Pain in the Back of the Hand

Overview

Pain in the back of the hand (dorsal hand pain) can result from various conditions affecting the bones, tendons, ligaments, or soft tissues. Understanding the cause is crucial for proper treatment.

Common Causes

Traumatic Causes

• Direct injury or impact
• Fractures of metacarpal bones
• Sprains of the extensor tendons

Medical Conditions

• Tendonitis
  • De Quervain's tenosynovitis
  • Extensor tendonitis
• Arthritis
  • Osteoarthritis
  • Rheumatoid arthritis
• Ganglion cysts

Symptoms to Watch For

• Swelling or inflammation
• Bruising
• Limited range of motion
• Pain that worsens with movement
• Stiffness, especially in the morning

When to Seek Medical Care

Consult a healthcare provider if you experience:

• Severe pain
• Inability to move fingers
• Visible deformity
• Symptoms lasting more than 2 weeks

Treatment Options

Self-Care Measures

1. Rest and activity modification
2. Ice/heat therapy
3. Over-the-counter pain relievers
4. Gentle stretching exercises

Medical Treatments

• Physical therapy
• Prescription medications
• Corticosteroid injections
• Surgery (in severe cases)

Prevention

• Maintain proper ergonomics
• Take regular breaks during repetitive activities
• Strengthen hand muscles
• Use protective gear during sports

Recovery

Recovery time varies depending on the underlying cause:

• Minor sprains: 1-2 weeks
• Tendonitis: 2-6 weeks
• Fractures: 6-8 weeks or longer