Finger Joint Discomfort: Causes and When to Seek Help - Orthopedics

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Interphalangeal joint


Hello, doctor.
About a month ago, I started experiencing a clicking sensation in my finger joints, but there is no stiffness or swelling in the joints.
This sensation occurs in the other four fingers of my hand, while my right thumb does not have this issue.
I am unsure what the underlying cause might be and which specialty I should consult.
Additionally, I often carry heavy items when shopping; could this be contributing to the problem?

betty, 20~29 year old female. Ask Date: 2005/06/28

Dr. Xu Zhaoren reply Orthopedics


This condition is trigger finger, which can be treated with local steroid injections, surgical release of the tendon, or rest.

Reply Date: 2005/06/28

More Info


Finger joint discomfort, particularly the sensation of "catching" or "snapping" without accompanying stiffness or swelling, can be indicative of several underlying conditions. Given your description, it seems that the discomfort is localized to the joints of your four fingers, while your thumb remains unaffected. This pattern can help narrow down potential causes.

One common condition that could lead to such symptoms is trigger finger (stenosing tenosynovitis), where the flexor tendon of the finger becomes irritated and inflamed, causing it to catch or lock when you try to bend or straighten the finger. This condition is often associated with repetitive gripping or heavy lifting, which aligns with your mention of carrying heavy items.
Another possibility is ligamentous injury or tendonitis, particularly if you have engaged in activities that put stress on your fingers, such as lifting heavy objects. Overuse injuries can lead to inflammation of the tendons or ligaments around the joints, resulting in discomfort or a sensation of catching.

Additionally, osteoarthritis could be a consideration, especially if you are experiencing any age-related changes or if there is a history of joint issues in your family. Osteoarthritis can lead to the formation of bone spurs, which may cause a catching sensation during movement.

Given that you have not experienced swelling or stiffness, it may be less likely that you are dealing with a severe inflammatory condition like rheumatoid arthritis, but it is still important to rule out any systemic issues.


When to Seek Help
You should consider seeking medical attention if:
1. Symptoms Persist: If the discomfort continues for more than a few weeks without improvement.

2. Increased Pain: If the pain worsens or becomes more frequent.

3. Functional Limitations: If you find it increasingly difficult to perform daily activities, such as gripping or lifting objects.

4. New Symptoms: If you develop swelling, redness, or warmth in the affected joints.


Which Specialist to See
For your symptoms, it would be advisable to consult an orthopedic specialist or a hand surgeon. They can perform a thorough examination, possibly including imaging studies like X-rays or an MRI, to assess the condition of your joints and surrounding soft tissues. If necessary, they may refer you to a physical therapist for rehabilitation exercises to strengthen the muscles around the joints and improve flexibility.


Conclusion
In summary, while your symptoms may not currently indicate a severe condition, they warrant further investigation, especially considering your activities involving heavy lifting. Early diagnosis and intervention can prevent potential complications and help you return to your normal activities without discomfort. If you have any concerns or if your symptoms change, do not hesitate to seek medical advice promptly.

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