Hand and finger sprain injuries tend to be more ligamentous in nature. Hands and fingers are very susceptible to:
- Direct traumatic injury
- Repetitive occupational and sports-related activities—and
- Wear-and-tear degenerative joint articular cartilage deterioration (osteoarthritis).
The pain of osteoarthritis is often accompanied or aggravated by hand ligament sprain injury.
Hand sprain injuries respond very well to Prolotherapy—especially if caught early. Prolotherapy is directed to specific wrist ligament or muscle tendon attachments—depending on history and findings on examination and X-ray.
Platelet-Rich Plasma (PRP) Therapy would be more appropriate if the sprain injury and dysfunction are due to significant ligament or tendon tearing. The pain of hand or finger wear-and-tear osteoarthritis can often be relieved or, at least, minimized by treating the coexisting ligament sprain injuries by Prolotherapy.
Intra-articular therapy has been reported helpful in minimizing—in some cases restoring—articular cartilage loss.