Pain in Your Right Ring Finger: Causes and Solutions - Rehabilitation

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Issues with the right ring finger?


Hello Dr.
Wang,
I would like to ask you about some discomfort I noticed today.
I found that my right hand's ring finger, near the base close to the palm, hurts slightly when I wash my hands and rub them together.
Later, when I pressed or massaged the area just above the base of the bone, I felt a mild pain.
It also hurts a little when I make a fist.
I suddenly remembered that about six months ago, I accidentally used this hand to block a door with some force, and I thought it might be broken because it felt a bit deformed.
I went to a large hospital and saw an orthopedic doctor who took an X-ray and said everything looked normal and that it was probably just something I hadn't noticed before.
They prescribed me a cream containing etominafate, suggesting it was likely a temporary strain causing the pain.
Eventually, it got better.
Now, I'm wondering if this could be a residual effect.
However, I only felt this discomfort today.
Could it be that frequent hand washing caused a strain since I washed my hands many times? Is it possible to strain that area, or did I just bump it? I applied the previous medication, and it has almost relieved the pain.
I'm unsure if I need to see an orthopedic or rehabilitation specialist again.
I'm a bit worried it could be something like rheumatoid arthritis or trigger finger, as I've read online.
However, I don't have swelling and usually don't feel pain—could that be possible? I'm not very clear on the general symptoms, and I'm not sure if this area counts as a joint; it feels more like bone.
I hope you can provide some answers, thank you, doctor!

P, 20~29 year old female. Ask Date: 2020/05/16

Dr. Wang Zhaomin reply Rehabilitation


Pain in the finger joints may be related to tendon or joint inflammation.
Improper use, external impact, pulling, or repetitive strain can lead to discomfort.
It is advisable to apply topical ointments or use heat therapy to alleviate pain.
If symptoms do not improve or worsen, it is recommended to consult an orthopedic or rehabilitation specialist.

Reply Date: 2020/05/16

More Info


Understanding pain in the right ring finger, particularly near the base close to the palm, can be quite concerning, especially when it arises suddenly after a period of normal function. Based on your description, there are several potential causes for your discomfort, and I will outline these along with some recommendations for management.


Possible Causes of Pain
1. Soft Tissue Injury: Given your history of a previous injury when you used your hand to block a door, it is possible that you may have sustained a soft tissue injury, such as a strain or sprain, which can sometimes manifest later as pain or discomfort. Even if the X-ray showed no fractures, soft tissue injuries can take time to heal and may not always present with immediate symptoms.

2. Overuse Injury: Frequent activities, such as washing your hands and scrubbing, can lead to overuse injuries. The repetitive motion can strain the muscles and tendons around the finger, leading to pain. This is especially true if you are using your hands more than usual or in an awkward position.

3. Tendonitis: Inflammation of the tendons in the finger, known as tendonitis, can occur due to repetitive motion or strain. This condition can cause pain, especially when gripping or moving the finger.

4. Joint Issues: Although you mentioned that there is no swelling, it is still possible to have joint-related issues such as early signs of arthritis or other inflammatory conditions. Rheumatoid arthritis, for instance, can sometimes present with pain without significant swelling, especially in the early stages.

5. Nerve Compression: Conditions such as carpal tunnel syndrome or other forms of nerve compression can lead to pain and discomfort in the fingers, although these typically present with additional symptoms like tingling or numbness.


Recommendations for Management
1. Rest: It is crucial to give your finger some time to rest. Avoid activities that exacerbate the pain, such as excessive washing or gripping.

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

3. Over-the-Counter Pain Relief: If you are experiencing significant discomfort, consider using over-the-counter pain relief medications such as ibuprofen or acetaminophen, following the recommended dosages.

4. Gentle Stretching and Strengthening: Once the acute pain subsides, gentle stretching and strengthening exercises can help restore function and prevent stiffness. However, avoid any movements that cause pain.

5. Monitor Symptoms: Keep an eye on your symptoms. If the pain persists or worsens, or if you develop swelling, redness, or decreased range of motion, it would be wise to consult a healthcare professional.

6. Consult a Specialist: If your symptoms do not improve with self-care measures, or if you have concerns about conditions like rheumatoid arthritis or trigger finger, it would be prudent to see a hand specialist or an orthopedic doctor for a thorough evaluation.


Conclusion
While your symptoms may be related to a previous injury or overuse, it is essential to monitor your condition closely. Pain that arises suddenly, especially after a history of trauma, should not be ignored. If you find that your symptoms do not resolve with conservative measures, seeking medical advice is the best course of action to rule out any serious underlying conditions and to receive appropriate treatment. Remember, early intervention can often lead to better outcomes and prevent chronic issues.

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