
Suggest Treatment For Swollen And Painful Finger

So my concern is that about a month ago my index finger started to hurt - it felt like I sprained it but it came out of nowhere. It's been getting worse and then 3 days ago my index finger on my other hand started to hurt. Now they both hurt quite badly - its becoming hard to squeeze things, open doors....the pain is moving into my hand and tonight I noticed the veins in my hands are becoming dark purple and a little swollen......I also feel the pain a little more going up my arms - but I could just be getting scared. I was having numbness episodes in my arms and legs about 6 months ago but those stopped......I hope you can help me! I'm 38, female and have been really healthy my whole life.
It can be trigger finger
Detailed Answer:
Hello madam,
I have studied your case and I think that you are having two conditions at the same time.
1. Trigger finger - Pain in both hand can be due to trigger finger. In this condition tendon sheath of the finger becomes tight, and gliding movement of tendon becomes restricted. This causes pain in the hand and difficulty in gripping objects. You can also feel nodule at base of finger.
treatment of this condition is physiotherapy in the form of hot water fomentation. Also you will need steroid injection in the sheath. This injection will give you good pain relief. This injection can be repeated after 6 -12 weeks.
Patients who do not get relief with steroid injection might need a surgery . It is a minor procedure and in this tendon sheath is splited. This causes release of pressure. You can start work after two weeks of surgery.
2. You have also described about pain in whole arm and tingling and numbness. I think this can be due to cervical spondylitis . In this condition there is nerve compression in the spine due to disc herniation. For confirmation you will need x ray of the neck. After confirming he diagnosis you should follow these steps.
1. Avoid keeping neck in same position for long time.
2. Avoid using very big pillow.
3. Tablet Pregabalin and Methylcobalamine daily.
Discuss about aforementioned medication with your doctor.
I hope these measures will be helpful for you. Let me know If there is any other follow up questions.
thanks.


Another thought I has was that this was the start of Arthritis....it runs in my family. Is this how it can feel and start?
Get MRI and few other investigations
Detailed Answer:
Hello,
I would suggest you to get few investigations like .
ESR, CRP and Ra factor
Also get MRI of the cervical spine. This MRI will show nerve compression or disc herniation. As you said that joint pain is present in family so it can be arthritis. After these investigations we will get clear picture of your disease.
I hope this answer will be helpful for you. Let me know if there is any other follow up questions.
Thanks

Answered by

Dr. Dr. Naveen Kumar Sharma
Orthopaedic Surgeon, Joint Replacement
Practicing since :2002
Answered : 4486 Questions
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