anesthetic – an anti-inflammatory agent. In the popular language there really is an expression “the hand has developed.” With “and”. It has nothing to do with any development. This is what they say about hand conditions that are close to either a slight sprain (for example, in the wrist) or “cloggedness” of some muscle.
If you have “developed a hand,” then this may mean that the other day or a certain number of days ago you made multiple movements with your hand that are not quite ordinary and not quite usual for you, most often without warming up. These movements can be sharp, not necessarily sweeping, and not necessarily forceful. As a result, both muscles and ligaments may become tired, and this will come back to haunt you soon - your arm will hurt.
Dictionaries have a clear and succinct definition of the phenomenon “a hand has developed.” And more specifically:
Perhaps the expression comes from “pain has developed (physical or emotional suffering, painful or unpleasant sensation)
in the hand,” or from “the bones are loose.” Option 1 looks the most plausible.
Healing for this entire condition is usually the same as for any sprain (reduction of pain (experience associated with actual or potential tissue damage)
ointments, injections, tumor reduction
(Tumor (syn. neoplasm, neoplasia, neoplasm) is a pathological process represented by newly formed tissue)
medications and so on).
But it is worth keeping in mind that pain (physical or emotional suffering, painful or unpleasant sensation)
can be not only a consequence of high-impact work, therefore it is recommended to be examined by a specialist.
More often they say “The hand has developed”, in other words, through the letter “and”, from the word probably “development”, and not “to flutter”. This expression is more commonly used among people, the term is not honey. Your hand may get sick from an injury, become swollen, or it may turn out that you have a sprain from some, for example, backbreaking work. The faster expression “the hand has developed” comes from another – “pain has developed (physical or emotional suffering, painful or unpleasant sensation)
in hand".
In any case, you should definitely contact a specialist so that he can declare medical treatment; you may even need surgical intervention, but more often the pain (physical or emotional suffering, painful or unpleasant sensation)
from stretching goes away after ointments, pills, or at the last injection option.
There is such a concept as how a hand “developed,” but not through “e,” as in the question, but through “and.” This is what they say when there is pain in the area of the wrist joint. In the case when there are sprains, bruises, when ligaments and tendons are involved, then the hand begins to hurt in a certain way, it is necessary to carry out a number of measures to help. But both nerves and nerves (related to bundles of nerves)
plexus.
Tunnel syndrome (a set of symptoms with a common pathogenesis)
is the name given to another characteristic condition in pathology related to pain
(an experience associated with true or potential tissue damage)
in the area of the wrist joint.
Healing and a set of preventive measures depend on the diagnosis (a brief medical report about the existing disease (injury), deviation in the health status of the person being examined or the cause of death)
. In this case, when there is a stretch space, often with sports injuries, a fixing bandage is applied using an elastic band.
If there were bruises or injuries, massage with NSAID ointments. On the 1st day after injury - cold, on the 2nd day - local heat.
If there is a space of neurological pathology (“a pinched nerve (an integral part of the nervous system; a sheathed structure consisting of a bundle of nerve fibers)
“-tunnel syndrome
(a set of symptoms with a common pathogenesis)
) – consultation with a specialist. If there was a space injury, then go to a traumatologist.
If you made any movements with your hands that were the same in the joint, then you “worked” your hand, massage with NSAIDs so that the spastically compressed muscle relaxes, the involved nerves will also be intact.
Drug treatment
Self-therapy involves the use of external ointments, balms and painkillers. In case of severe pain, it is permissible to inject Movalis, Diclofenac, Olfen. The tablets act slowly, are addictive, and have a negative effect on the excretory system. They can be taken for a short period after injury.
Treatment of the wrist joint with ointments is optimally carried out over a monthly course. When negative symptoms pass faster, treatment is completed.
Effective ointments:
- cooling - Efkamon, Troxevasin relieve swelling, relieve pain;
- warming - Finalgon, Espol normalize blood flow, accelerate regeneration;
- hormonal - Hydrocortisone, Prednisolone suppress inflammation;
- non-steroidal anti-inflammatory drugs - Ketoprofen, Indomethacin, Diclofenac stop the inflammatory process.
The ointment is applied to the damaged area up to 3 times a day, gently rubbed in a circular motion.
Why is this happening
Our hands are made up of a huge number of bones that are connected together by joints. Hand ligaments connect the joints to each other and ensure normal functionality. Such connective tissue (a medical system of cells and intercellular substance, united by a common origin, structure and functions)
quite strong, and its capabilities have their limits. In case of sudden tension, the ligaments take on the greatest action. Due to the inability to instantly stretch, they become deformed, resulting in microtears in the tissue - sprains. A hand sprain can have several degrees of severity. Ligaments may undergo complete or partial rupture and may become detached from the bone at their attachment points.
It is quite easy to get a sprain; all you have to do is make a sudden awkward movement or simply fall. Symptoms (Symptom from Greek - case, coincidence, sign - one separate sign, frequent manifestation of any disease, pathological condition or disorder of any vital process)
All injuries to the upper and lower extremities are identical, so it is very important to have a correct diagnosis
(medical report on the existing disease)
. After all, along with a sprain, you can get a dislocation or even a fracture. Often the injury occurs instantly and is difficult to predict in advance.
What causes the disease
The reasons for the development of pathology have not been fully studied. Dupuytren himself believed that the growth (hyperplasia) of connective tissue in the palm is promoted by prolonged squeezing of the fulcrum in the hand. This injures tissues, disrupts their nutrition and causes destructive changes.
There are other points of view. Some scientists agree that thickening of the tendons occurs against the background of existing diseases of the peripheral nervous system - cervical osteochondrosis or neuritis of the elbow joint. Others believe that Dupuytren's contracture is of a tumor nature. But modern medicine adheres to the point of view that this pathology is genetic. This confirms the familial spread of the disease with inheritance predominantly through the male line.
How to avoid similar injuries
Often, a sprain of the ligaments of the hand occurs due to negligence. Therefore, the main thing is to correctly distribute overloads and be careful, try to avoid falls, and not hold your hand in an unnatural position for a long time. Physical training also plays an important role in combating similar injuries. The more elastic and trained the connective tissue (medical system of cells and intercellular substance, united by a common origin, structure and functions)
ligaments, the better and faster it can stretch. But you should not assume that playing sports will completely protect you from similar injuries. Specifically, athletes most often receive a sprain of the ligaments of the hand or forearm only because they exceed the load on their own body. According to statistics, every person in his own life has at least once encountered a similar problem.
Rehabilitation period
No matter what the initial symptoms of a sprain were or how the treatment was carried out, after an injury a person should fully restore the functionality of the hand. Physiotherapy helps solve this problem.
The following methods are suitable for rehabilitation treatment:
- UHF;
- magnetic therapy;
- electrophoresis;
- bioenergy regulation hardware therapy.
A course of several procedures activates the body's reserves, stimulates cellular renewal, increases the elasticity of connective tissues, and improves joint mobility.
Timely assistance and treatment under the supervision of a traumatologist can significantly reduce the recovery period and avoid negative consequences in the form of complications. If you do not take any measures and rely only on a young body, self-healing, you can lead to developed arthrosis, arthritis of the joints, tissue necrosis and completely impaired functionality of the hand.
Mild degree
It is characterized by micro-tears of tendon fibers. Presents as mild to moderate pain (an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage)
.
(excessive accumulation of fluid in the organs)
at the site of injury . A person with a similar injury may be able to move their arm and bend their wrist, although the pain may be slightly worse with movement.
Tom degree
A more powerful and painful sprain of the hand. Symptoms (Symptom from Greek - case, coincidence, sign - one separate sign, frequent manifestation of any disease, pathological condition or disorder of any vital process)
: sharp and very powerful pain
(physical or emotional suffering, painful or unpleasant sensation)
, formation of a hematoma in the area of injury, swelling. This is the option when the tendon is completely torn off and the person cannot move his arm. On palpation, there is a feeling of water collected under the skin (fluctuation). Often such damage occurs when a limb is dislocated or fractured. The joint at the site of the injury may become unstable, which means that after healing, similar injuries to that particular location may occur frequently.
Healing
What to do and how to treat a sprained hand? If the injury is mild or moderate, then treatment is carried out at home. Fortunately, our body is capable of repairing some tissue damage on its own, without outside intervention. All you have to do is provide complete rest to your hand, and after a while the body will begin to regenerate – mending torn tendons. The damaged area is bandaged with an elastic bandage. On the first day after injury, you should apply cool compresses to this area. Afterwards, carry out physiotherapeutic procedures. The following methods help recovery perfectly: electrophoresis, UHF and magnetic therapy. How the swelling and pain (physical or emotional suffering, painful or unpleasant sensation)
decreases, you should start doing therapeutic exercises.
If you have received a slight sprain of the ligaments of the hand, symptoms (Symptom from Greek - case, coincidence, sign - one separate sign, frequent manifestation of any disease, pathological condition or disruption of any vital process)
may disappear evenly after a couple of days. The healing itself will take one or two weeks. For moderate injuries, rehabilitation can take up to 20 days. If the ligaments are completely torn, healing may take several months and require severe medical intervention.
Causes and risk factors
A network of lymphatic vessels collects lymph fluid from the body's tissues, like veins that collect blood, and carries the fluid to the lymph nodes, small clusters that act as filters and contain white blood cells that help us fight infection. Lymph nodes are removed during surgery for breast cancer. The remaining lymphatic vessels and nodes cannot sufficiently compensate for lymphatic drainage, so excess fluid accumulates and causes lymphedema.
Lymphedema usually develops slowly and becomes noticeable over time, but it can occur at any time after surgery. Most women who have a mastectomy discover swelling several months and sometimes years after surgery.
Women who have been treated for breast cancer, follow all doctor's recommendations, and follow all preventive measures are less likely to develop lymphedema. With proper care and treatment, the affected limb can be restored to its normal size and shape.
Healing in a hospital
If after a few days you see worsening, you will have to go to the clinic. Inpatient treatment (process for alleviation, removal or elimination of symptoms and disease)
people who have suffered severe sprains need it, but there are exceptions in the form of complications.
In this case, when the damage is severe, not only the ligaments are torn, but also the adjacent tissues (The structure of tissues of living organisms is studied by the science of histology)
, – the doctor may prescribe surgical intervention.
In this case, the damaged nerve (belonging to bundles of nerves)
and ligaments are stitched together, thus accelerating the healing process. Nowadays, most operations are carried out in a gentle manner, which allows minimizing all sorts of bad consequences.
If there is a severe sprain of the ligaments of the hand, treatment is prescribed by the doctor after collecting an anamnesis and radiographs. It will be necessary to exclude the possibility of a fracture in this place. After the main treatment, physiotherapy will be prescribed using ointments and related medications aimed at accelerating recovery actions. Rehabilitation will be comprehensively focused on preventing the development of scar tissue (The structure of tissues of living organisms is studied by the science of histology)
at the site of the rupture, because it can become a prerequisite for similar injuries in the future. A seriously injured hand should be protected from unnecessary stress.
Treatment at home
How to treat a sprained wrist on your own? After first aid and medical examination, if a slight sprain and minimal ligament injury are confirmed, the victim begins home treatment. In case of serious damage, complete rupture, surgical treatment is performed in a hospital.
On the first day after injury, the affected area is cooled. There is no need to do this later. To ensure complete rest, an orthopedic brace can be applied to the hand. It is purchased in a specialized salon. Joint fixators provide complete immobilization or partial immobilization and have a supportive effect. Bandages relieve swelling and promote rapid resorption of hematomas.
If there is a partial tear, a plaster cast is usually applied. The person walks with it until the tissues are completely fused. And during the rehabilitation period, he undergoes various procedures to restore the functionality of the hand. Any direct contact with the hand, including for massage, is possible only during the rehabilitation period.
If you have a sprained wrist, you are treated at home with medications and folk remedies.
Folk healing
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Sprains can be treated with traditional remedies. They will easily be able to relieve the first symptoms (Symptom from Greek - case, coincidence, sign - one separate sign, frequent manifestation of a disease, pathological condition or disorder of any vital process)
: severe swelling, and even inflammation
(Inflammation is a complex local reaction of the body to damage)
. Healing with herbs, or, as doctors say, herbal medicine, has become increasingly used in medicine.
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At home, you can use the following methods.
One small potato is finely grated, and the purchased porridge is laid out on the unhealthy space.
This function needs to be repeated a couple of times a day.
Clay is diluted with water to obtain a mixture similar to sour cream.
This mixture is placed in a bag made of linen fabric (The structure of tissues of living organisms is studied by the science of histology)
. In this form, it is applied to the injury and bandaged for 2-3 hours.
A couple of large leaves are crushed into a pulp and placed on the unhealthy space.
The hand is bandaged. This lotion needs to be changed when the mixture on your hand gets hot. Healing with aloe is a very effective way.
Healing with herbs is a common and long-proven traditional medicine recipe. After all, at home you can independently prepare various herbal tinctures without the help of others. Common tansy is quite effective. To make it you will need three tablespoons of crushed grass inflorescences and 250 ml of water that has just boiled. Leave to infuse for 1 hour. After this, it is filtered and applied in the form of a lotion or various types of compresses that relieve pain (physical or emotional suffering, painful or unpleasant sensation)
.
Traditional treatment
For sprained wrists, treatment with traditional methods is carried out using cooling and hematoma-absorbing compresses, light rubbing, stimulating recovery ointments.
If you are allergic to medications, you can make a cooling compress from grated raw potatoes on the first day. The mass is placed in a cotton cloth or gauze and applied to the sore spot, fixed overnight.
An onion compress will help cure a hematoma faster. Combine grated onion gruel with a spoonful of pork fat and the same amount of honey. Distribute the mixture over the surface of the skin and cover with a cloth. Keep for half an hour 2 times a day.
For tissue restoration, alcohol tinctures with camphor, capsicum, and ginger root are suitable. They stimulate the regeneration of connective tissue.
A mixture of steamed oat bran and table vinegar helps relieve swelling. The swelling subsides 1-2 hours after applying the compress.
If a pronounced inflammatory process is observed, a compress of crushed fresh or steamed dried wild rue herb can alleviate the condition. It is mixed with sea salt in a 3:1 ratio and applied to the sore spot for half an hour, 2 times a day.
Sprained hand - what to do and how to treat it
In case of hand injuries, the ligaments near the wrist are often damaged, which hold the bones of the joints of the hands. The problem often occurs when falling. A prerequisite for sprain or rupture is sometimes excessive overload on the hands - among loaders, athletes, plasterers, seamstresses. With sharp jerks, the ancestors can pull the ligaments of children’s arms.
Types of injuries
Injury can be classified according to the mechanism of its occurrence. The doctor takes into account under what circumstances the person received a sprained wrist and in what position the hand was.
Damage options may be as follows:
- navicular ligament - most often happens when the body falls with support on the palm;
- triangular ligament - when the hand turns inward;
- dorsal metacarpal - manifested by a painful sensation when moving the phalanges of the fingers;
- radial collateral - when turning the hand to the sides, movement is difficult;
- palmar wrist - severe pain occurs when rotating the hand;
- dorsal wrist - any rotational movement is blocked.
Depending on what type of injury the victim received, his treatment is prescribed.
What to do if you have a sprain
A warped hand needs complete rest. You need to apply a cool object wrapped in a towel to it. Pain (physical or emotional suffering, painful or unpleasant sensation)
after 1.5-2 hours it will subside, swelling
(excessive accumulation of fluid in the organs)
will decrease, and an immobilizing (immobilizing) bandage can be applied. The best way to secure joints is with an elastic rubber bandage, but in the absence of one, you can use an ordinary gauze bandage or a headscarf, scarf, or scarf.
Then the patient should be taken to the emergency room. It is necessary for a specialist to confirm the sprain and exclude other diagnoses (a conclusion about the nature of the disease and the patient’s condition, expressed in accepted medical terminology)
: their rupture or dislocation, bone fracture. We need to create an x-ray, maybe a tomogram. In particular, you should not postpone visiting the emergency room if there is severe redness or partial loss of sensitivity in the hand.
1st aid
The first aid for a sprain, provided at the right time, significantly speeds up the upcoming healing. It helps to avoid the risk of serious complications. The sequence of actions is as follows:
- A cool compress should be applied to the injured hand for 1.5-2 hours.
- Then you need to immobilize your palm with a bandage, which will speed up the healing process. If the warped joint moves, splints are applied to it on both sides (school rulers, thin boards, etc.).
- The drugs Ketorol, Next, Celecoxib, Meloxicam are excellent for pain relief from injury.
Sprains in the ligaments of the hand are fraught with the accumulation of exudate (water). So that tissues (The structure of tissues of living organisms is studied by the science of histology)
there is no swelling near the injured area; the victim should keep his hand at shoulder level. If, when providing first aid, a person needs to be laid down, then it must be above his head. In addition, it is better for the patient to carefully squeeze and unclench his fingers from time to time in order to avoid the development of complications.
How to treat a sprain
First of all, it is necessary to remove edema (excessive accumulation of fluid in organs)
. Healing with cold and tight bandages is complemented by analgesic and anti-inflammatory products. They are prescribed topically in the form of ointments, gels and internally. For minor damage, recovery is carried out at home and takes 1-2 weeks. A moderate sprain may take 3 weeks to heal. If they rupture, the elimination of the injury increases to 2-3 months. In the hospital, surgery is performed on the hand and it is fixed with a plaster cast.
If there is no risk of bleeding and the temperature is normal, a couple of days after the injury, a light massage of the collar area and shoulder joint is prescribed, using stroking, kneading, vibration, and rubbing. In the absence of pain (an experience associated with actual or potential tissue damage)
Then massage the injured area.
When pain (physical or emotional suffering, painful or unpleasant sensation)
and swelling
(excessive accumulation of fluid in organs)
disappear completely, you can do healing exercises for the hand.
Ointments
Ointments with a cooling effect, Efkamon or Gevkamen, containing menthol, are applied immediately after injury to the hand. Later, an ointment with a non-steroidal active substance is used for 1-1.5 weeks: Voltaren (Diclofenac), Nurofen-gel, Ketoprofen or Indomethacin. If the sprain is severe, hormonal drugs are prescribed (hormones are biologically active substances of organic nature)
ointments: hydrocortisone or prednisolone.
After the disappearance of edema, to activate blood circulation (Blood circulation is an important factor in the life of the human body and a number of animals)
ointments Apizartron, Viprosal, Vipratox, Heparin are used in bundles. Finalgon, Mioton, Espol ointments are excellent for warming up. Injured vessels of the hand are secured with Troxevasin, Venoruton. For sprained ligaments, the ointment should be applied in a thin layer. Using gentle radial movements, lightly rub it into the skin.
Using a bandage on your arm
The ligaments of the wrist joint are very vulnerable to injury. A bandage in the shape of a cross is placed on it. First, you need to wrap your wrist with a bandage 2-3 times. Its layers should fit tightly on top of each other to firmly fix the bandage. Later, they bandage the back of the hand, pass the bandage between the fingers and turn to the back of the hand. The new turn should cover the previous one by one-half the width of the bandage. The last 2-3 turns are layered on top of each other. The end of the bandage is cut into two parts, which are tied around the wrist.
If it is necessary to grab the fingers, a bandage on the hand for a sprain is made, also starting with 2-3 turns around the wrist. Then they bandage the back of the hand, moving towards the fingers. They are wrapped in vertical turns. Later, starting from the fingertips, bandage the entire hand with horizontal movements. The bandage must be made tight, but it does not have to tighten the ligaments and increase pain (physical or emotional suffering, painful or unpleasant sensation)
. The bandaged hand is hung on a sling (kerchief).
By traditional means
- When the ligaments of the hand are sprained, compresses are often made with sweetened gruel from raw potatoes and onions, or with pharmaceutical blue clay. Later, the hand is wrapped in a warm scarf.
- Before going to bed, a warming vodka compress is useful for the ligaments. Do not leave it overnight (that is, in the dark)
! - You can prepare an ointment: garlic gruel with crushed mint leaves is poured with hot melted pork fat, filtered after cooling and rubbed 2-3 times into the affected area once a day.
- A mixture of birch leaves, nettles, elderberry plants, and willow bark is brewed and drunk as tea.
Physiotherapy
Physical methods of acting on unhealthy ligaments help heal them more quickly. The wrist begins to hurt less. When spraining the ligaments of the hand, UHF, electrophoresis, and magnetic therapy are excellent. A popular method is bioenergy regulation therapy (therapy is a process to relieve or eliminate symptoms and manifestations of a disease)
the Prolog-02 device, which generates currents similar to nerve
(a thin bundle of nerve fibers)
. The procedures relieve pain, allow you to reduce the intake of pharmaceuticals and activate the body's reserves for accelerated healing.
Treatment methods for hand contractures
Before contracture is treated, it is diagnosed using a simple test. The patient is asked to place his hand on the table. If there is no free space between the palm and the plane of the tabletop, there is no pathology. If at least a pen can be inserted between them, an appropriate diagnosis is made.
At the initial stage of the disease, when the deformation of the hand is minor, the patient is prescribed radiation therapy. It helps stop the progression of contracture and maintain hand functionality. X-ray waves are used for irradiation. Electron beam radiation is also effective.
If Dupuytren's contracture has pronounced symptoms, the patient is prescribed surgery - fasciectomy. Options for carrying it out:
- Under anesthesia. The patient is put into a narcotic sleep, during which incisions are made on the hand. Through them, pathologically overgrown tissue is removed, which reduces finger mobility. If the disease relapses, part of the skin is additionally removed.
- Under local anesthesia. This type of operation is less traumatic and has a quick recovery. The patient is given local anesthesia, after which the overgrown tissue is removed through small incisions.
- A minimally invasive technique performed under local anesthesia. All manipulations are performed using a thin needle. After they are completed, the surgeon asks the patient to stretch his fingers. At this time, the cord that previously prevented full extension breaks. As a result, mobility returns.
Residents of Moscow and the Moscow region can receive high-quality treatment for Dupuytren's contracture at a medical clinic. Our surgeons will determine the cause of the symptom and select appropriate treatment that will prevent limitation of the functionality of the upper extremities.