Female friends in their 50s, do you have the following finger problems?
Have you noticed that your hands are particularly afraid of cold ? When you wash the bowl, you will feel pain in your fingers when you touch cold water; sometimes you may find little fingers or the joints of the distal interphalangeals of other fingers are slow The slow begins to bend and deform; when I wake up in the morning, I feel that the entire fingers are particularly stiff. In severe cases, can't make a fist or clamp the chopsticks, it takes a while to slowly return to normal , What is it that causes female friends to have these symptoms at this age? Is there any way to help female friends alleviate this problem? Let’s have a chat today!
The reason why female friends have these finger-related symptoms is mainly seen in female friends in their 50s and they are generally experiencing menopause, and some female friends have completely menopause_ Strong4strong, and many women at this age will slowly begin to show osteoarthritis. This kind of osteoarthritis can also affect the fingers, causing female friends to have various hand symptoms. So how should we deal with it? Dr. Xie came to give you a good talk.
Osteoarthritis is the most common cause of deformity, pain, and stiffness of the fingers
With age, the risk of osteoarthritis in patients will increase, especially for female friends. Relatively speaking, it is 1.6 times taller than men.
The main pathological basis of osteoarthritis is the wear and tear of articular cartilage . When the cartilage wears out, the joint surface will no longer be as smooth as before, and the pressure on the joint surface will also change. There will be bone hyperplasia, which seriously affects the soft tissues around the joints. The fingers are often the hardest hit areas of osteoarthritis. The fingers are originally relatively small. Once the changes in osteoarthritis occur, the symptoms are often more obvious. It will show pain and stiffness of the fingers, and after osteoarthritis occurs in the joints of the fingers, inflammation of the synovial membrane will be secondary to . Due to the occurrence of synovitis, the response to temperature changes will also be special Obviously, so I am more afraid of the cold, and a little bit of cold, because the contraction of blood vessels will cause pain.
In addition, when a patient suffers from osteoarthritis, there will be some special changes in the distal end of the finger in the early stage, and some small nodules will appear at the distal joint of the finger of patient, Touching will be painful, but if you don’t touch too much, you won’t feel any. In the early stage, you can’t even notice any obvious changes in the bones and joints. We call this situation Heberden’s tubercle , It often indicates that the patient has osteoarthritis, and also indicates that there will be more obvious changes in osteoarthritis in the hands.
Diagnosis : If there is stiffness, pain in the hands, restricted mobility, and Heberden nodules, then the presence of osteoarthritis should be highly suspected, and the diagnosis often requires hand x-ray check ,The narrowing of the joint space of the fingers can be found, and mild bone hyperplasia or severe bone hyperplasia can be found. You can also perform 4 rheumatism tests to rule out the presence of gout, rheumatism, or rheumatoid related diseases.
treatment :
●As osteoarthritis is a degenerative disease, it is difficult to recover from the wear and tear of the finger joints, so if symptoms occur, they must be in daily life Minimize excessive use of your fingers , and keep warm , especially when washing dishes and clothes, if you want to touch cold water, you must wear a plastic glove to protect your fingers.
●If the pain is more obvious and seriously affects the quality of life, then you can consider topical non-steroidal anti-inflammatory analgesic ointment to help patients control pain. There is a small medicine that is very cheap and can be bought all over the country, called Diclofenac diethylamine emulsion can be applied more than 6 times a day for more than three minutes each time (remember, usage is very important) can help patients control pain well.
●Oral administration of some Chinese medicine or Chinese patent medicine , which controls bone hyperplasia and the progress of osteoarthritis, can also help patients control their symptoms.
●Although the finger symptoms caused by osteoarthritis are more disturbing, they often do not require surgical treatment. After the system of rehabilitation exercises, it can help patients maintain finger flexibility and control pain. At the end of the article, Dr. Xie will give you a detailed introduction on how to recover from finger problems.
osteoporosis can also cause a variety of symptoms in the fingers
osteoporosis can be understood as a decrease in bone density.That is to say, the bone mass has decreased . Under normal circumstances, our bones are in a process of bone resorption and bone formation dynamic balance, but with age, as female friends enter menopause During this period of time, due to the significant decrease in estrogen secretion, the impact on bones is very large. During this period, female friends are very prone to a special type of osteoporosis called menopausal osteoporosis.
Under normal circumstances, if the bone mass is lost by 10%, the patient will have obvious bone pain. If the bone mass is lost by 20%, it is easy to cause fragility fractures. And we all know that the skin does not exist, the hair will be attached. When the bone becomes loose, the muscle strength will also significantly decrease, the tendon of the muscle and the bone are also easy to appear. Inflammation, and our fingers are particularly flexible, and the frequency of tendon use is also very high. Therefore, in the abnormal state of osteoporosis itself, and the tendon is prone to inflammation, female friends are very prone to finger symptoms during this period of time. At this time, many female friends will have severe tenosynovitis of or even stenosing tenosynovitis in the finger area.
● confirmed diagnosis : So how do you know whether a female friend has osteoporosis? In fact, there is a gold standard for diagnosis, which is the dual-energy x-ray ,This type of examination used to be difficult to find in major hospitals, but now it is different. Since major hospitals have begun to pay more attention to the disease of osteoporosis, dual-energy x-rays have become more and more popular. Through the dual-energy x-ray, we can get a t-value. If the t-value is lower than minus 2.5, can confirm that the female friends really have osteoporosis.
treatment :
●Osteoporosis has appeared, and there may be certain changes in the diet. should appropriately increase the intake of eggs and milk in daily life. Especially guarantees about 300ml of fresh milk per day, which can provide 300mg of easily absorbed calcium , and it is rich in eggs and some deep-sea fish. Strong3strong contains vitamin d, and vitamin d belongs to calcium The porter can promote the deposition of bone calcium, and it is a good hormone vitamin for fighting osteoporosis. Moreover, it is necessary to properly increase the intake of calcium-based vegetables, especially some dark green vegetables. is not only good for the health of the elderly’s intestines, but also contains calcium in these ingredients. It is generally recommended to do this daily Vegetables should exceed 500 grams.
In daily life, we should also increase the intake of nuts. A small handful a day is fine, not too much, otherwise the fat will be excessive. Generally, bitter almonds and hazelnuts are recommended. It is a better choice.
●If osteoporosis is obvious and there are obvious symptoms in the fingers, you should pay attention to supplementing calcium tablets in daily life.Strong3strong can be controlled at 600 mg to 1000 mg per day. depends mainly on the calcium content. The specific price should be selected according to personal economic conditions. There is no need to emphasize which brand it is.
● must insist on sun exposure , because the vitamin d in our diet must be catalyzed by ultraviolet light to play the role of real active vitamins, controls the daily sun exposure time at 20~30 It’s about a minute or so . If the sunlight is strong, it can be less than 20 minutes. If it’s weak, extend the time appropriately, and remember not to expose it to the sun. And the elderly are not recommended to spend too much time in the sun, mainly because it may induce skin cancer.
●For friends with obvious finger pain, you can also consider topical non-steroidal anti-inflammatory ointment. How to use has been introduced in detail in the section of osteoarthritis.
●For patients diagnosed with osteoporosis, they need to supplement some vitamin d appropriately, such as calcitriol or afacalcidol. You can also take some drugs that inhibit bone resorption, such as alendronate sodium. A class of bisphosphonate drugs, but please be sure to perform drug control under the guidance of a professional endocrinologist, and do not take the drug yourself. Since has some medicines and special methods of taking it, regular follow-up visits are required. If you don’t understand these principles, eating indiscriminately can easily cause stomach and esophageal mucosal damage and hypercalcemia.
●When fighting against osteoporosis, you must also perform finger rehabilitation exercises. Also at the end of the article, Dr. Xie will give you a detailed introduction. In addition, patients with osteoporosis should perform some weight-bearing exercises_ Strong4strong, jogging, brisk walking, and cycling are all sports that can fight osteoporosis well.For the fingers, you can do some finger exercises. In addition, you can do some resistance exercises with a small dumbbell, which can help fight osteoporosis.
Tenosynovitis or stenosing tenosynovitis . How to deal with the symptoms?
As mentioned above, female friends in their 50s are very prone to inflammation of the finger tendons. The tendon sheath , which protects the tendon, is also prone to problems. If these symptoms occur, patients often show fingers. Stiffness, pain, fear of cold, and when it develops stenosing tenosynovitis, it will be difficult for the patient to perform finger flexion and extension exercises, and need to use another hand to help break it to complete a finger flexion and extension.
A female friend with a serious condition can involve multiple fingers of the hand, and pressing on the painful area can induce obvious pain, and sometimes feel a sclerosus around the finger tendon .
Diagnosis : Under normal circumstances, according to the patient’s symptoms, it can be judged whether there is finger tendonitis or tenosynovitis, and the painful part is pressed during physical examination The induration can be palpated and the patient’s pain can be induced. This physical examination can also help the doctor to make a diagnosis. There is also a way, that is, musculoskeletal ultrasound. Ultrasound can find out whether there is obvious tendon sheath thickening around the tendon. Whether there are obvious abnormalities such as thickening.
treatment :
●Scientific rehabilitation exercises and topical drugs can help patients control symptoms and relieve pain.
● shock wave therapy has a very good effect on controlling the symptoms of tendinitis and tenosynovitis.Generally, treatment is given once a week, 3~4 times as a course of treatment, usually it will be very effective.
●If the shock wave treatment still does not relieve the symptoms, then it is likely to be closed treatment to help the patient control the pain.
●If you are a female friend of who has osteoporosis, you must also take anti-osteoporosis treatment , otherwise the above treatments may only temporarily help the patient relieve symptoms.
Finger stiffness and pain caused by rheumatoid arthritis
Rheumatoid arthritis will produce rheumatoid synovial lesions, these synovial membranes will slowly release rheumatoid factor and eventually erode the joints The cartilage, even bones, and joints will gradually deform, and there will be obvious muscle atrophy around.
When rheumatoid arthritis occurs in the fingers , the patient will have obvious finger stiffness when waking up in the morning. This situation is often called morning stiffness, and it lasts for a long time. It usually takes more than thirty minutes. As for the three problems mentioned above, the patient's morning stiffness usually does not exceed 30 minutes, and the symptoms of activity will be reduced.
diagnosis : You can perform rheumatism 4 items check to determine whether the rheumatoid factor is abnormal, and then perform 's more systematic rheumatoid-related test to determine whether there is rheumatoid disease, but for fingers For the problem, you can perform a x-ray examination to find out whether there are joint deformities caused by rheumatoid arthritis, and whether there is severe osteoporosis around the joints.
treatment : For the treatment of rheumatoid arthritis, systemic drug treatment should be carried out with the help of rheumatoid immunologists. Oral or topical drugs can be used to help patients control symptoms. To carry out systematic rehabilitation exercises, tries to maintain the flexibility of the hand joints and prevents rheumatoid factors from causing a large loss of the entire hand function, which seriously affects the quality of life
Rehabilitation exercises for finger problems!
When female friends have finger problems and go to the hospital for treatment, they often ask the doctor to prescribe what medicine or topical medicine can help quickly relieve pain and relieve symptoms.
But everyone should know that these measures are only temporary to help patients solve the problem, and the effect may not be particularly good. However, rehabilitation exercise can promote the blood circulation around the fingers very well, and can maintain the flexibility around the fingers. Some strength and resistance training can help to better strengthen the function of the fingers. The effect of fighting related diseases of the fingers will often become longer, and many patients have undergone appropriate drug treatment and systemic rehabilitation exercises. , The symptoms have been well controlled.
The following are some common ones that help us to promote finger flexibility, to fight against finger tendon inflammation, and to do rehabilitation exercises against finger stiffness. Strong3strong You don’t have to choose what is suitable for you, just do it every day There will be benefits, and the longer you persist, the greater the benefits will be.
Some actions may demonstrate the thumb. You can adjust which finger to perform the corresponding rehabilitation exercise according to your own situation.
Summary
Female friends in their 50s are very prone to physical abnormalities.Because changes in menopause during this time period have too much influence on women, estrogen not only affects some special changes in women’s bodies, but also has a lot of influence on the muscle and skeletal system, causing women to have bones. Loose, because of tendinitis, because of tenosynovitis, there are finger problems, and the body begins to decline at the age of more than 50 years, and it is also possible to suffer from osteoarthritis and rheumatoid arthritis It will become bigger and bigger, and it will also cause female friends to have finger problems. How to diagnose and how to deal with it. In the article, Dr. Xie gave you a detailed introduction. If you have other doubts, you can leave a message below , Let’s discuss together
I am Xie Xinhui who insists on explaining the knowledge of complex diseases in simple language. The code word is not easy. If you agree with my point of view, please help me to follow me and like it, if you or your family Friends are also experiencing the trouble of menopause in their 50s. Please forward this article to them who need it. Thank you!
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