Finger Arthritis FAQ

What is finger arthritis?

Finger arthritis involves inflammation and degeneration of one or more of the finger joints. This
leads to pain, stiffness, and potential changes in joint shapes.

What are the different types of finger arthritis?

Osteoarthritis (OA):
Most common type, caused by "wear and tear" damage to cartilage.
Rheumatoid Arthritis (RA):
An autoimmune disorder where the body attacks its own joints.
Post-traumatic Arthritis:
Arising after an injury to the finger joints.
Psoriatic Arthritis:
Affects some people with psoriasis (a skin condition).

Which finger joints are most commonly affected?

OA:
Typically involves the joint at the end of the finger (distal interphalangeal joint or DIP), the
middle joint (proximal interphalangeal joint or PIP), and the base of the thumb (CMC joint).
RA:
Often affects the middle joints (PIP), sometimes smaller joints and the wrists.

What are the symptoms of finger arthritis?

Pain and stiffness, worse in the morning or after inactivity. Swelling and warmth around the
affected joints. Deformities like bumps on the joints (OA), fingers deflecting sideways (RA).
Decreased grip strength and difficulty with fine tasks.

How is finger arthritis diagnosed?

I can diagnose on physical examination, medical history, and imaging/x-rays.
X-rays:
Visualise changes in joints and rule out other causes.
+/- Blood Tests:
Especially in suspected rheumatoid arthritis.

What are the non-surgical treatment options for finger arthritis?

Rest and Activity Modification:
Finding balance between resting the inflamed joints and keeping them mobile.
Ice and Heat:
Ice reduces inflammation, heat helps with stiffness.
Topical creams/gels:
Diclofenac gel or over-the-counter options.
Oral Pain Medications:
NSAIDs (over-the-counter or prescription )
Splinting:
To support joints, reduce pain, and prevent deformities. Arthritic joints do however like to be
moved but not loaded. Sometimes splinting can make you worse.
Hand Therapy:
Improves strength, flexibility, and fine motor skills.
Corticosteroid Injections:
Offer temporary, potent relief in some cases.
Joint Supplements:
Glucosamine & chondroitin are popular, but their benefit in hand OA is debatable. Discuss with
your GP.

When is surgery needed for finger arthritis?

Considered when severe pain and functional impairment fail to improve with conservative
approaches.
Joint Fusion:
Improves pain but loses motion in the fused joint. Suitable for index finger PIP joint and all DIP
joints.
Joint Replacement:
Maintains movement but might be less suited for smaller finger joints, depending on the specific
type of arthritis.

What's the best way to cope with finger arthritis pain?

There's no single answer, as treatment is often individualised. A personalised combination of
rest, medication, therapy, and other strategies often creates the best results.

Can finger arthritis be cured?

Currently, no cure exists for arthritis. Treatment focuses on pain management, preserving
function, and slowing disease progression.

Does weather affect finger arthritis?

Many people report flare-ups with damp, cold weather. Scientific evidence is still mixed, but
being aware of this potential and prioritising joint care during those times could prove beneficial.

Can certain foods trigger finger arthritis flare-ups?

There's no specific known "arthritis diet". Maintaining a healthy, balanced diet can positively
impact overall health. Limiting highly processed foods might be helpful. Discuss this with your
doctor or a nutrition specialist. There is some evidence that a low carbohydrate diet may support
lower Total Body inflammation and less pain.

How can I prevent finger arthritis?

You can’t completely prevent OA. Protective measures include: * Maintain a healthy weight. *
Avoid or promptly treat finger injuries. * Control conditions like diabetes.

Does cracking my knuckles cause finger arthritis?

Research shows no connection between knuckle cracking and arthritis.

Are there exercises to help finger arthritis?

Absolutely! Hand therapy is invaluable. A therapist will teach tailored exercises for hand
strength, range of motion, and specific tasks you want to perform.

I’m young. Can I still get finger arthritis?

While OA prevalence increases with age, young people can develop it due to injury or if
susceptible to early arthritis. RA can arise at any age.

Will finger arthritis spread to other parts of my body?

OA likely stays localised. However, RA could potentially affect other joints throughout your body.
Do gloves help with finger arthritis?
Compression gloves could offer minimal warmth and support. Ask your hand therapist if they're
suitable for your particular needs.

Who treats finger arthritis?

Your GP manages early care. Rheumatologists for autoimmune-based arthritis. Hand surgeons
like me, handle surgical scenarios. Hand therapists play a key role throughout the journey.

Is finger arthritis considered a disability?

Severe, impactful cases could qualify. Policies vary greatly between countries and regulations.

Where can I find more support and information on finger arthritis?

Come and see me and I can tell you all about how to manage your pain.