Ulnar Side Of Wrist + Area Just Below Wrist Crease

Posted on Sun, 16 Aug 2020

Question: ulnar side of wrist + area just below wrist crease swell and pain after lifting weighhts/push/repetitive movement - almost 10yrs now. left index pip swelling occassionally, recurrent. Left wrist mri showed tendinosis - 2019 Xray normal for both fingers - XXXXXXX 2020. Anticcp normal in 2018. Crp normal, esr 15, rf normal - XXXXXXX 2019. Rf normal - XXXXXXX 2020. Esr 24, 28, 20 on different days in jul 2020.

Follow up: Dr. Divya Agarwal (17 minutes later)

My fbc is normal. No familial history of autoimmune disease. I have seen 3 ortho and 1 rheumatologist - discharged, no treatment

Answered by Dr. Divya Agarwal (23 minutes later)

Brief Answer:
SEE BELOW

Detailed Answer:
hi
yes the possibility of arthritis is there.
however it is seronegative as RF,anti CCP is negative.
I hope other issues like vitamin D deficiency etc have been looked into, and are normal.
is there any history of psoriasis in the family, it can sometimes progress in this way when it causes arthritis, other issues like back pain need to be ruled out.
if anti inflammatory medication give good relief then the chances of inflammatory arthritis are high. also sometimes on clinical basis we do prescribe anti rheumatic drugs.
do let me know.
regards

Above answer was peer-reviewed by : Dr. Nagamani Ng