Hand, Wrist And Thumb Arthritis Treatment In Windsor, Ontario

Content Reviewed by: Dr. David Drazic, D.C. on October 1, 2026
Role: Chiropractor And Clinic Director

Table of Contents

Hand, Wrist And Thumb Arthritis Care In Windsor

Arthritis in the hand often shows up first as pain when gripping, pinching, opening jars, or turning a key. Lakeview Chiropractic & Acupuncture Wellness Centre assesses the affected joints along with the wrist, elbow, and neck, because hand symptoms can also come from nerve irritation or tendon problems rather than the joint itself. Conservative care may support comfort and function for selected presentations, while inflammatory arthritis, infection, and suspected fracture require medical assessment and management.

What Are Hand, Wrist And Thumb Arthritis?

Osteoarthritis in the hand most commonly affects the joint at the base of the thumb, the end joints of the fingers, and the middle finger joints. The thumb basal joint, also called the carpometacarpal or CMC joint, is a saddle-shaped joint between the trapezium and the first metacarpal. Its mobility allows pinch and grip, and it carries high loads during everyday tasks, which is part of why it is frequently affected.

Symptoms usually include aching at the base of the thumb or over the affected knuckles, pain with pinching and gripping, swelling and tenderness, reduced strength, and sometimes a bony enlargement at the joint. Wrist arthritis can follow previous fracture or ligament injury and may limit rotation and weight-bearing through the hand.

Rheumatoid arthritis is different. It is an autoimmune inflammatory disease that often affects the wrists and the knuckles of both hands symmetrically, with prolonged morning stiffness, warmth, swelling, and fatigue. Psoriatic arthritis and gout can also involve the hand. Carpal tunnel syndrome, de Quervain tenosynovitis, trigger finger, and nerve irritation from the neck can produce hand symptoms that feel like arthritis but are managed differently.

Woman holding her hand and fingers while experiencing discomfort.
Healthcare provider examining a patient’s wrist and hand during a clinical assessment.

What Conservative Care For Hand And Thumb Arthritis May Help With

Symptom Management. Conservative care may help selected patients manage pain, stiffness, and tenderness in the hand, wrist, and thumb. Identifying whether the source is joint, tendon, or nerve comes first.

Preserved Grip And Pinch Function. Care may focus on protecting the joint during high-load tasks, improving tolerance for pinching and gripping, and reducing unnecessary strain on the thumb base.

Return To Daily Activity. Recommendations can address writing, typing, tool use, cooking, driving, and work tasks, including practical activity modification and joint protection strategies.

Support For The Wrist, Elbow, And Neck. Hand symptoms are assessed in the context of the whole upper limb. Adjustments, rehabilitation, laser therapy, or acupuncture may be used when the examination points to contributing findings in the wrist, forearm, or cervical spine.

Monitoring For Changes. Hand symptoms can evolve, particularly when inflammatory disease is present. Follow-up allows the clinic to track swelling, movement, strength, and function so that referral can occur if the presentation changes.

Coordination With Medical And Hand Therapy Care. Splinting, occupational or hand therapy, injection, and rheumatology or hand surgery assessment are often central to managing hand arthritis. Conservative care here is positioned to support those pathways rather than replace them.

When Hand And Wrist Symptoms Require Urgent Medical Care

Seek urgent medical care for a hot, red, severely swollen joint with fever, for sudden severe swelling and pain in a single joint, for obvious deformity or inability to use the hand after an injury, or for an open wound, puncture, or bite near a joint. Prompt medical assessment is also needed for rapidly progressive numbness or weakness, visible wasting of the thumb muscles, new swelling in multiple joints on both hands with fatigue or fever, or colour changes in the fingers. These patterns can indicate infection, fracture, gout, inflammatory disease, or nerve compression requiring medical management.

Related Conditions We Evaluate Alongside Hand And Thumb Arthritis

Hand and wrist symptoms often connect to the neck, shoulder, and nerve pathways of the arm. The clinic evaluates the full pattern and recommends care only when the findings are appropriate for conservative treatment.

Joint Pain And Arthritis Treatment

Conservative care may help selected patients manage stiffness, mobility limits, and activity-related joint discomfort.

Neck Pain Treatment

Care is based on whether symptoms involve restricted movement, muscle tension, injury, posture, or nerve irritation.

Shoulder Pain Treatment

Shoulder movement, surrounding tissues, and neck involvement are evaluated before treatment is recommended.

Neuropathy Treatment

Numbness, tingling, burning, and altered sensation require careful evaluation to identify appropriate care or referral.

Disc Pain Treatment

Disc-related symptoms may include localized pain, stiffness, or radiating discomfort that changes with movement and position.

Who May Be A Good Fit For Hand, Wrist And Thumb Arthritis Care

Conservative care may be considered for people with mechanical hand, wrist, or thumb symptoms who do not show urgent red flags and who want an assessment that looks at the whole upper limb rather than the painful joint alone.

An evaluation may be appropriate when:

  • Pain at the base of the thumb increases with pinching, gripping, or opening containers.
  • Finger or wrist joints ache after use and feel stiff in the morning for a short period.
  • Grip strength has decreased and tasks such as writing or using tools have become difficult.
  • Hand symptoms include tingling or numbness and you want the neck, wrist, and nerve pathways assessed.
  • You have a known arthritis diagnosis and want conservative support alongside your medical care.

The clinic may refer you for medical evaluation, imaging, hand therapy, or rheumatology assessment when the findings suggest inflammatory disease, nerve compression, structural damage, or another condition outside chiropractic scope.

Woman seated at home holding her wrist due to pain or discomfort.

How Lakeview Evaluates And Treats Hand, Wrist And Thumb Arthritis

Assessment comes before treatment. Dr. Drazic reviews which joints are involved, how symptoms behave, injury and occupational history, existing diagnoses, and the tasks now affected, then performs an appropriate examination of the hand, wrist, forearm, and neck.

History And Symptom Pattern Review

The clinic asks which joints hurt, whether both hands are involved, how long morning stiffness lasts, whether there is swelling or warmth, and whether there are systemic symptoms such as fatigue, fever, or rash.

Physical And Neurological Examination

Joint tenderness, swelling, range of motion, stability, grip and pinch function, and specific provocation tests may be assessed. Neurological and vascular screening is added when numbness, tingling, weakness, or colour change is present.

Imaging Or Referral When Needed

Outside X-rays or medical referral may be recommended when fracture, advanced joint damage, inflammatory arthritis, gout, or infection is suspected. Blood work and rheumatology assessment fall outside chiropractic scope and are arranged through your physician.

Individualized Conservative Care

When appropriate, care may include joint mobilization or adjusting of the wrist and hand, care directed at contributing areas of the forearm and neck, graded exercise, laser therapy, acupuncture, and practical joint protection and activity modification advice.

Progress Reviews

Follow-up visits track pain, swelling, movement, grip function, and daily task tolerance. Limited progress or new findings may change the plan or prompt referral for medical assessment, splinting, or hand therapy.

What To Expect At Your First Hand And Thumb Arthritis Evaluation

Your initial appointment is approximately one hour. Bring any imaging reports, blood work related to arthritis, specialist letters, a list of current medications, and any splint or brace you already use.

01

Step 1: Intake And History

You describe which joints are affected, when symptoms began, how long stiffness lasts, what tasks aggravate them, your work and hobbies, and any previous injuries or diagnoses.

02

Step 2: Neuromuscular And Skeletal Examination

Dr. Drazic completes an examination of the hand, wrist, forearm, and neck suited to your tolerance, including joint movement, strength, and relevant nerve testing.

03

Step 3: Imaging Or Referral Decision

If appropriate imaging has not been completed, the clinic may arrange outside X-rays when the findings support it. You may be referred to your physician when blood work, medication review, splinting, or specialist assessment is needed first.

04

Step 4: Findings And Care Plan

At the follow-up visit, Dr. Drazic reviews the examination and any imaging findings, explains whether conservative care is appropriate, and outlines the recommended approach and realistic expectations.

05

Step 5: Treatment And Progress Tracking

When you proceed, care is scheduled and progress is measured against practical goals such as grip comfort, task tolerance, and stiffness, with the plan adjusted as your response becomes clear.

What Our Patients Say About Their Care

Verified reviews provide context on the clinic’s assessment process, communication, and follow-through during a course of care.

Related Services For Hand, Wrist And Thumb Arthritis

Hand symptoms can involve the joint, the tendons, and the nerve pathways of the arm at the same time. The clinic selects supporting services only when the examination indicates that they fit the presentation.

Chiropractic Adjustments

Manual and computerized techniques are selected according to examination findings, comfort, and treatment goals.

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Class 4 Laser Therapy

Class 4 laser therapy may be used to support pain management and tissue recovery when clinically appropriate.

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Acupuncture

Needle-based care may be included to support pain relief, muscle relaxation, and recovery goals.

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Shockwave Therapy

Acoustic pressure waves may support recovery in selected persistent tendon and soft-tissue problems.

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Hand And Thumb Arthritis Care For Windsor And Essex County

Lakeview Chiropractic & Acupuncture Wellness Centre evaluates hand, wrist, and thumb arthritis for patients from Windsor, Tecumseh, LaSalle, Lakeshore, communities across Essex County, and the surrounding region.

Meet The Team Supporting Your Hand And Wrist Care

A profile picture of Dr. David Drazic, Chiropractor and Clinic Owner at Lakeview Chiropractic Acupuncture and Wellness Centre.

Dr. David Drazic

Chiropractor And Clinic Director
A profile picture of Shirley Stratichuk, Office Manager and Certified Laser Technician at Lakeview Chiropractic Acupuncture and Wellness Centre

Shirley S.

Office Manager And Certified Laser Technician
A profile picture of Teresa Luppino, receptionist and Certified Laser Technician at Lakeview Chiropractic Acupuncture and Wellness Centre

Teresa L.

Receptionist And Certified Laser Technician
A profile picture of Andrea Dmytrow, Receptionist at Lakeview Chiropractic Acupuncture and Wellness Centre

Andrea D.

Receptionist
A profile picture of Robin Nijjar, Certified Laser Technician and Shockwave Technician at Lakeview Chiropractic Acupuncture and Wellness Centre

Robin N.

Certified Laser And Shockwave Technician

Sources And Clinical References

These references support the page’s description of thumb and hand osteoarthritis, the distinction between osteoarthritis and inflammatory arthritis, conservative management expectations, and urgent referral criteria. Diagnosis and treatment decisions remain specific to the individual patient.

Source: Mayo Clinic: Thumb Arthritis. Supports: Describes carpometacarpal joint osteoarthritis, pain with gripping and pinching, swelling and stiffness at the thumb base, reduced strength, risk factors, and the role of splinting and medication in management.

Source: OrthoInfo, American Academy of Orthopaedic Surgeons: Arthritis of the Thumb. Supports: Supports thumb basal joint anatomy, symptom progression, examination findings, and conservative and surgical management options.

Source: Arthritis & Rheumatology: 2019 American College of Rheumatology / Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Supports: Supports exercise and self-management recommendations and conditional recommendations for hand orthoses and first carpometacarpal joint support.

Source: HealthLinkBC: Comparing Rheumatoid Arthritis and Osteoarthritis. Supports: Provides Canadian guidance distinguishing wear-related osteoarthritis from autoimmune rheumatoid arthritis, including symmetry and morning stiffness patterns.

Source: The Journal of Pain: Acupuncture for Chronic Pain, Update of an Individual Patient Data Meta-Analysis. Supports: Supports modest, condition-specific acupuncture benefit within chronic musculoskeletal pain categories.

Evidence limit: These sources do not establish that conservative care reverses joint damage in the hand, restores lost grip strength, or replaces splinting, hand therapy, medication, or surgical assessment where those are indicated. Inflammatory arthritis requires medical diagnosis and disease-specific treatment.

Frequently Asked Questions About Hand, Wrist And Thumb Arthritis

Q: Why does the base of my thumb hurt when I grip or pinch?

The thumb basal joint carries high loads during pinch and grip, and it is one of the most common sites of hand osteoarthritis. Pain with opening jars, turning keys, and writing is a typical pattern, though tendon problems can cause similar symptoms.

Q: How is rheumatoid arthritis different from hand osteoarthritis?

Rheumatoid arthritis is an autoimmune disease that often affects the wrists and knuckles of both hands symmetrically, with prolonged morning stiffness, warm swollen joints, and fatigue. It requires medical diagnosis and disease-modifying treatment. Osteoarthritis usually develops gradually in specific joints with shorter stiffness and activity-related pain.

Q: Can chiropractic care treat arthritis in the hands?

It does not reverse arthritic change. Care may address joint movement, surrounding tissues, and contributing findings in the wrist, forearm, and neck, and may include laser therapy or acupuncture when appropriate. Splinting, hand therapy, and medical management are often part of the wider plan.

Q: Could my hand symptoms be coming from my neck?

Possibly. Nerve irritation in the neck and conditions such as carpal tunnel syndrome can produce hand pain, numbness, or weakness. That is why the assessment includes the neck, shoulder, and nerve pathways of the arm rather than the painful joint alone.

Q: Do I need X-rays or blood tests?

Not every patient needs imaging. X-rays may help assess joint change or previous injury. Blood tests are arranged through your physician when inflammatory arthritis, gout, or another medical condition is suspected, since laboratory testing is outside chiropractic scope.

Q: Will a thumb splint help?

Splinting is commonly used for thumb basal joint arthritis and may reduce pain during aggravating tasks. Fit and wear schedule matter, so this is usually coordinated with your physician or a hand therapist.

Q: Is it safe to keep using my hands?

In most cases yes, with modification. Reducing sustained high-force pinch, using larger-handled tools, and spreading demanding tasks across the day can reduce joint stress. Sharp increases in pain or new swelling are reasons to reassess.

Q: When is a swollen finger or wrist an emergency?

A hot, red, severely swollen joint with fever, or sudden intense swelling in a single joint, requires urgent assessment. Infection and gout must be ruled out promptly.

Book A Hand, Wrist And Thumb Arthritis Evaluation In Windsor

Hand pain is not always osteoarthritis, and arthritis in the hand is not managed the same way for everyone. Book an evaluation with Lakeview Chiropractic & Acupuncture Wellness Centre to review which joints are involved, assess movement, strength, and nerve function, and receive a clear recommendation about conservative care, imaging, or medical referral.