Treatments for Hand conditions
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Hand and Foot Rashes:
Treatment
(In a Page: Signs and Symptoms)
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Pompholyx, psoriasis, and most noninfectious hand eczemas are treated with topical high potency steroid ointments (e.g., temovate, diprolene) for short periods
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Irritant eczema: Bland heavy emollients (e.g., petroleum jelly, mineral oil, various cream formulations with a dimethicone base) will rehydrate the skin to prevent recurrence of irritant or other types of dermatitis; avoid wet-work, irritants, and harsh soaps
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Tinea manum and pedis
–Topical antifungal preparations or a short course of oral fluconazole or terbinafine (2 weeks)
–If onychomycosis is present (confirmed by nail clipping and PAS stain or culture), treat with oral antifungals for 6–12 weeks to prevent recurrence
Topical or systemic phototherapy with PUVA can significantly improve palmoplantar eczemas that are refractory to topical monotherapy
Systemic methotrexate and cyclosporine are also used to treat severe dyshidrotic disease or psoriasis
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Source: In a Page: Signs and Symptoms, 2004
Wrist & Hand Pain/Swelling:
Treatment
(In a Page: Signs and Symptoms)
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Corticosteroid injection for carpal tunnel improves symptoms in more than half of patients; surgical intervention to release the transverse ligament and decompress the nerve entrapment may be indicated
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NSAIDs reduce inflammation and use of cock-up splints applied during activities and while sleeping reduces strain from repetitive use and reduces symptoms
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Corticosteroid injection along tendon sheaths and wearing a thumb spica splint treat tenosynovitis
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Ganglion cysts are treated by draining the thick fluid and injecting with steroid; surgical removal is occasionally necessary
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Casting of suspected fractures and repeat X-ray in 7–9 days prevents complications of occult fracture
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Antihistamines and steroids treat swelling from stings
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Treat rheumatologic and medical causes
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Biofeedback and relaxation may be beneficial in selected cases
