ABC of Rheumatology: PAIN IN THE HAND AND WRIST

摘要: Patients presenting with pain in the hand are often anxious. The hands so important for daily activities and communication contact that any actual or perceived threat to their normal function is worrying. For those whose livings made by intricate use of hands—musicians, craft workers, keyboard operators—and heavy labourers, greater. More than not, people can live present if fear future loss be allayed. #### Causes wrist Patients' descriptions important. Its quality, localisation, variability rest use, presence associated symptoms such as numbness pins needles will diagnostic. Trauma, sometimes unnoticed, most common cause pain. Specific diagnoses vary slightly age. #### Nature pain Localised diffuse Unilateral bilateral Aching sharp Present only use Present constantly Worse at night rest Associated sensory symptoms Pain wrist may reflect a problem arising proximally; arm neck should always examined, other hand. Severe seem spread up axilla neck. Neck on same side primary muscle spasm, resulting from holding immobile order protect it. Several systemic disorders—most commonly inflammatory arthritis—may pain, usually bilateral, full locomotor general examination necessary. #### Injection technique Hand …