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Swollen, Hot Middle Finger Knuckle. Treated For Tendonitis. No Relief. Suggest The Treatment?
I woke up thursday morning two weeks ago with a swollen, hot, middle finger knuckle (where it joins hand). It was fine when I went to bed Wed night. I have not been doing anything in a repetitive manner to cause this. I am a 59 yr old female in good health.
By Sunday it was so painful I went to emergency room. The Dr. said it was tendonitis and gave me anti inflammatory drug for 15 days. I finished them yesterday but have had no improvement with knuckle. It is still red, hot and swollen. Should I get another round of antiinflammatory meds?
By Sunday it was so painful I went to emergency room. The Dr. said it was tendonitis and gave me anti inflammatory drug for 15 days. I finished them yesterday but have had no improvement with knuckle. It is still red, hot and swollen. Should I get another round of antiinflammatory meds?
Mon, 4 Nov 2013
Hello,
Thanks for the query to H.C.M. Forum.
In my opinion this type of red swelling , pain in middle finger may be due to .
1 Rheumatoid arthritis , diagnosis can be confirmed by rheumatoid factor examination. As you mentioned that there is pain in the middle finger with redness and swelling .
2 Gout , may be a gouty arthritis , diagnosis can be confirmed by examination of blood for uric acid level .
3 Osteoarthritis , diagnosis can be confirmed by C B C & e s r .
4 Other causes may be osteoporosis , so get blood for calcium level as in this age group this is a very common disease due to depletion of estrogen level.
In my opinion consult an orthopedic surgeon and get his opinion as physical examination is very important.
Good luck. Dr. HET
Thanks for the query to H.C.M. Forum.
In my opinion this type of red swelling , pain in middle finger may be due to .
1 Rheumatoid arthritis , diagnosis can be confirmed by rheumatoid factor examination. As you mentioned that there is pain in the middle finger with redness and swelling .
2 Gout , may be a gouty arthritis , diagnosis can be confirmed by examination of blood for uric acid level .
3 Osteoarthritis , diagnosis can be confirmed by C B C & e s r .
4 Other causes may be osteoporosis , so get blood for calcium level as in this age group this is a very common disease due to depletion of estrogen level.
In my opinion consult an orthopedic surgeon and get his opinion as physical examination is very important.
Good luck. Dr. HET
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