Hand pain and swelling and numbness need to identify the causes, may be physiological, may also be pathological; physiological need to adjust lifestyle, pathological need to be under the guidance of the doctor to carry out targeted treatment, such as drug therapy, physical therapy, etc..
1. Physiological factors: when sleeping or sitting in a poor posture may compress the nerves of the upper limbs, resulting in poor blood circulation, and then transient hand pain, swelling, numbness; attention should be paid to adjusting the posture, appropriate activities, in order to promote blood circulation in the body.
2. Pathologic factors:
(1) Neurogenic cervical spondylosis mainly manifests as pain in the back of the shoulder, and radiating swelling and pain, numbness and weakness may occur in the upper limbs and fingers. Consider giving non-steroidal anti-inflammatory drugs such as ibuprofen, muscle relaxants (e.g., eperisone) for those with muscle spasm, and nutritive nerve medications such as methylcobalamin; physical therapy such as cervical spine traction and cervical physiotherapy can also be used.
(2) When diabetes mellitus patients have poor glycemic control, resulting in peripheral nerve damage caused by vasculopathy, which can lead to hand pain, swelling and numbness. Consider giving tricyclic antidepressants as well as certain anticonvulsants for treatment (e.g., amitriptyline, gabapentin), as well as nutritive nerve medications such as adenosine triphosphate, and using hypoglycemic drugs such as glipizide.
Other factors can also cause hand pain and swelling and numbness of the symptoms, if persistent hand pain, swelling, numbness, should promptly consult the doctor to find out the cause, and follow the doctor’s instructions to standardize the treatment.