Hand Arthritis Relief: Braces, Splints, Therapy, and Home Remedies

Hand osteoarthritis and inflammatory arthritis cause pain, stiffness, and functional loss. A multimodal approach works best.

Supportive Devices

  • Wrist brace: Neutral-position splint for carpal/first CMC joint support (wear during aggravating activities).
  • Finger splints: Oval-8 or custom thermoplastic for DIP/PIP joint stabilization (boutonnière, swan-neck, mallet finger).
  • Compression gloves: Daytime wear for edema control, proprioception, mild warmth.
  • Thermal gloves: Overnight or cold-weather use to reduce morning stiffness.

Physical Modalities

  • Heat: Paraffin bath, warm soaks, heating pads—improve mobility before activity.
  • Cold: Ice packs (wrapped) 10–15 min for acute flares/inflammation.

Topical & Oral Options

  • Topical NSAIDs (diclofenac gel, ketoprofen)—lower systemic exposure.
  • Capsaicin cream (counterirritant).
  • Oral NSAIDs/acetaminophen per physician guidance.
  • Supplements: glucosamine/chondroitin (mixed evidence), curcumin, omega-3s.

Exercise & Therapy

  • Gentle AROM/PROM: tendon glides, intrinsic stretching, grip strengthening (putty, dynaflex).
  • Occupational therapy: joint protection, ergonomic tools, activity modification.

Advanced Options

Corticosteroid injections (CMC, trigger digits), PRP, or surgical referral (arthroplasty, fusion) for refractory cases.

Always consult a hand therapist or rheumatologist/orthopedist for a tailored plan.

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