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Swelling in the hands, difficulty in bending the fingers. Why? - Online Doctor Chats

Date : 08-Jun-2013
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User:Hi Doctor
Doctor:Good Afternoon
User:Good Afternoon to you as well
Doctor:Please proceed with your query.
User:wanted to get some advice
User:for the last month or so, when i wake up in the morning, i feel as my hands have got swollen, and it is difficult to close my fist completelyt
User:it goes away in 5-10 minutes, but i need to crack my knuckles etc and do some hand exercises
User:what could be causing it?
Doctor:I would like to know some more details.
Doctor:Do you have any other medical history?
Doctor:Are you on any medications?
User:No, dont take any medications regularly
Doctor:Do you have any history of allergy?
User:yes, i have had a hostory of allergy, but it has gone down tremendously
User:I used to sneeze a lot esp in the morning
Doctor:May I know your age, height and weight?
User:39, 5'6" and 72-73kgs
Doctor:Do you notice any swelling in the feet, during mornings?
Doctor:Or swelling anywhere else?
User:no nothing at all
Doctor:Is there any history of recent weight gain?
User:no..and i exercise regularly
Doctor:Do you get pain in the wrist?
User:the only thingt that i can co-relate to this is that i have started to play Golf recently for the last 2-3 months
User:No pain in any other body part
Doctor:Ok. I will explain how the swellings occur.
Doctor:Swellings in different parts usually occurs due to fluid retention.
Doctor:Normally fluid doesnt get accumulated because it is carried off from areas, by the circulation of blood.
Doctor:There can be many reasons for fluid retention.
Doctor:It can be due to liver, kidney or thyroid problems.
Doctor:It can also be due to any circulatory problems.
Doctor:Since, any of these does not seem to appear in your case,
Doctor:it can be just due to positional.
User:nothing to do with starting Golf
Doctor:Starting golf can be a cause indirectly.
User:so what should you suggest.
Doctor:Because, the fluid return from the hands if affected can cause the swelling in the hands.
Doctor:I have few suggestions which you can follow.
Doctor:1. You should get a blood check up done for liver functions, kidney functions, and thyroid functions.
Doctor:2. Get a basic cardiac work up done which includes, ECG and chest X XXXXXXX
Doctor:These are not to make you a patient. It is just to make sure that you are not having any problems with these organs.
Doctor:3. Try reducing the golf playing episodes to see if that is the cause for the swelling.
Doctor:4. Make sure you are not sleeping on your arms.
User:ok, will do
Doctor:5. when you are working on a computer, make sure your elbows and hands are at the same level.
User:i had done a LFT test done > 6 months back, it was all okay
Doctor:Personally, I do not suspect any organ dysfunctions in your case. But, it is just to make sure.
User:Ok, great...will get the tests done....
User:Thanks for your advice
Doctor:Also, you can do mild exercises for hand, that should relieve you from the condition.
Doctor:If it is not getting better, you should visit an XXXXXXX Medicine specialist to find out the proper cause.
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