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Hands and arthritis 

ARTHRITIS FOUNDATION OF VICTORIA
www.arthritisvic.org.au  ... (Copy reviewed 2009)

Hands and arthritis

This sheet has been written for people whose hands are affected by arthritis. It provides general information about ways you can look after your hands and manage your symptoms. It also tells you where to find further information and advice.

How are hands affected by arthritis?

Any joint in your fingers, thumbs, knuckles and wrists can be affected by arthritis. Many different types of arthritis can affect your hands and cause joint pain, swelling and stiffness. People with hand arthritis often find their grip weakens and it becomes harder to do fine movements, such as turning a key or tying shoelaces.

How can I protect (rest) my sore hands?

The first thing to do is to become more aware of how you are using your sore joints. For example, try watching how you make a hot drink. What is happening to your wrist and fingers as you turn on the tap or lift a heavy kettle? Does it cause pain? Try to think of another way of doing this activity which will reduce those aches and strains. You might try picking up the kettle with two hands. Or use a tap turner to make it easier to grip the tap. These are examples of 'joint protection'. It doesn't mean you should stop using your joints. It just means that you should use them differently to reduce the amount of stress going through your joints.

Here are some ways to protect the joints in your hands:

• Take notice of pain – it can serve as a warning that your joints are being overworked. Rather than giving up an activity altogether, try taking regular rests during the activity. You will usually find you can still do the things you enjoy without discomfort.
• Use larger, stronger joints – for example, carry your shopping bags over your shoulder rather than in your hands.
• Spread the load over several joints – try carrying things with two hands.
• Reduce the effort you have to put in – there is a wide range of labour-saving tools and equipment available.  Buy pre-cut vegetables and meat to make cooking easier.
• Avoid gripping things tightly – find out about gadgets that can make gripping and holding objects easier.
• See an occupational therapist to learn more ways to make daily tasks easier and take pressure off your joints.
• Visit an Independent Living Centre. These centres have a wide range of tools and equipment on display. You can get advice, including where to purchase equipment, in person or over the phone. Occupational therapists are also available at the centres to provide advice about equipment. You may need to make an appointment, and may be charged a fee, to see an occupational therapist.

Are splints useful?

Splints may be helpful in some cases. They are often used to support the joint at the base of the thumb and for hands affected by rheumatoid arthritis. Splints are usually worn only when the joint is painful or to protect the joint during certain activities. Splints should not stop you from moving or using your hands as this can cause the muscles to weaken and waste. An occupational therapist can advise whether hand splints will be useful for you.

Should I exercise my hands?

Don't be afraid to use your hands. Regular exercise is important in reducing stiffness and keeping your joints and muscles working. Try to make sure you move any affected joints in your fingers, thumbs, knuckles and wrists as far as is comfortable several times a day. You could also see an occupational therapist or physiotherapist for specific hand exercises

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