Hand and Wrist Rheumatoid Arthritis

Arthritis literally means “inflamed joint," and generally refers to any damage to the joints of the body. There are 36 joints in the hand and wrist, and several sites that commonly affected by arthritis. Rheumatoid arthritis is an inflammatory disease that has wide-ranging effects throughout the body, and especially tends to cause problems in the hands and wrists. It is much less common than osteoarthritis. The inflammation of the joint tissues leads to gradual destruction of the ligaments that hold the joints straight, and also damages the cartilage within the joints. Over time, severe deformities of the hands and wrist can occur, especially if not properly treated by a rheumatologist.

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Illustration comparing healthy hands/joints versus hands with rheumatoid arthritis

Overview

Symptoms

Causes

Diagnosis

Your symptoms and medical history as well as an examination of your hand and wrist can help to diagnose arthritis. Often, X-rays of the hand and wrist will show signs of arthritis including erosions in the joints. If we suspect rheumatoid arthritis, we may need to perform additional blood tests to determine the case of the arthritis and refer you to a rheumatologist to confirm the diagnoses and initiate medical treatment.

Why treatment matters

The mainstay of treatment for rheumatoid arthritis is medications administered under the care of a rheumatologist. Modern medications have become so effective that they often prevent the need for surgery. Other nonoperative treatment options include activity modifications, splinting and steroid injections. Depending on the location and severity of the arthritis, surgical fusion or reconstruction of the joint may significantly improve symptoms in severe or long-standing cases. Sometimes tendon transfers, repairs or reconstructions help restore alignment of the wrist and fingers.

Take the next step

Our board-certified specialists are here to help you heal. They can often diagnose the problem in one visit and get you started with a personalized treatment plan. We offer a wide variety of treatment options.