
Our hands are a complex network of bones, muscles, nerves, connective tissue, and blood vessels. There are 34 muscles in each hand, which work together to help us move our hands and fingers. Our hands have intrinsic muscles, located within the hand itself, and extrinsic muscles, which are near the outside of the hand and in the forearm. These muscles are innervated by the radial, median, and ulnar nerves. The median nerve, for example, innervates the flexors of the wrist and digits, the abductors and opponens of the thumb, and the first and second lumbricals. Hand pain can be caused by injuries, repetitive strain, or arthritis, and can be treated with medication or home remedies.
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What You'll Learn
- The hand and wrist are made up of bones, muscles, nerves, connective tissue, and blood vessels
- The hand contains intrinsic and extrinsic muscles, which give the hand its strength and dexterity
- The thenar and hypothenar muscles control the thumb and pinky finger, respectively
- The interossei muscles allow us to spread and pull our fingers together
- Carpal tunnel syndrome can cause hand pain and numbness due to a trapped nerve

The hand and wrist are made up of bones, muscles, nerves, connective tissue, and blood vessels
The hand and wrist are complex structures that allow us to interact with the world around us. They are made up of bones, muscles, nerves, connective tissue, and blood vessels.
There are 19 bones in each hand, grouped by location and function. The metacarpals are the bones in the palm, while the phalanges are the individual bones that make up the segments of the fingers and thumb. The sesamoids are small bones embedded in the tendons, helping them move smoothly. The wrist is a complex joint made of eight carpal bones arranged in two rows, connected to the ulna and radius bones of the arm. The radius is the larger of the two forearm bones and forms a joint with the scaphoid and lunate bones, allowing the wrist to move and rotate.
The hand and wrist contain two groups of tendons: extensor tendons, which help extend and straighten the fingers, hand, and wrist; and flexor tendons, which help flex and curl them. Tendons are like strong, flexible ropes that connect muscles to bones. Ligaments, on the other hand, are thick rubber band-like connective tissues that help joints move smoothly, protect them from bending too far, and keep them in proper alignment. The collateral ligaments, for example, run on the outside edges of the fingers and thumb, protecting the joints from side-to-side movement.
The muscles in the hand and wrist work together to allow movement and dexterity. There are 34 muscles in each hand, including intrinsic muscles inside the hand and extrinsic muscles near the outside of the hand and forearm. The thenar muscles, located at the base of the thumb, control the thumb's fine movements. The hypothenar muscles, on the other hand, line the outer edges of the palm on the outside of the pinkie finger and control the area opposite the thumb. The interossei muscles, which include four dorsal and three palmar interossei, allow us to spread our fingers apart and pull them together.
The nerves in the hand and wrist control the muscles and help us feel and process sensations such as temperature. The radial, median, and ulnar nerves are connected to smaller nerves that spread out into the hand and wrist.
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The hand contains intrinsic and extrinsic muscles, which give the hand its strength and dexterity
The human hand is a complex network of bones, muscles, nerves, connective tissue, and blood vessels. The skeletal muscles of the hand are responsible for its movement and can be divided into two groups: the extrinsic and intrinsic muscles.
The extrinsic muscle group gets its name from the fact that the muscle belly originates in the forearm. The intrinsic muscle groups, on the other hand, consist of smaller muscles located solely within the various hand osseofascial compartments, between the wrist and phalanges. The intrinsic muscles are responsible for various fine motor functions of the hand, such as pinch and grip strength.
The interossei muscles, for example, are a type of intrinsic muscle that begins between the bones of the hand. There are four dorsal and three palmar interossei muscles. While all interossei bend the MCP joints, the dorsal interossei allow us to spread our fingers away from each other, and the palmar interossei pull our fingers together. The first dorsal interosseous muscle is the largest and is often the first to shrink in patients with severe cubital tunnel syndrome due to damage to the ulnar nerve.
The hypothenar muscle group is formed by three muscles: the abductor digiti minimi, the flexor digiti minimi, and the opponens digiti minimi. These muscles form the muscle bulk on the small finger side of the hand. The abductor allows the small finger to pull away from the ring finger, the flexor allows the small finger to bend at the MCP joint, and the opponens allows us to cup our hands by bringing the small finger towards the thumb.
The thenar muscle group is found at the base of the thumb, forming the muscle bulk on the thumb side of the hand. It is comprised of three muscles: the abductor pollicis brevis, the flexor pollicis brevis, and the opponens pollicis. The abductor pollicis brevis pulls the thumb away from the index finger, and the flexor pollicis brevis bends the thumb toward the small finger. The opponens pollicis is responsible for one of the most important functions of the human hand: the ability to bring the thumb away from the fingers so that we can grasp objects.
The hand contains 34 muscles in total, and the intrinsic and extrinsic muscles work together to give the hand its strength and dexterity.
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The thenar and hypothenar muscles control the thumb and pinky finger, respectively
The human hand is a complex network of bones, muscles, nerves, connective tissue, and blood vessels. The intrinsic muscles of the hand are located within the hand itself and are responsible for fine motor functions. The thenar and hypothenar muscles are part of the intrinsic muscles of the hand.
The thenar muscles are three short muscles located at the base of the thumb. They produce a bulge, known as the thenar eminence, which can be observed and felt at the base of the thumb. These muscles are responsible for the fine movements of the thumb. The median nerve innervates all the thenar muscles. The opponens pollicis is the largest of the thenar muscles and lies underneath the other two. It originates from the tubercle of the trapezium and the associated flexor retinaculum and inserts onto the lateral margin of the first metacarpal. The abductor pollicis brevis and the flexor pollicis brevis are the other two muscles that make up the thenar muscle group.
The hypothenar muscles are three short muscles of the medial (ulnar) palmar compartment of the hand. They form a noticeable fleshy prominence on the medial side of the palm called the hypothenar eminence. The hypothenar eminence is located at the base of the fifth digit (little finger) and is made up of four muscles that contract to manifest motion through the little finger. The abductor digiti minimi, the flexor digiti minimi brevis, and the opponens digiti minimi are the three muscles that make up the hypothenar muscle group. A fourth muscle, the palmaris brevis, is also located in this region but is typically classified separately as a superficial muscle. The hypothenar muscles are innervated by the deep branch of the ulnar nerve, except for the palmaris brevis, which is supplied by the superficial branch of the ulnar nerve.
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The interossei muscles allow us to spread and pull our fingers together
The human hand is a complex network of bones, muscles, nerves, tendons, ligaments, blood vessels, and parts of the lymphatic system. Our hands and wrists help us interact with the world around us every day.
The interossei muscles are intrinsic hand muscles situated between the metacarpal bones in your palm. They help your fingers move side-to-side. There are four dorsal and three palmar interossei muscles. While all interossei bend the MCP joints, the dorsal interossei allow us to spread our fingers away from each other. The palmar interossei pull our fingers together.
The first dorsal interosseous muscle is the largest and originates from the 1st and 2nd hand bones. It forms the contour between the thumb and index finger when looking at the top of the hand. In addition to pulling the index finger away from the middle finger, it also pulls the thumb towards the index finger. This action provides strength and stability when pinching.
The hypothenar muscle group is formed by three muscles: the abductor digiti minimi, the flexor digiti minimi, and the opponens digiti minimi. The abductor digiti minimi is the most superficial of the hypothenar muscle group. It originates from the pisiform and the tendon of the flexor carpi ulnaris and attaches to the base of the proximal phalanx of the little finger. The flexor digiti minimi brevis lies laterally to the abductor digiti minimi in the hand. It originates from the hook of hamate and adjacent flexor retinaculum and inserts into the base of the proximal phalanx of the little finger.
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Carpal tunnel syndrome can cause hand pain and numbness due to a trapped nerve
Carpal tunnel syndrome is a common condition that causes hand pain and numbness due to a trapped nerve. It occurs when the carpal tunnel, a narrow passageway in the wrist, becomes narrowed or when the tissue surrounding the flexor tendons (synovium) swells, putting pressure on the median nerve. This pressure can result in numbness, tingling, pain, and weakness in the hand and wrist.
The median nerve is one of the major nerves in the hand, helping to move the forearm and providing feeling to most of the fingers and hands. When this nerve is damaged or irritated, it can send incorrect signals to the hand and wrist, resulting in the symptoms of carpal tunnel syndrome. These symptoms can include wrist pain, tingling, numbness, and weakness, often beginning at night.
Carpal tunnel syndrome usually develops gradually, without a specific injury, and it is more common in women and older individuals. Certain health conditions, such as diabetes, rheumatoid arthritis, and thyroid gland imbalance, are also associated with a higher risk of developing this syndrome. Additionally, hormonal changes during pregnancy can cause swelling that results in pressure on the nerve.
To prevent permanent nerve damage, it is important to seek prompt diagnosis and treatment for carpal tunnel syndrome. Treatment options include wearing a splint, physical therapy, and, in some cases, surgery to relieve pressure on the median nerve. Early symptoms can often be managed with simple measures such as rest, ice, compression, and elevation.
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Frequently asked questions
Hand pain can be caused by injuries, repetitive strain, and arthritis. Some home remedies to ease the discomfort include:
- Rest
- Ice
- Compression
- Elevation
There are 34 muscles in each hand. These muscles work together to help you move your hand and fingers. The muscles of the hand are innervated by the radial, median, and ulnar nerves. The radial nerve innervates the finger extensors and the thumb abductor, allowing for extension and abduction of the fingers and thumb. The median nerve innervates the flexors of the wrist and digits, as well as the abductors and opponens of the thumb. The ulnar nerve innervates the remaining intrinsic muscles of the hand.
Some exercises to help soothe hand pain and increase the range of motion in your fingers and thumbs include:
- Holding your hand out in front of you with your wrist straight and gently touching your thumb to each of your fingertips, making an "O" shape. Hold each stretch for 30-60 seconds and repeat at least four times on each hand.
- Placing your hand flat on a table and wrapping a rubber band around your hand at the base of your finger joints. Gently move your thumb away from your fingers as far as you can and hold for 30-60 seconds. Repeat 10-15 times with both hands.
- Playing with putty or clay to increase the range of motion in your fingers and strengthen your hands.











































