Finger Joint Nerve Pain: Causes and Treatment Options - Neurosurgery

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Understanding finger joint nerve pain can be complex, as it may arise from various underlying causes. Based on your description, it seems you are experiencing localized pain in your left hand, specifically around the middle and third joints of your middle finger. This pain occurs when pressure is applied, but there are no visible signs of swelling or numbness.

Possible Causes of Finger Joint Pain
1. Joint Injury or Strain: Even a minor injury or strain can lead to pain in the joints. If you have engaged in repetitive activities or have had a recent incident that may have stressed the finger, this could be a contributing factor.

2. Tendinitis: Inflammation of the tendons around the finger joints can cause pain, especially during movement or when pressure is applied. This condition is often seen in individuals who perform repetitive motions, such as typing or playing musical instruments.

3. Arthritis: Osteoarthritis or rheumatoid arthritis can lead to joint pain. While you mentioned no visible swelling, early stages of arthritis may not always present with noticeable symptoms.
4. Nerve Compression: Conditions like carpal tunnel syndrome or other forms of nerve compression can lead to pain in the fingers, although they typically present with additional symptoms like numbness or tingling.

5. Scar Tissue or Adhesions: If you have had previous injuries, scar tissue may form, leading to pain during movement or pressure.

6. Referred Pain: Sometimes, pain in the fingers can be referred from other areas, such as the neck or wrist. Nerve issues in these regions can manifest as pain in the fingers.


Treatment Options
1. Rest and Ice: Initially, resting the affected finger and applying ice can help reduce inflammation and pain. Avoid activities that exacerbate the pain.

2. Over-the-Counter Pain Relief: Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and reduce inflammation.

3. Physical Therapy: Engaging in physical therapy can help strengthen the muscles around the joint and improve flexibility. A therapist can provide tailored exercises to alleviate pain.

4. Splinting: In some cases, using a splint to immobilize the finger may help reduce pain and allow for healing.

5. Corticosteroid Injections: If inflammation is significant, a doctor may recommend corticosteroid injections to reduce swelling and pain.

6. Surgery: In cases where conservative treatments fail, surgical options may be considered, especially if there is significant nerve compression or structural issues.


When to Seek Medical Attention
Given that your symptoms have persisted for three days without improvement, it would be prudent to consult a healthcare professional. While it may not be necessary to see a neurosurgeon immediately, starting with a visit to a primary care physician or an orthopedic specialist would be advisable. They can perform a thorough examination, possibly including imaging studies like X-rays or MRIs, to determine the underlying cause of your pain.

In summary, while your symptoms may not seem severe at this stage, early intervention can prevent potential complications and lead to more effective treatment. It’s essential to listen to your body and seek medical advice if the pain persists or worsens.