Hand Pain: When to Seek Medical Attention - Internal Medicine

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Dear Patient,
Thank you for reaching out with your concerns regarding the pain and discomfort you are experiencing in your hand. Based on your description, it sounds like you are dealing with a combination of symptoms, including localized pain, swelling, and occasional numbness or tingling. These symptoms can arise from various underlying conditions, and it is important to understand when to seek medical attention.


Possible Causes of Hand Pain
1. Tendonitis: Inflammation of the tendons in the hand can cause pain, especially when pressure is applied. This is often seen in individuals who perform repetitive motions.

2. Carpal Tunnel Syndrome: This condition occurs when the median nerve is compressed as it travels through the wrist. Symptoms include pain, numbness, and tingling in the hand, particularly in the thumb, index, and middle fingers.

3. Arthritis: Both osteoarthritis and rheumatoid arthritis can lead to joint pain and swelling in the hands. If you notice stiffness, especially in the morning, this could be a sign of arthritis.

4. Nerve Compression: Conditions such as thoracic outlet syndrome can lead to nerve compression, resulting in pain, numbness, and swelling in the hands.

5. Injury: Previous injuries, even minor ones, can lead to lingering pain and swelling. It’s important to consider any recent activities that may have strained your hand.


When to Seek Medical Attention
Given that your symptoms have persisted for two weeks and include swelling and numbness, it is advisable to seek medical attention. While it may seem like a minor issue, persistent pain and swelling can indicate an underlying condition that may require treatment. Here are some signs that warrant a visit to the doctor:
- Persistent Pain: If the pain does not improve with rest or over-the-counter pain relief.

- Swelling: If the swelling increases or does not subside.

- Numbness or Tingling: If you experience ongoing numbness or tingling, especially if it spreads to other areas.

- Difficulty Moving: If you find it difficult to move your fingers or hand normally.

- Signs of Infection: If you notice redness, warmth, or fever accompanying the pain.


Which Specialist to See
For your symptoms, you may consider visiting a few different types of specialists:
- Primary Care Physician: They can evaluate your symptoms and refer you to a specialist if necessary.

- Orthopedic Surgeon: They specialize in conditions related to bones, joints, and tendons.

- Rheumatologist: If arthritis or autoimmune conditions are suspected, a rheumatologist would be the appropriate specialist.

- Neurologist: If nerve compression or neurological issues are suspected, a neurologist can provide further evaluation.


Conclusion
In summary, while your symptoms may not seem severe, the combination of pain, swelling, and numbness suggests that it would be wise to seek medical attention. Early diagnosis and treatment can prevent further complications and help you manage your symptoms more effectively. Please do not hesitate to reach out to a healthcare provider for a thorough evaluation.

Take care, and I hope you find relief soon!
Best regards.