Heberden's

Heberden's nodes are hard or bony swellings that can develop in the distal interphalangeal joints (DIP) (the joints closest to the end of the fingers and toes). They are a sign of osteoarthritis and are caused by formation of osteophytes (calcific spurs) of the articular (joint) cartilage in response to repeated trauma at the joint.

Signs and Symptoms

Heberden's nodes typically develop in middle age, although they can also appear at any age in people who have a genetic predisposition to them. They are more common in women than in men. The nodes can be painful when they are forming, and can limit the finger's range of motion. However, they are not always associated with significant pain or limited mobility.

Causes

The exact cause of Heberden's nodes is not known, but they are associated with osteoarthritis and are thought to be caused by wear and tear on the joints over time. They can also be hereditary.

Diagnosis

Heberden's nodes can be diagnosed by a physical examination. The doctor will look for the characteristic hard or bony swellings on the fingers or toes. X-rays may also be used to confirm the diagnosis and to assess the extent of the arthritis.

Treatment

There is no specific treatment for Heberden's nodes. Treatment is aimed at managing the symptoms and preventing further joint damage. This may include pain relievers, anti-inflammatory medications, and physical therapy. In severe cases, surgery may be considered.

See Also

• Osteoarthritis
• Osteophyte
• Distal interphalangeal joints

References

Heberden's Resources
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