Finger Pain and Stiffness: When to Seek Medical Help

Pain in the proximal interphalangeal joint of the finger, with stiffness most pronounced in the morning?

I recently started a new job that requires me to hold a grinder with one hand for long periods.
After three months of this, I am experiencing significant pain in the first joints of my right middle and ring fingers.
Recently, my fingers have been particularly stiff in the morning and I am unable to straighten them on my own; it takes some time before they feel better.
However, after a full day of work, they become very painful again.
I would like to ask the doctor if this is simply inflammation or if there are other symptoms involved.
Do I need to see a doctor for treatment?

Nìmíng, 20~29 year old female. Ask Date: 2021/10/17

Dr. Wang Shouji reply Orthopedics

Hello, improper or prolonged exertion on the joints of the hands can lead to symptoms such as pain, heat, and stiffness.
It is important to pay attention to the usage of your hands, as prolonged misuse can result in chronic inflammation and may even lead to chronic conditions such as arthritis.
Changhua Hospital cares about your health.
Wang Shou-ji.

Reply Date: 2021/10/17

More Info

Experiencing finger pain and stiffness, especially after prolonged use of tools like a hand-held grinder, can be concerning and warrants careful consideration. Based on your description, it seems that you are dealing with symptoms that could be related to repetitive strain injury, inflammation, or even early signs of conditions like tendinitis or carpal tunnel syndrome.

Repetitive strain injuries (RSIs) occur when the same motion is repeated over time, leading to inflammation and pain in the affected areas. In your case, holding a grinder for extended periods may have put significant stress on the tendons and muscles of your fingers and hand. The stiffness you experience in the morning, which improves after some time, suggests that there may be inflammation present, which can cause the joints and surrounding tissues to become stiff overnight.

It's essential to differentiate between simple inflammation and more serious conditions. Here are a few signs that indicate you should seek medical attention:
1. Persistent Pain: If the pain continues despite rest and home care measures, it’s a good idea to consult a healthcare professional.

2. Swelling or Redness: Any visible swelling, redness, or warmth in the affected area could indicate an inflammatory process that may require treatment.

3. Loss of Function: If you find it increasingly difficult to perform daily tasks or if the stiffness prevents you from using your fingers effectively, this is a strong indicator that you should seek medical advice.

4. Numbness or Tingling: If you experience any numbness or tingling sensations, this could suggest nerve involvement, which requires prompt evaluation.

5. Duration of Symptoms: If your symptoms have persisted for more than a few weeks without improvement, it’s advisable to see a doctor.

In terms of treatment, a healthcare provider may recommend several approaches based on the severity of your symptoms. These could include:
- Rest and Activity Modification: Taking breaks from activities that exacerbate your symptoms can help reduce inflammation and allow for healing.

- Ice Therapy: Applying ice to the affected area can help reduce swelling and numb the pain.

- Physical Therapy: A physical therapist can provide exercises to strengthen the muscles around the fingers and improve flexibility, which may alleviate stiffness.

- Medications: Over-the-counter anti-inflammatory medications like ibuprofen or naproxen can help manage pain and inflammation.

- Ergonomic Adjustments: If your job requires prolonged use of tools, consider ergonomic tools or techniques that reduce strain on your fingers and hands.

- Splinting: In some cases, a splint may be recommended to immobilize the fingers and allow for healing.

In conclusion, while your symptoms may initially seem like simple inflammation, the persistence and nature of your pain and stiffness suggest that a thorough evaluation by a healthcare professional is warranted. Early intervention can prevent further complications and help you return to your normal activities with less discomfort. If you notice any of the concerning signs mentioned above, please do not hesitate to seek medical help.

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