Saturday, 31 August 2013

A Harvard Medical School doctor answers a question about hand cramps

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A Harvard Medical School doctor answers a question about hand cramps.
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HEALTHbeat Harvard Medical School
August 31, 2013
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A Harvard Medical School doctor answers a question about hand cramps

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Hands: Strategies for strong, pain-free hands
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Get your copy of Hands: Strategies for strong, pain-free hands

Beneath the skin, your hands are an intricate architecture of tendons, joints, ligaments, nerves, and bones. Each of these structures is vulnerable to damage from illness or injury. If your hands hurt, even simple tasks can become a painful ordeal. This report describes the causes and treatments for many conditions that can cause hand pain. It also features information on hand exercises, as well as handy tools and other gadgets that take strain off your hands.

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Q: I have strong muscle cramps that curl my fingers into a claw shape. I can only straighten them by using my other hand. What can I do to keep this from happening?

A: What you describe sounds like carpal spasm. Spasms, or cramps, are involuntary muscle contractions. The most common causes of spasms are overused muscles (in the hands that might be due to writing or typing) and dehydration. Other causes of muscle cramping include low levels of calcium and magnesium.

Another possibility is that you have carpal tunnel syndrome, which occurs when the nerves in the wrist are compressed. Typical symptoms of carpal tunnel syndrome include pain in the wrist and tingling and numbness in the fingers, but hand spasms may also occur. Spasms in other areas of your body, such as the upper arm, neck or face, suggest an underlying neurological problem.

A third possibility is writer’s cramp, also called musician’s cramp. It is a spasmodic contraction of the muscles of the hand and forearm. The fingers may suddenly freeze up, dramatically affecting the ability to write or play an instrument. Some golfers experience muscle contractions in the hand while putting, a phenomenon that’s been nicknamed “the yips.”

Talk to your doctor if the cramps occur often. If he or she can’t find a specific cause, focus on drinking enough water and stretching your fingers periodically.

— Dr. William Kormos, editor-in-chief of Harvard Men's Health Watch and a primary care physician at Massachusetts General Hospital.

For more on the causes and treatment of hand pain buy Hands: Strategies for strong, pain-free hands, a Special Health Report from Harvard Medical School.

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Hands: Strategies for strong, pain-free hands
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Hands: Strategies for strong, pain-free hands

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The healthy hand
Arthritis of the hand
Special bonus section: Advances in artificial joints for the hand
Exercise for the hand
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Harvard Medical School offers special reports on over 50 health topics. Visit our website at http://www.health.harvard.edu to find reports of interest to you and your family.

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* Please note, we do not provide responses to personal medical concerns, nor can we supply related medical information other than what is available in our print products or website. For specific, personalized medical advice we encourage you to contact your physician.

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