Hand arthritis treatment
Hand OA is treated with a combination of joint protection, exercise, and pain relief. Inflammatory hand arthritis (such as RA) is treated with disease-modifying drugs alongside hand therapy.
Treatment approaches
Hand exercises
Daily range-of-motion and gentle strengthening exercises preserve function.
Topical NSAIDs
First-line drug treatment for hand OA.
Splinting
Particularly helpful for thumb-base OA and during flares of inflammatory arthritis.
Occupational therapy
Joint protection, adaptive equipment, and task modification.
Steroid injections
Useful for severely painful individual joints.
Surgery
Considered for severe thumb-base or finger joint problems that don't respond to other treatment.
This is general information, not a substitute for personalised medical advice.
Frequently asked questions
What is the best treatment for hand arthritis in the UK?
UK treatment for hand arthritis follows NICE guidance and usually combines self-management (exercise, weight control, pacing), pain relief, and — where needed — specialist medication or therapy. There is no single "best" option; the right plan depends on the type, severity and joints involved.
Can hand arthritis be cured?
Most forms of hand oa cannot be cured, but they can be very effectively managed. With the right combination of exercise, medication, and lifestyle support, many people maintain a full and active life.
What painkillers help hand arthritis?
Common options include paracetamol, topical or oral NSAIDs (such as ibuprofen) and, for inflammatory types, prescription medication such as DMARDs or biologics. Always take pain relief at the lowest effective dose and ask your GP or pharmacist about interactions.
Do I need a referral to see a rheumatologist for hand oa?
Yes — in the UK, you'll usually need a referral from your GP to access UK healthcare rheumatology services. If your GP suspects an inflammatory arthritis, NICE recommends urgent referral so that treatment can start early.
Are there free UK healthcare resources for hand arthritis treatment?
Yes. UK healthcare physiotherapy, occupational therapy, pain clinics and self-management programmes are available — many free at the point of use. Ask your GP or check the UK healthcare system website for services in your area.