Frequent sudden pain in the fingers?
This year, I've noticed that sometimes my fingers feel uncomfortable when I wake up, whether they are bent or straight.
By the evening, the pain tends to worsen.
The next day, I even have difficulty braking while riding my scooter.
Today was the same.
When I touch the area near my palm by the ring finger, it hurts when I apply pressure.
I did a bit of research and it doesn't seem like rheumatoid arthritis because the symptoms aren't symmetrical.
During my company's health check, I paid out of pocket for tests, and there were no elevated values related to autoimmune issues.
Every time I visit the orthopedic clinic, the doctors seem very casual; they barely examine me for a minute before prescribing muscle relaxants, even though I explain that my pain is due to lack of exercise or overuse.
JO, 20~29 year old female. Ask Date: 2020/11/24
Dr. Shi Guozheng reply Orthopedics
Based on your description, it could be tendonitis or trigger finger.
It's important to consult a specialist for further evaluation.
If the diagnosis is confirmed, medication treatment is possible, and injections may be necessary.
You should also be mindful of any issues related to overuse.
Reply Date: 2020/11/24
More Info
Sudden finger pain can be a perplexing issue, especially when it occurs without any apparent cause, such as strenuous activity or injury. Your description of discomfort upon waking, which intensifies throughout the day, suggests that there may be underlying factors contributing to this pain. While it’s good that you’ve ruled out rheumatoid arthritis and autoimmune issues through your health check, there are still several potential causes for your symptoms that warrant consideration.
One possible explanation for your sudden finger pain could be related to repetitive strain or overuse, even if you believe you haven't engaged in any strenuous activities. Many people experience discomfort from activities that may seem benign, such as typing, using a smartphone, or even sleeping in an awkward position. These activities can lead to inflammation in the tendons or joints of the fingers, resulting in pain. Conditions like tenosynovitis, which is inflammation of the sheath surrounding a tendon, can cause localized pain and discomfort, particularly when pressure is applied.
Another potential cause could be nerve-related issues. Conditions such as carpal tunnel syndrome, where the median nerve is compressed at the wrist, can lead to pain, tingling, or weakness in the fingers. Although you mentioned that the pain is not symmetrical, nerve compression can still occur unilaterally, especially if there are factors such as wrist positioning during sleep or repetitive motions that exacerbate the condition.
Additionally, the pain you experience when pressing on the area near your ring finger could indicate localized inflammation or a soft tissue injury. This could be due to a condition known as De Quervain's tenosynovitis, which affects the tendons on the thumb side of the wrist and can cause pain that radiates into the fingers.
Given that you have been prescribed muscle relaxants without a thorough examination, it may be beneficial to seek a second opinion from a different healthcare provider, preferably one who specializes in musculoskeletal disorders. A comprehensive evaluation, including a physical examination and possibly imaging studies like X-rays or an MRI, could provide more insight into the underlying cause of your pain.
In the meantime, there are several self-care strategies you can implement to help alleviate your symptoms. Resting your fingers and avoiding activities that exacerbate the pain is crucial. Applying ice to the affected area can reduce inflammation and provide relief. Additionally, gentle stretching and strengthening exercises for the fingers and hands may help improve flexibility and reduce discomfort. If you find that certain positions or activities trigger your pain, consider modifying them to see if that helps.
In conclusion, while your symptoms may not indicate a severe underlying condition, they are certainly worth investigating further. Seeking a thorough evaluation from a knowledgeable healthcare provider can help you understand the root cause of your finger pain and guide you toward effective treatment options. Remember, early intervention can often lead to better outcomes, so don’t hesitate to advocate for your health.
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