Hand Pain: Causes and When to See a Specialist - Neurology

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Understanding hand pain, particularly in the area you described near the base of your left ring finger and wrist, can be quite complex. Based on your symptoms, it seems you may be experiencing a condition related to tendon inflammation, commonly known as tendinitis. This condition can occur due to repetitive use, strain, or injury to the tendons that connect muscles to bones in the hand and wrist.

The specific symptoms you mentioned—sharp, localized pain when pressure is applied, and a tingling sensation—are indicative of potential nerve involvement as well. This could suggest a condition like carpal tunnel syndrome, where the median nerve is compressed at the wrist, or it could be related to the ulnar nerve, especially since the pain is near the ring finger.
The fact that you have already seen an orthopedic doctor and received an injection suggests that your condition is being taken seriously. Corticosteroid injections are often used to reduce inflammation and alleviate pain in cases of tendinitis. However, if the pain persists or worsens, it may be necessary to explore further diagnostic options, such as imaging studies (like an MRI or ultrasound) to assess the tendons, ligaments, and nerves in that area.

In terms of when to see a specialist, if you experience any of the following, it would be advisable to seek further medical attention:
1. Persistent Pain: If the pain does not improve with rest, ice, and over-the-counter pain medications, or if it worsens over time.

2. Numbness or Tingling: If you experience numbness, tingling, or weakness in your fingers or hand, this could indicate nerve involvement that needs to be addressed.

3. Swelling or Deformity: If you notice any swelling, deformity, or changes in the appearance of your hand or wrist.

4. Difficulty with Daily Activities: If the pain interferes with your ability to perform daily tasks or activities that require hand function.

Given your symptoms, it may be beneficial to consult with a hand specialist or a neurologist, especially if you suspect nerve involvement. A hand specialist can provide targeted treatment options, including physical therapy, splinting, or more advanced interventions if necessary.
In addition to seeking further medical advice, there are several self-care strategies you can implement to help manage your symptoms:
- Rest: Avoid activities that exacerbate the pain, allowing the affected area to heal.

- Ice Therapy: Apply ice packs to the painful area for 15-20 minutes several times a day to reduce swelling and numb the pain.

- Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce inflammation and alleviate pain.

- Gentle Stretching and Strengthening: Once the acute pain subsides, gentle stretching and strengthening exercises for the hand and wrist may help restore function and prevent future issues.

In conclusion, while your symptoms may be related to tendinitis, the possibility of nerve involvement cannot be overlooked. If your pain persists or worsens, seeking further evaluation from a hand specialist or neurologist would be prudent. They can provide a comprehensive assessment and tailored treatment plan to address your specific condition.