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Why Are My Hands Twisted?

Published in Hand Health 3 mins read

There are several reasons why your hands might appear or feel twisted, ranging from injury to underlying medical conditions. Here's a breakdown of possible causes:

Possible Causes of Twisted Hands

  • Sprains and Injuries:

    • Wrist/Hand Sprain: A sprain can occur due to a direct blow, a fall on an outstretched hand, or a sudden forceful twist. This can cause pain, swelling, and a feeling of instability or twisting. For example, landing awkwardly during a sport.
  • Deformities:

    • Congenital Deformities: Some people are born with hand deformities that can cause a twisted appearance.
    • Acquired Deformities: Conditions such as Dupuytren's contracture (where the fingers curl inwards) or arthritis can gradually cause twisting or deformities in the hands.
  • Arthritis:

    • Rheumatoid Arthritis: This autoimmune disease can cause inflammation and damage to the joints in the hands, leading to deformities and a twisted appearance over time.
    • Osteoarthritis: Wear and tear on the joints can also lead to arthritis, causing bone spurs and changes in joint alignment, resulting in a twisted look.
  • Nerve Issues:

    • Nerve Damage: Damage to the nerves in your arm or hand can cause muscle weakness or imbalance, leading to unusual hand positioning that might appear twisted.
    • Tendon issues: Conditions such as trigger finger or tendonitis can cause fingers to stay bent or 'stuck' that could be perceived as twisted.
  • Other Medical Conditions:

    • Cerebral Palsy: Can affect muscle control and coordination, potentially leading to unusual hand postures.
    • Contractures: Scar tissue and muscle shortening can limit the range of motion and cause a twisted appearance.
  • Subluxation/Dislocation: Sometimes joints in the hand, especially in the fingers, can become subluxed (partially dislocated) or dislocated, leading to a visibly twisted position.

Important Considerations:

  • Pain Level: Is there pain associated with the twisted feeling or appearance?
  • Onset: Did the twisting occur suddenly (likely injury) or gradually (likely a medical condition)?
  • Range of Motion: Is your range of motion limited?
  • Swelling/Bruising: Is there any visible swelling or bruising?

What to Do:

If you are concerned about the appearance or function of your hands, it's essential to consult with a doctor. They can properly diagnose the underlying cause and recommend appropriate treatment, which may include:

  • Physical therapy
  • Medication
  • Splinting or bracing
  • Surgery (in severe cases)

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