Finger Inflammation: Causes and Treatment Options - Orthopedics

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Inflammation of the fingers on the right hand?


Last week, I felt some pain in my hand, but I didn't pay much attention to it.
After several days, it became swollen and bending it causes pain, so I can't make a fist.
It seems like the adjacent fingers are also affected and hurt.
Could this be because I often crack my knuckles, even if I can't fully bend them? Or is it possible that it could be gout? My previous blood tests were normal.

Rin, 10~19 year old female. Ask Date: 2018/02/12

Dr. Li Yongheng reply Orthopedics


Hello, based on your symptoms, it is possible that you have developed right hand finger tendon fasciitis due to frequent finger bending or overuse of your right hand.
The likelihood of young women developing gout is low.
I recommend resting your right hand, applying ice, and using anti-inflammatory medication for treatment.
You should be able to recover in 5-7 days.
Wishing you a speedy recovery.

Reply Date: 2018/02/12

More Info


Finger inflammation can be a frustrating and painful condition, and understanding its causes and treatment options is essential for effective management. Based on your description, it seems that you have been experiencing pain and swelling in your fingers, which has progressively worsened over time. This situation can arise from various underlying issues, and I will outline some potential causes, as well as treatment options that may help alleviate your symptoms.


Possible Causes of Finger Inflammation
1. Overuse or Repetitive Strain: Engaging in activities that require repetitive motions, such as typing, playing musical instruments, or even excessive bending of the fingers, can lead to inflammation. This is often seen in conditions like tendinitis, where the tendons become irritated and inflamed due to overuse.

2. Injury: A previous injury, even if it seemed minor at the time, can lead to inflammation. If you have been bending your fingers forcefully, it could result in strain or micro-tears in the ligaments or tendons, causing pain and swelling.

3. Arthritis: Conditions such as osteoarthritis or rheumatoid arthritis can cause inflammation in the joints of the fingers. Symptoms typically include pain, swelling, and stiffness, particularly after periods of inactivity.

4. Gout: Although you mentioned that your blood tests were normal, gout is a type of inflammatory arthritis that can cause sudden and severe pain, often in the big toe but can also affect the fingers. It results from the accumulation of uric acid crystals in the joints.

5. Infection: Infections can also lead to inflammation and swelling in the fingers. If there is any cut or break in the skin, bacteria can enter and cause an infection, leading to redness, warmth, and swelling.

6. Allergic Reactions: Sometimes, allergic reactions to substances that come into contact with the skin can cause localized swelling and inflammation.


Treatment Options
1. Rest and Activity Modification: It is crucial to give your fingers a break from activities that exacerbate the pain. If you find yourself frequently bending your fingers, try to limit those movements and allow time for healing.

2. Ice Therapy: Applying ice to the affected area can help reduce swelling and numb the pain. Use an ice pack wrapped in a cloth for 15-20 minutes several times a day.

3. Over-the-Counter Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen can help reduce inflammation and relieve pain. Always follow the recommended dosage and consult with a healthcare provider if you have any concerns.

4. Physical Therapy: A physical therapist can provide exercises to strengthen the muscles around the fingers and improve flexibility, which may help alleviate pain and prevent future injuries.

5. Splinting: Using a splint or brace can immobilize the affected finger, allowing it to rest and heal while preventing further strain.

6. Consult a Specialist: If your symptoms persist or worsen, it is advisable to consult a healthcare professional, such as a rheumatologist or orthopedic specialist. They can perform a thorough examination, possibly including imaging studies, to determine the exact cause of your inflammation and recommend appropriate treatment.

7. Lifestyle Modifications: Maintaining a healthy lifestyle, including a balanced diet and regular exercise, can help manage inflammation. If gout is a concern, dietary changes to reduce purine intake (found in red meats and certain seafood) may be beneficial.

In conclusion, finger inflammation can stem from various causes, including overuse, injury, arthritis, or even infections. Identifying the underlying cause is crucial for effective treatment. If your symptoms continue or worsen, seeking medical advice is essential to ensure proper diagnosis and management. Remember to listen to your body and give it the care it needs to recover fully.

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