A helping hand


Pain and stiffness in the fingers and wrists are commonly associated with arthritis, but there are steps you can take to lessen any impact.

Have you noticed your hands and writs not working like they used to? Perhaps opening that new jar of jam has become impossible, turning the key in the door causes a twinge of pain or using a knife and fork have become more difficult.

Loss of grip strength in the hands, feeling stiff in the fingers, swelling or pain in any joints of the hands or wrist can all be a sign of arthiritis.

Arthiritis is a general term for conditions that affect the normal function of your joints, muscles, bones and surrounding structures. Osteoarthritis and rheumatoid arthritis are common types of arthritis that can affect virtually any joint in the body.

It’s important to know which type of arthritis you have, as treatment can be different for different types of arthritis. Seek the help of a medical professional if you have not had a proper diagnosis for your arthritis.

If you are finding day-to-day life more challenging due to arthritis, there are some self-management strategies you can try that can assist.


Take notice of the pain and change your activity accordingly

Don’t ignore arthritic pain, as pain can be a signal that the joints, bones and muscles need to have a rest. It’s important that you don’t completely give up activity though, but you may be able to alter the way you do a task or take regular breaks in between.

Take knitting for example. If you are finding your hands are aching after a knitting session, instead of cutting out your hobby entirely, try to break up your knitting sessions into shorter intervals, giving your hands a rest and a chance to stretch into different positions.


Use larger joints when possible

Larger joints tend to be stronger, as there are more surrounding muscles and supportive structures. When carrying heavy items, such as groceries, try to carry bags on your shoulders if possible rather than in your hands. It will reduce the amount of strain on your painful joints.

When doing certain repetitive movement tasks, such as stirring ingredients in a bowl, try not to limit the movement to one particular joint. Share the movement across more joints or get some stronger muscles involved. Try to also spread the load out where possible, using two hands instead of one for instance.


Utilise helpful tools and equipment
There is an abundance of assistive devices out there to make your life easier. Things like special devices to help make opening jars easier or thicker handles for kitchen utensils to make gripping more comfortable. You’ll be surprised how many helpful tools are available on the market.


Heat and ice packs

Do you wake up feeling very stiff and sore, but a warm shower gets the bones moving again? Heat packs or even just running your hands under some warm water, can help to provide some temporary relief to stiffness, whereas cold or ice packs can help to provide some relief for swollen joints. If you’re unsure whether heat or cold is the right one for you, a physiotherapist can help you out.


Keep active! Gentle stretches and regular movement
It’s important to remember that movement and exercise does not mean you are damaging your joints further. Exercise, stretches and gentle movements are all recommended in managing your arthritis.
Some simple hand exercises to try:

1. Opening and closing your hand – stretch the fingers all the way out and then close your hand into a fist. Do this slowly and repeat eight times
2. Relax your fingers and gently roll your wrists in circles – complete five circles clockwise and five circles anti-clockwise
3. Stretch open all of your fingers with the palm facing upwards – starting with the thumb, gently bend each finger, one at a time, towards the centre of your palm. If you can’t touch the palm with the bent finger, that is okay. Just bend as far as is comfortable for you and then straighten the finger back up.


One final word

Seek the help of a physiotherapist for a tailored exercise program that will help to manage your arthritis. Strengthening the muscles and supportive structures in your hands, wrists and arms can help to take the load off the sore bones and joints and keep you doing the things that you love to do.


Article written by The Physio Co. Featured in Chapter Summer 2021. 


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