Effective treatment of eczema on the fingers at the PsorMak clinic in Moscow

Why does eczema occur on fingers?

The exact causes of eczema on the fingers are still unknown. Immunological disorders play a decisive role in its development. The onset of the disease is provoked by external or internal factors, and they may differ from person to person.

What causes eczema on the fingers:

constant contact with aggressive chemical components or metals;
dry air, severe frost and other types of thermal effects;
insufficient hand hygiene;
frequent mechanical damage, wounds and abrasions on the hands;
allergic reaction to food;
hereditary predisposition;
disorders in the endocrine and digestive system.

Dyshidrotic eczema on the fingers is especially widespread. Its name is explained by the fact that previously the development of the disease was associated with blockage of the sweat glands. The pathology often affects the skin of the palms. Its development is promoted by hyperhidrosis - excessive sweating.

Types of arthritis of the joints of the hand

According to the existing classification, there are several most common types of arthritis of the hands:

infectious (caused by infections);
metabolic (caused by the accumulation of uric acid salts);
rheumatoid (starts mainly in small joints);
post-traumatic (the result of damage to cartilage tissue);
proximal, middle or distal;
rhizarthritis (affects exclusively the thumb);
secondary arthritis.

Symptoms of eczema on fingers

In the early stages of eczema, only increased dryness of the skin is observed. It is almost impossible to eliminate with conventional moisturizers. Due to severe dryness, cracks appear, and inflammation occurs at the site of their formation. They cause itching and burning.

The general list of symptoms of eczema on the fingers includes:

increase in epithelial pattern on the skin;
constant feeling of skin tightness;
roughening of the skin;
swelling and redness of the affected skin;
red sprinkle elements.

The rash rapidly spreads across the skin, enlarges and merges into large plaques. All this causes severe itching in a person, which prevents normal sleep and causes nervous disorders. Very deep cracks form in the bends of the fingers, which hurt and do not heal for a long time. The skin in this area continues to peel off, and if a bacterial infection occurs, purulent discharge appears.

Symptoms of hand arthritis

Unfortunately, people seek treatment for the disease only when symptoms interfere with their usual way of life. We urge you to pay attention to the first signs of the disease and immediately seek help from a kinesiotherapist.

An acute inflammatory process is said to be:

acute pain;
swelling and redness in the joint area;
feverish condition.

The chronic form of the disease is accompanied by:

pain due to hypothermia of the hands;
stiff fingers in the morning after waking up;
crunching in the joints when moving;
nodules that can be felt under the skin of the fingers.

In addition, to develop adequate treatment for arthritis of the hand, it is important to determine the extent of its development.

There may be no symptoms. The presence of a problem can be suspected by difficulties in performing everyday activities - combing, turning on the tap. In damp weather, pain may bother you.
Arthritis of the hand manifests itself as periodic pain, especially after physical strain on the hands. This forces many patients to seek treatment. Swelling of the joints and a local increase in temperature are also likely.
Finger movements are accompanied by crunching and clicking sounds. Externally, deformation of the joints is noticeable. The pain becomes intense, especially in the morning, and is accompanied by numbness and tingling in the fingers.
The articular cartilage is destroyed, the bones grow together. The brush is severely deformed. The person becomes disabled.

Types and forms of the disease

Treatment for finger eczema depends on what stage of development the disease is at. It is characterized by a wave-like course: exacerbations are replaced by periods of remission. Hands are most often affected by dry eczema, in which papules with exudative fluid do not form on the skin. The disease can occur in one of the following ways:

Ostrom. Symptoms appear suddenly, swelling quickly develops, and redness forms. The disease develops within a couple of days, and sometimes even in a matter of hours.
Subacute. Eczema does not develop as rapidly and is less pronounced than in the acute form. The disease itself lasts for several months and only then subsides for an indefinite period of time.
Chronic. The most common form of eczema, in which relapses and periods of improvement regularly follow each other.

Symptoms

Typically, the signs of paronychia are quite pronounced, which allows you to make a diagnosis quickly and accurately. They are expressed as follows:

the patient complains of pain in the area of the nail plate; the nature of the pain can be different: throbbing, constant, pulling;
swelling of the nail fold occurs and can spread to the entire upper part of the finger;
due to swelling and pain, it is difficult to bend your fingers and work with your hands; if parochinia has developed on the foot, it hurts to put on shoes;
damaged skin becomes red, burgundy, dark purple, and if there is suppuration, then yellow-green;
if the process affects several fingers, body temperature often rises and pain appears.

The doctor determines the presence of the disease and determines the cause of the pathology: it may be associated with professional activity or with exposure to pathogenic microorganisms. In the second case, a microbiological test is prescribed to determine which pathogen caused the disease.

To confirm the inflammation process, the patient undergoes a general blood and urine test.

Based on the type of pathogen, paronychia is divided into:

bacterial: in acute cases the culprit is Staphylococcus aureus, and in chronic cases – streptococci and pseudomonads;
viral, the causative agent of which is the herpes simplex virus;
fungal, in which infection occurs with fungi of the genus Candida;
non-infectious, developing from exposure to adverse and irritating environmental factors, as well as as a side effect from taking certain medications; may be associated with skin diseases.

The “leaders” are bacterial and fungal forms of paronychia.

How to treat eczema on fingers

Comprehensive treatment of eczema between the fingers includes local and systemic therapy. This approach gives the most pronounced and fastest results. The basis of local treatment at the PsorMak clinic is the use of a non-hormonal ointment on a natural basis. It does not cause side effects and has no contraindications, and also has a very simple treatment regimen - a single application per day is enough.

Systemic treatment of eczema between the fingers is aimed at:

to eliminate an allergic reaction;
general strengthening of the immune system;
elimination of diseases that contribute to the development of eczema.

Treatment continues when the exacerbation subsides. During periods of remission, it is aimed at preventing relapses. The patient is assigned to work with a psychotherapist to relieve stress and stabilize the activity of the nervous system. Additionally, general restorative treatment methods are practiced, in particular acupuncture.

Hundreds of patients have already undergone a similar original therapy program at the PsorMak clinic. You can find out about the results of their treatment on the website. Many years of experience allows us to cope with the most difficult clinical cases. To schedule a consultation, use the online form or contact numbers +7 (495) 150-15-14 and.

Treatment of diseases of the wrist joint and hand

1. De Quervain's disease

De Quervain's disease or syndrome is an inflammation of the tendons of the thumb. The pathology is named after the first doctor who described it back in 1895. This man was the Swiss surgeon Fritz de Quervain.

Causes

Despite the age of description of the disease, the true causes of its development are unknown. Women get sick about 9 times more often than men.

The most likely causes of the pathology are the following:

· Excessive load on the first finger. This assumption is supported by the fact that the syndrome often occurs in gardeners, tennis players, etc.

· Inflammatory diseases of the wrist joint. This is especially true for rheumatoid arthritis.

· Injuries of the thumb and wrist joint.

Pathogenesis and clinical picture

The disease develops from aseptic (non-microbial) inflammation of the tendons of the thumb. The resulting swelling leads to friction of the tendons and their sheaths against the narrow tunnel (the space under the retinaculum ligament of the extensor tendons of the fingers). This leads to pain and even more inflammation.

Therefore, the first symptom of the syndrome is pain in the area of the inner surface of the wrist joint when moving the thumb. This is especially true for flexion movements.

As the disease progresses, the swelling intensifies and swelling appears on the inner surface of the wrist joint. Palpation is not painful. But when you move your thumb, in addition to pain, a creaking sound appears in the area of the wrist joint. Even those around you can hear it.

Diagnostics

Diagnosis of the syndrome is based on examination by a doctor, performing several simple tests and using laboratory and instrumental methods.

In the initial stages of the disease, the patient experiences only pain with

thumb movements. Therefore, your doctor will need to perform a diagnostic test. It is called the Finkelstein test. The doctor bends the thumb as much as possible. The arc version of the test involves the patient clenching his fingers into a fist (the thumb should be under the others) and moving the hand towards the little finger. The test is considered positive if, when the doctor abducts the hand or flexes the thumb, a sharp pain occurs in the area of the wrist joint.

MRI allows you to visualize the tendon and ligaments and detect their swelling. X-rays reveal signs of arthrosis of the thumb joints.

Also, x-rays and tomography, together with general clinical laboratory tests, make it possible to distinguish the syndrome from diseases that have a similar clinical picture:

· Arthrosis of the wrist joint.

Inflammation of the styloid process of the radius.

Migratory polyneuritis of the radial nerve.

2. Dupuytren's contracture.

Dupuytren's contracture is a pathology of the hand, expressed in the constant bending of several of its fingers. Most often this concerns the last two (especially the nameless one). Less commonly, with contracture, the third finger also bends. Very rarely, contracture affects the index finger and thumb.

The disease occurs over the age of 40 years. Mostly men are affected. The difference between the sexes levels off at age 80.

Causes

The causes of the disease are not known for certain. There are several theories about this problem, but the issue has not yet been fully studied.

· Traumatic theory. Its supporters believe that the process of development of pathology is triggered by injury to the palmar aponeurosis.

· Neurogenic theory. It says that the basis of the syndrome is a violation of the innervation of the aponeurosis. As a result, conditions are created for the degeneration of its collagen fibers. But in recent years, the number of its supporters has been steadily decreasing. This is due to the fact that research does not find confirmation of this theory.

In recent years, assumptions have been increasingly made about the hereditary nature of the pathology. This is supported by numerous observations that contracture most often develops in close relatives.

Pathogenesis and clinical picture

The development of contracture begins with the degeneration of the aponeurosis. Initially, this happens around one finger, and then spreads to the neighboring ones. Type 1 collagen is gradually reorganized into type 4. As a result, the finger near which the process began cannot passively straighten.

The development of contracture occurs locally. What does the appearance of aponeurosis seals in the form of rounded cords indicate?

The patient does not experience any pain. This is primarily due to the fact that the process lasts for years. A person only experiences discomfort when working with a brush. It is difficult for him to do small work with all his fingers.

In the case of tenosynovitis (inflammation of tendon sheaths), the patient notices pain in the aponeurosis. They can be either constant or occur only when the fingers move.

Diagnosis and complications

To diagnose Dupuytren's syndrome, it is often sufficient

simple inspection. This always concerns the stage of development of contractures. A simple diagnostic test can be performed if necessary. To do this, the patient is asked to place his open palm on the table, which should be just above the knees. A healthy person will have no space between the palm and the surface of the table. For someone who suffers from contracture, it may have different spaces. The test is considered positive if a ballpoint pen can be safely inserted into the space.

Without treatment, contracture gradually progresses. But in some cases, the rate of progression is so high that a person feels the complications of the pathology very early. The most common manifestation of Dupuytren's contracture is the formation of nodes and bumps on the palmar surface of the hand.

3. Hygroma of the wrist joint

Hygroma is a benign tumor-like formation.

It is a limited area of the tendon sheath (a sheath covering the tendon like a “case”) in which serous fluid accumulates. This is the name of intercellular non-inflammatory fluid. Or it is a protrusion of the joint capsule with synovial fluid.

The disease predominantly affects young women whose professions involve constant monotonous movements. These are seamstresses, pianists, typists, etc.

Reasons for development

The probable causes of the development of hygroma are the consequences of bursitis and

Tenosynovitis (inflammation of the tendon with a surrounding “case”). Moreover, both pathologies occur subacutely. Those. have a mild clinical picture. In some cases, patients do not notice it at all.

Bursitis and tenosynovitis develop under the influence of traumatic factors:

joint bruises;

· constantly repeating and similar movements;

· long-term load.

Pathogenesis

The subacute course of tendinitis and bursitis (partly) creates conditions for the transition of fibrin to an insoluble state. As a result, it helps to block the flow of fluid through the tendon sheaths. This leads to the fact that in some areas it accumulates in significantly large quantities. They begin to stretch (due to the elasticity of the walls of the “case”), which ultimately leads to the formation of a cavity.

Gradually, in the resulting cavity (it is quickly isolated due to the increased formation of undissolved fibrin threads), an amount of liquid begins to accumulate, which leads to an increase in the cavity and the formation of a “full-fledged” hygroma.

The mechanism of “maturation” of hygroma itself is somewhat different from the formation of a cyst. The cells of the latter are no different from the surrounding normal tissue. The internal lining of a “full” hygroma is represented by slightly modified cells. This is due to the fact that as it grows, the cells of the inner lining undergo so-called metaplasia. This term implies a restructuring of part of the cytoplasm, part of the organelles and deviations from normal functioning.

Clinical picture

Hygroma looks like a tumor-like or sac-like protrusion on the skin in the joint area. In the first days after its appearance, it is small in size, and most people simply do not notice it. But as it grows, it begins to protrude above the surface of the skin.

On palpation, in most cases there is pain of varying intensity (it all depends on the size and proximity to the nerve fibers). About half of all formations are elastic and can move slightly. Sometimes you can feel that they are hollow.

Diagnosis and prognosis

To identify hygroma, an examination and a well-collected medical history are sufficient. In doubtful cases, the patient is recommended to undergo additional ultrasound or MRI.

The course of hygroma is always favorable. No transformation into a cancerous tumor was observed. But without treatment, it can exist for a long time (years and decades).

4. Carpal tunnel syndrome

Carpal tunnel syndrome is the most famous of the tunnel syndromes. Occurs when the median nerve (innervates the fingers) is compressed between the wrist bones, the transverse ligament of the hand and the tendons of the wrist muscles. Hence the second name of the pathology – carpal tunnel syndrome.

Causes and risk factors

Carpal tunnel syndrome most often occurs in middle-aged women, workers whose professions require monotonous flexion-extension movements in the wrist joint. These are sign language interpreters, motorcycle racers, car mechanics, car assembly shop workers, pianists, drummers, and artists.

A number of studies in recent years indicate that those who constantly work at a computer are susceptible to carpal tunnel syndrome. They are forced to constantly keep their wrist joints extended. This is considered a risk factor.

Diseases in which there is a risk of narrowing of the canal (due to swelling of the tendons and fluid retention in the tissues of the hand) include:

· hormonal disorders (mexidema, Cushing's syndrome, acromegaly, etc.);

renal failure;

· diabetes;

· Paget's disease (pathological thickening of bones);

Separately, it is worth mentioning post-traumatic changes in the wrist joint.

Pathogenesis and clinical picture

The development of the syndrome begins with a narrowing of the carpal tunnel. There are two possible reasons: an increase in bone mass or swelling of the tendons. In any case, compression of the median nerve occurs. Since the nerve contains processes of several types of neurons, the clinical picture of the pathology has several symptoms:

1. Paresthesia of the fingers and palm. Impaired sensitivity (from numbness to sensations of extraneous pressure on the skin). Paresthesia appears earlier than other signs. This is due to the fact that the processes of sensory neurons are located on the periphery of the median nerve. Most patients note that at the beginning of the disease they feel numbness in 1-3 (less often 4) fingers. A little later (in about 2/3 of all patients), numbness covers half of the palm, near these fingers.

2. Pain in the area of 1-3 (less often 4) fingers and in the corresponding half of the palm. Aching pain. They are constant and intensify with movement.

3. A significant proportion of patients with an advanced and long-term process note weakness in 1-3 fingers. Minor impairment of motor activity.

Diagnostics

Diagnosis of the syndrome involves, in addition to collecting anamnesis, the use of several tests.

Tinel test. If you tap on the place (on the palmar surface) of the passage of the median nerve in the area of its passage above the bones of the wrist, then numbness or various paresthesias will appear in 1-3 (less often in 4) fingers. Most describe them as "getting goosebumps when you rest your hand."

Phalen test. The patient is asked to bend the palm at the wrist joint as much as possible. After 1-2 minutes, a patient with the syndrome begins to experience pain and various paresthesias in the fingers and palm.

Electroneuromyography is used to confirm the diagnosis.

5. Stenosing ligamentitis

"snapping finger"

Stenosing ligamentitis - "snapping finger" - abnormalities

development of the circular ligament of one of the fingers. Most often, this pathology affects 1 finger.

The disease occurs most often in children of the first year, women over 40 years of age.

Causes, pathogenesis and clinical picture

The development of snapping finger syndrome occurs for the following reasons:

· Hereditary predisposition. It has been noted that the syndrome most often appears among those patients whose relatives (not necessarily in the same generation) suffered from a similar pathology.

· Differences in growth between bones and tendons.

· Stress and finger injuries.

· Diseases of the joints, bones and tendons of the fingers.

The first two reasons are typical for children in the first year of life. The flexor tendon (at each finger) has several transverse or circular ligaments. They limit the lateral movement of the tendons. Thus, when the finger moves, the tendon passes through several unique “tunnels”.

In the presence of a hereditary predisposition, the growth rate of the tendon significantly outstrips the development of the annular ligaments. As a result, there is a discrepancy between the sizes of the tendon and the annular ligaments. This makes it difficult to straighten the finger. The tendon in front of the annular ligament thickens (due to inflammation) and a characteristic click occurs when you try to move. It occurs when a thickened section of tendon passes under the circular ligament.

All other reasons are typical for people over 40 years of age. The syndrome occurs due to scarring of the annular ligaments. As a result, the “tunnel(s)” may become narrowed, making it difficult for the tendon to move. Next, inflammation of the tendon occurs, which leads to its thickening to the annular ligament. When you try to straighten your finger, this thickening passes under the circular ligament, which leads to a characteristic click.

There are several stages in the pathogenesis of the disease. All of them are possible only in the absence of treatment.

Stage 1. Extending the finger is difficult and is always accompanied by a click. There is no pain.

Stage 2 is accompanied by pain. At first it appears only when you try to straighten your finger. At the end of the stage, the pain persists for some time after extension, and at the moment of moving the finger, the pain can even radiate to the elbow and higher.

Stage 3 is characterized by the appearance of a painful tumor-like sac-like formation at the base of the affected finger.

Stage 4. Degeneration of finger functions. Its extension becomes impossible and it remains brought to the palm.

Diagnostics

An examination and history taking are sufficient to make a diagnosis. The presence of a characteristic click is a typical sign of pathology.

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3. Wait for our specialist to call. He will answer any of your questions and agree on the date and time of your visit to PsorMak.

The initial appointment includes:

Visual examination , which will allow the specialist to get a general understanding of the condition of your skin and the pathology itself.
Collecting anamnesis - finding out information about the development of the disease, living conditions, previous diseases, operations, injuries, chronic pathologies, allergic reactions, heredity, etc. Together with a general examination, this allows you to make a fairly accurate diagnosis and choose a method of treatment and/or prevention.

Diagnosis of hand pain

Specialists at the CELT Pain Clinic recommend immediately seeking medical help if you experience the following symptoms:

pain in the hand does not go away for more than two days;
the hand is swollen;
there is deformation of the hand, limited movement;
pain increases with physical activity;
Nerve sensitivity is reduced.

Depending on the nature of the pain and medical history, in our Pain Clinic you can visit one of the following specialists:

rheumatologist;
traumatologist;
neurologist

In addition to collecting anamnesis and examining the affected hand, our specialists conduct the following diagnostic studies:

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

Cetrin for hand allergies

Cetrin is a second generation antihistamine whose active ingredient is cetirizine hydrochloride. It blocks H1-histamine receptors, helping to reduce swelling, redness, and itching of the skin. Cetrin is used for the following diseases: hay fever, urticaria, neurodermatitis, allergic rhinitis and conjunctivitis.

Advantages of the product:

The effect of use and relief of symptoms begins 20 minutes after taking the tablet.
Convenient method of use (one tablet is enough to maintain the effect for 24 hours4).
Suitable for long-term treatment, non-addictive.
Practically does not cause drowsiness5.
Eliminates symptoms regardless of the factor that caused the allergy.

Cetrin can be taken regardless of meals; the therapeutic effect lasts for three days after the end of the course of treatment4.

Forecast

The prognosis for eczema is most often favorable.
If you start proper treatment in time, you can curb the disease and get rid of its consequences. With adequate therapy, itching and elements of the old rash disappear, a new rash does not appear. Eczema is a chronic disease, so it is worth adhering to preventive measures and maintaining a state of remission. However, the timing of relapse is still unpredictable. Doctors give the most favorable prognosis for acute eczema. Recovery may be worse if eczema develops in young children, the elderly, or people whose bodies are weakened by infection. To enhance drug treatment, a hypoallergenic diet, physical activity, walking and hardening will help.

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:

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.
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.
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.
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.