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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Difficulty In Opening The Hands?

I have difficulty opening my hands and to a lesser degree closing them into a fist. Symptoms started a few months ago. There is no pain and I didn t have any trauma to either hand or fingers. Seems to happen a lot at night or in the morning when I have had my hand in one or other position. Strange but painless. Any advice aside from exercising my fingers? Thanks, Elsie
Fri, 2 Jun 2017
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General & Family Physician,  's  Response
Hi Elsie,
Thanks for posting in HCM.
I have read your description and understand your concern.
Symptoms you are describing could be just due to muscle spasm. It is generally caused due to calcium deficiency.
Kindly supplement with calcium and include calcium rich foods in your diet. Do light stretching exercises for the wrist and small joints regularly.
However, if the symptoms doesn't seem to subside by 1 month, then you need to get the following investigations done.
1. x-ray of joints of the hand and wrist.
2. Erythrocyte Sedimentation Rate (ESR).
3. RA factor.
4. ASO titre.
5. Serum uric acid.
Kindly consult Rheumatologist with the report for clinical evaluation and appropriate management.
Hope the information provided would be helpful.
All the best.
Regards,
Dr.Ashakiran.S.,
MBBS., MD.
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What Causes Difficulty In Opening The Hands?

Hi Elsie, Thanks for posting in HCM. I have read your description and understand your concern. Symptoms you are describing could be just due to muscle spasm. It is generally caused due to calcium deficiency. Kindly supplement with calcium and include calcium rich foods in your diet. Do light stretching exercises for the wrist and small joints regularly. However, if the symptoms doesn t seem to subside by 1 month, then you need to get the following investigations done. 1. x-ray of joints of the hand and wrist. 2. Erythrocyte Sedimentation Rate (ESR). 3. RA factor. 4. ASO titre. 5. Serum uric acid. Kindly consult Rheumatologist with the report for clinical evaluation and appropriate management. Hope the information provided would be helpful. All the best. Regards, Dr.Ashakiran.S., MBBS., MD.