Swelling in a finger?
Recently, I have been preparing for the university entrance exam, and I noticed a swelling on the left side of the first phalanx of my right middle finger.
I'm not sure if it's due to excessive writing, as the pen rests on that part of my middle finger while I write.
Could you please advise what might be causing this?
Hong, 10~19 year old female. Ask Date: 2021/08/26
Dr. Wu Yuxin reply Dermatology
Without actually seeing the lesion, it is impossible to determine the issue.
If it is very concerning, please seek medical attention as soon as possible.
A proper examination is necessary to understand the problem and to determine how to address it.
Reply Date: 2021/08/26
More Info
Swollen fingers can be a common issue, especially for students who spend long hours writing or typing. In your case, the swelling on the left side of your right middle finger could be attributed to several factors, particularly if you have been engaging in repetitive activities like writing. Here are some possible causes and solutions for your swollen finger:
Possible Causes:
1. Overuse Injury: Prolonged writing can lead to overuse injuries, which may cause inflammation in the tendons or joints of the finger. This is often referred to as tendinitis, where the tendons become irritated and swollen due to repetitive motion.
2. Direct Trauma: If you have accidentally bumped or pressed your finger against a hard surface while writing, this could lead to localized swelling. Even minor trauma can cause inflammation and swelling in the affected area.
3. De Quervain's Tenosynovitis: This condition affects the tendons on the thumb side of your wrist and can cause pain and swelling that may radiate to the fingers. While it primarily affects the thumb, it can also impact the adjacent fingers.
4. Arthritis: Although less common in younger individuals, conditions like juvenile idiopathic arthritis can cause swelling in the joints of the fingers. If you experience persistent swelling, pain, or stiffness, it may be worth consulting a healthcare professional.
5. Infection: If the swelling is accompanied by redness, warmth, or pus, it could indicate an infection, which would require immediate medical attention.
Solutions:
1. Rest: The first step in managing swelling due to overuse is to rest the affected finger. Try to limit activities that require extensive use of your hands, especially writing.
2. Ice Therapy: Applying ice to the swollen area can help reduce inflammation and numb the pain. Use a cold pack for 15-20 minutes several times a day, ensuring you have a cloth between the ice and your skin to prevent frostbite.
3. Compression: Wrapping the finger with a soft bandage can provide support and reduce swelling. However, be careful not to wrap it too tightly, as this can impede circulation.
4. Elevation: Keeping your hand elevated can help reduce swelling. Try to rest your hand on a pillow when sitting or lying down.
5. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help relieve pain and reduce inflammation. Always follow the recommended dosage and consult a healthcare provider if you have any concerns.
6. Stretching and Strengthening Exercises: Once the swelling decreases, gentle stretching and strengthening exercises can help restore mobility and prevent future injuries. Consult a physical therapist for appropriate exercises tailored to your condition.
7. Consult a Healthcare Professional: If the swelling persists for more than a few days, worsens, or is accompanied by severe pain, it’s essential to seek medical advice. A healthcare provider can perform a thorough examination and may recommend imaging studies to rule out any underlying conditions.
Conclusion:
In summary, the swelling in your finger could likely be due to overuse from writing, but it’s essential to monitor your symptoms closely. Implementing rest, ice, compression, and elevation can provide relief. If the issue continues or worsens, consulting a healthcare professional is crucial for a proper diagnosis and treatment plan. Taking care of your hands is vital, especially during exam preparation, to ensure you can perform at your best without discomfort.
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