Arthritis :: 1st Knuckle On Index Finger Is Pretty Swollen / Stiff And Fairly Painful


Jan 2, 2011

I have had this for over a week, and it seems to be getting worse.  I am 33 and in very good health.

The 1st knuckle on my index finger is pretty swollen, stiff and has a fair amount of pain when I bend or touch it.  I have already been to urgent care, and was told it was not infected due to no heat or redness.  I was given Ibuprofen and a splint, told to follow up tomorrow if no improvement.  They sugest bloodwork to test for uric acid or arthritis.  he said possibly gout, but that is usually more painful.  I do eat a high red meat diet, with higher purine foods- ie aspargus and beans.

I do not recall injuring it enough to cause anything like this.  i do crick my knuckles- old habit I am slowly breaking- but that has never given me problems either.  I have started cold compress today and occasional war, Ill see what that does.

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I’ve been experiencing a pain in both of my palms (more like a burning sensation) that comes and goes during the day but is generally more painful at night. The pain is located below my thumbs in the fleshy area of the palm called the Abductor Pollicis Brevis area.  (I’ve obviously been researching this too much to know all these terms!!)

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I'd ask if there was any way to relieve the pain, but I'm guessing that's a big fat "no." Aspirin and Ibuprofen don't help much. Is there some kind of surgery that I should be thinking about in the future? I know you guys aren't doctors, but the ones I've been to are giving me a complete run around. One of them even told me that maybe everything would just go away. Ha, yeah....a list of 25+ ongoing symptoms will instantly vanish.

Okay, well thanks so much for any input you guys have. I'm 28 and this is all kind of hard to swallow, especially since I work with my hands a lot.

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Clicking And Pain In My Left Ring Finger. NOT Trigger Finger?

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The swelling in my hand has gone away after about two months of not moving it a lot and keeping it wrapped up. But each time I completely straighten (like I am stretching my hand) out, my ring finger makes a clicking noise and kind of pops up. Moving it certain ways, making a fist, putting pressure, pulling, or grasping something wrong hurts extremely bad. I can feel it move down at the base of my finger (like my last knuckle). It has caused a problem for me because it hurts with most normal things that I do. Even typing this is irritating.

So I finally went to an orthopedic and he looked at my hand and X-rays and said he isn't sure what it is and he recommends me to see a hand surgeon.

I did. I drove almost 2 hours each way to see this doctor and here's what happened in a span of 3 different visits.

He suspected trigger finger even though he said certain symptoms were odd. He gave me a cortisone injection into my left ring finger and OMG that was painful. But to be honest that pain from the swelling of the injection was about as bad as my hand felt right after it happened. But sadly that didn't help. So my doctor sent me to get an MRI. With the results of the MRI, he told me that he saw swelling in my finger and that he thinks is in the sheath but said he doesn't know what is causing that. So he told me he was stumped and should see someone who is more of a specialist and gave me a few names. None of them take my insurance.

So I decided to put all of my info out here and see if someone has had something similar happen or knows what might be going on with my finger.

I will also post below the "findings" on my MRI report.

"There is a focus of marrow edema involving the dorsal aspect at the base of proximal phalanx fourth digit and adjacent dorsal aspect head of fourth metacarpal with a focal small cortical invagination of the metacarpal which may be post traumatic in etiology from previous impaction. No discrete fracture or dislocation is appreciated at the fourth digit IP joints pr MCP joint. The flexor and extensor mechanisms and tendons appear intact. No significant sized joint effusions. No significant degenerative or arthritic bony changes are appreciated. Visualized musculature has normal signal. Subcutaneous tissues are intact."

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