Swelling and Pain in Hand: What Could Be the Cause? - Orthopedics

More Info

---

Swelling and pain in the hand, particularly in the area between the proximal interphalangeal joints of the index and middle fingers, can be indicative of several potential issues. Given your description, it’s important to consider a few possibilities that could explain your symptoms.

1. Tendonitis or Tenosynovitis: Inflammation of the tendons or the sheath surrounding them can lead to swelling and pain. This condition often arises from repetitive use or strain, which can occur with activities such as typing or gripping. The fact that your symptoms began about a week ago could suggest that a recent increase in activity or a specific movement may have triggered this inflammation.

2. Arthritis: Conditions such as osteoarthritis or rheumatoid arthritis can cause swelling and pain in the joints. While you mentioned that the pain does not impede finger movement, arthritis can still present with localized swelling and tenderness, especially if there is joint involvement. The stiffness and increased pain upon pressing the area could be consistent with early signs of arthritis.

3. Ganglion Cyst: These are fluid-filled sacs that can develop on the tendons or joints of the hand. They can cause localized swelling and discomfort, particularly when pressure is applied. If the swelling is firm and does not fluctuate, it could potentially be a ganglion cyst.

4. Injury or Strain: A previous unnoticed injury or strain could lead to localized swelling and pain. Even minor injuries can result in inflammation and discomfort, especially if the area has been subjected to repetitive stress.

5. Infection: Though less common, an infection in the hand or fingers can lead to swelling, pain, and tenderness. If the area becomes increasingly red, warm, or if you develop a fever, seeking immediate medical attention would be necessary.

Given that your symptoms have persisted for about a week and are accompanied by increased hardness and pain upon pressure, it would be prudent to consult a healthcare professional. While the symptoms do not currently impede your finger movement, the progression of pain and changes in the swelling could indicate that the condition may worsen without appropriate intervention.


Recommendations:
- Rest and Ice: Avoid activities that exacerbate the pain. Applying ice to the swollen area can help reduce inflammation.

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

- Monitor Symptoms: Keep track of any changes in your symptoms, such as increased swelling, redness, or warmth, which could indicate a worsening condition.

- Seek Medical Evaluation: If symptoms persist beyond a week or worsen, it is advisable to see a physician, preferably a hand specialist or an orthopedic doctor. They may perform a physical examination, and possibly imaging studies like X-rays or an MRI, to determine the underlying cause of your symptoms.

In summary, while your symptoms may not currently be severe, the changes you’ve described warrant a medical evaluation to rule out any serious underlying conditions and to receive appropriate treatment. Early intervention can often lead to better outcomes and prevent further complications.