The goal of treatment for DIP / PIP finger arthritis is to alleviate pain, improve joint function, and enhance overall hand dexterity. By employing a combination of approaches, we help individuals manage their condition effectively, reduce discomfort, and maintain their quality of life.
Non-Surgical Treatments
Medication
Depending on the type and stage of arthritis you have, your doctor may prescribe different classes of medications. For patients with osteoarthritis, acetaminophen or nonsteroidal anti-inflammatory drugs are recommended to use sparingly to alleviate symptoms. For those with rheumatoid arthritis, DMARDs like methotrexate, methotrexate, hydroxychloroquine, sulfasalazine (Azulfidine®), or leflunomide (Arava®) may be prescribed by a rheumatologist to slow progression and reduce symptoms.
Splinting
Splints can provide support to the affected joint and lessen strain, as well as provide joint alignment. Your doctors and/or hand therapist will discuss splinting or bracing options and how often and how long you should wear them. You may be a candidate for a same day brace to be fabricated.
Physical Therapy
We refer our patients to certified hand therapists (CHTs) who have achieved the highest level of training in hand therapy. These therapists have completed their training in occupational therapy and then further sub specialized and become certified as hand therapists.
Steroid Injections
Steroid injections may also be an option for some patients to reduce inflammation and relieve pain. Using X-ray guidance, arthritic joints are targeted with a fine needle, and a mixture of anesthetic and steroid medication is injected to provide pain relief.
Surgical Treatments
Joint Denervation Surgery
Joint denervation surgery is a new and unique treatment option that combats arthritis by eliminating the associated neurologic pain pathway. This procedure addresses the “supply” of pain to the brain rather than the joint itself.
Arthroscopy
This minimally invasive surgery involves inserting a small camera into the joint to inspect and repair damaged cartilage and bone. It can clean out debris, remove inflamed tissue, and smooth damaged surfaces.
Joint Fusion
Damaged joints can be fused together with plates, screws, rods or pins so they stop moving painfully.
Joint Replacement
Diseased joint surfaces are removed and replaced with artificial implants made of metal, plastic or ceramic.
Soft Tissue Repair
Tendons and ligaments around arthritic joints may become stretched or torn and require repair through techniques like tissue grafting or tightening.
Synovectomy
Inflamed joint lining (synovium) is surgically removed to reduce swelling and pain.
