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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swelling And Inflammation Of Fingers Post Steroid Shot?

I had bilateral carpal tunnel release in 2010. I had to have a steroid shot in one finger on right hand a year later as it was swollen. I had trigger finger release on that finger in 2014. Surgery resulted in full extension of finger, however, within a few months that finger along with two others became inflamed. Had cords removed from both fingers to regain movement. Within a few months, other fingers became difficult to move and ended up have full palmar fasciotomy. Might have spelled that wrong. While I can fully extend my fingers, don t even think of moving them back too far. Extremely painful. Cannot make a fist either. Too much fluid in fingers. Feel like they are just filled with fluid and very painful. Have had multiple cortisone shots. Not at all effective. I am at a total loss of what to do next. Should I have a blood test, and if yes, what should I ask them to test for?
Wed, 4 May 2016
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Dentist 's  Response
Hi Dear,

Welcome to HCM.

Understanding your concern. As per your query you have swelling and inflammation of fingers post steroid shot . Well there can be many reasons for symptoms you mention in query like nerve compression , diabetes , allergic reaction , gout or multiple Sclerosis . Sometimes the symptoms you mention in query can also occur due to organ failure like kidney failure or heart failure , gout . If condition doesn't get well then consult orthopedic surgeon for proper examination. Doctor may order blood test , urine test , CT scan or MRI along with physical examination to confirm the diagnosis . Doctor may prescribe methotrexate , anti inflammatory , gabapentin and recommend physical therapy . I would suggest you to lower your salt consumption , apply warm compresses on entire hand , keep your arm and hand elevated while sleeping and take muscle relaxants like orthodox MR . Doctor may also refer you to cardiologist in case of cardiac problem or to nephrologist in case of kidney problem .

Hope your concern has been resolved.

Get Well Soon.

Best Wishes,
Dr. Harry Maheshwari
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What Causes Swelling And Inflammation Of Fingers Post Steroid Shot?

Hi Dear, Welcome to HCM. Understanding your concern. As per your query you have swelling and inflammation of fingers post steroid shot . Well there can be many reasons for symptoms you mention in query like nerve compression , diabetes , allergic reaction , gout or multiple Sclerosis . Sometimes the symptoms you mention in query can also occur due to organ failure like kidney failure or heart failure , gout . If condition doesn t get well then consult orthopedic surgeon for proper examination. Doctor may order blood test , urine test , CT scan or MRI along with physical examination to confirm the diagnosis . Doctor may prescribe methotrexate , anti inflammatory , gabapentin and recommend physical therapy . I would suggest you to lower your salt consumption , apply warm compresses on entire hand , keep your arm and hand elevated while sleeping and take muscle relaxants like orthodox MR . Doctor may also refer you to cardiologist in case of cardiac problem or to nephrologist in case of kidney problem . Hope your concern has been resolved. Get Well Soon. Best Wishes, Dr. Harry Maheshwari