Heberden's Disease

Heberden's disease: Description and features

Heberden disease, also known as primary osteoarthritis of the fingers, is a chronic joint disease that often affects the hands and fingers. Named after the English physician William Heberden (1710-1801), this pathology has its own unique clinical presentation and characteristic symptoms.

Heberden disease usually begins with pain, stiffness, and limited movement in the joints of the fingers. It most often affects the joints of the distal phalanges of the fingers, that is, the joints closer to the nails. As the disease progresses, the joints may become larger, more inflamed, and deformed.

One of the key characteristics of Heberden disease is the so-called “lumpy” nodes that form on the knuckles. These nodes are tumors or thickenings on bones and joints that may be palpable. Heberden's knots can be painful and cause discomfort when performing everyday tasks, such as grasping objects or fastening buttons.

Although the cause of Heberden disease is not fully understood, it is believed that heredity, aging, as well as environmental factors may play a role in its development. Women over 40 years of age have a higher risk of developing this disease than men.

Diagnosis of Heberden disease is usually based on clinical examination and evaluation of symptoms. X-rays can be used to confirm the diagnosis and assess the extent of joint damage.

Treatment for Heberden disease aims to relieve pain, improve joint function, and reduce inflammation. Conservative treatments may include anti-inflammatory medications, physical therapy, joint exercises, and support devices such as silicone rings.

In some cases, when conservative methods do not provide sufficient relief, surgery may be necessary. Surgical procedures may include node removal, joint reconstruction, or joint replacement.

Although Heberden disease is a chronic condition, effective symptom management and timely seeking medical care can help reduce the impact of the disease on a patient's quality of life. Regular exercise, maintaining a healthy lifestyle, and following your doctor's recommendations can also be helpful in managing this condition.

In conclusion, Heberden's disease is a chronic condition that affects the joints of the fingers and can cause pain, deformity and limited movement. Early treatment seeking and effective symptom management can help patients cope with the disease and maintain an active lifestyle.