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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