Hand/Wrist/Elbow Pain: Osteoarthritis

Osteoarthritis Kirkland, WA

Dr. Galle commonly treats osteoarthritis affecting the joints of the hand, wrist and elbow. Osteoarthritis, also known as degenerative joint disease, is a condition characterized by the thinning of cartilage which results in pain, stiffness, and reduced range of motion. While any joint in the body can be affected by osteoarthritis, Dr. Galle commonly treats:

1. Thumb Basal Joint: Osteoarthritis at the base of the thumb, also known as carpometacarpal (CMC) joint osteoarthritis or basal joint arthritis, is one of the most common forms of osteoarthritis seen by hand surgeons. It can cause pain, swelling, weakness, and limited thumb motion, particularly with pinch and grip activities.
2. Distal Interphalangeal (DIP) Joints: Osteoarthritis can affect the DIP joints, which are the joints closest to the fingertips. It can cause pain, stiffness, and enlargement of the joints, known as Heberden’s nodes.
3. Proximal Interphalangeal (PIP) Joints: Osteoarthritis can also affect the PIP joints, which are the joints in the middle of the fingers. It can cause pain, stiffness, and swelling of the affected joints, often with the formation of Bouchard’s nodes.
4. Metacarpophalangeal (MCP) Joints: Osteoarthritis can occur in the MCP joints, which are the joints at the base of the fingers. It can cause pain, stiffness, and swelling, particularly with gripping activities.
5. Wrist Joint: Osteoarthritis can affect the wrist joint, leading to pain, swelling, and stiffness in the wrist. Some forms of wrist arthritis result from prior trauma or ligament injuries
6. Carpometacarpal (CMC) Joints of the Fingers: Osteoarthritis can affect the CMC joints of the fingers, particularly the index, middle, and ring fingers. It can cause pain, stiffness, and swelling, particularly with activities that involve grasping or gripping.

Treatment options for osteoarthritis of the hand, wrist and elbow may include conservative measures such as medications, splinting, physical/occupational therapy, and corticosteroid injections. In cases where conservative measures are not effective, or if the arthritis is advanced, surgical options may be considered. This includes joint denervation, joint fusion, or possibly joint replacement options. The choice of treatment depends on factors such as the severity of symptoms, the extent of joint damage, the patient’s age and activity level, and their treatment goals. Proper evaluation and management by a qualified hand surgeon like Dr. Galle is essential for achieving optimal outcomes and improving quality of life for patients with osteoarthritis.