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Having pain and swelling in finger joints. Taking dolo 650 for fever. What is causing this and cure?

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Feb 2014
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Orthopaedic Surgeon, Joint Replacement
Practicing since : 2004
Answered : 5930 Questions
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Hi ,
the problem I am describing below does exist from many years and is related to joints of my fingers as well as finger joints of my feet. what I have observed that when I get this pain, the particular joint will swell.

if the pain is in my hand fingers, it will be hard for me to bend it or hold something with and if its in the joint of the feet fingers, its hard for me to walk.

the symptoms I have observed during this pain is : 1. Fever 2. uneasiness 3. low apettite. 4. red blood clot kind of patches on the palms and below the feet (4. not necessary always )

I have to take pain releivers like Dolo 650 or any other Fever related tablets to overcome the situation. usually the pain stays for 3-4 days and it might move into other fingers too.


I have the below diagnostics reports if you would like to have

L.profile + VLDL
Blood for C reactive Proteins
Complete Blood Picture
Blood for ESR

awaiting early response please

thanks
XXXXXXX
Posted Fri, 9 Nov 2012 in Bones, Muscles and Joints
 
 
Answered by Dr. Saurabh Gupta 1 hour later
Hello,
Thanks for posting your query.

You are suffering from polyarthitis, the cause of this might be Rheumatoid arthritis (RA), psoriatic arthritis, osteoarthritis (OA), Infectious arthritis or crystal deposition arthritis.

To allow me to help you better, please let me know if you also have any of the following complaints:

Pain and stiffness that last for more than an hour upon arising
Bilateral symmetrical involvement of hands and feet joints
Hand joints and feet joints that are warm and tender to touch
History of viral illness like chikungunya.
Flu-like feeling
Finger and toe joints that "creak" when moved; this is called crepitus
Deformities in finger and toe joints
Fatigue that is not easily resolved
Presence of malar rash and photosensitivity
Presence of raised patches or lesions of dead skin cells (psoriosis).

Also, you have only mentioned the name of the tests. You have not mentioned the test values. Please mention the reported values.

You have a feature to upload the reports on the right side of this query page. Please utilize it, so that I can answer your query better.

Once I have these answers, we would be able to discuss the treatment better.

Wishing you good health.
Regards.
Above answer was peer-reviewed by
 
Follow-up: Having pain and swelling in finger joints. Taking dolo 650 for fever. What is causing this and cure? 27 hours later
Hi XXXXXXX
thaks for the reply. please find the reports attached.

also find the answers to your questions below

1.Pain and stiffness that last for more than an hour upon arising: Yes sometimes

2.Bilateral symmetrical involvement of hands and feet joints: Nope

3.Hand joints and feet joints that are warm and tender to touch: Yes

4.History of viral illness like chikungunya.: Yes only once(not sure about the date but within a span of last 6 years)

5.Flu-like feeling: Nope

6.Finger and toe joints that "creak" when moved; this is called crepitus: Nope

7.Deformities in finger and toe joints: Nope

8.Fatigue that is not easily resolved: Yes

9.Presence of malar rash and photosensitivity : Nope

10.Presence of raised patches or lesions of dead skin cells (psoriosis).: Nope but I get red patches below the foot surface and on palms as if blood stopped there and have pain in it.

please let me know if you need any other details

thanks
XXXXXXX
 
 
Answered by Dr. Saurabh Gupta 4 hours later
Hello XXXXXXX,
Thanks for posting your query.

I am gone through your reports attached.
You might suffer from Chicken Chikungunya arthritis.

In Chicken Chikungunya joint pain improves with activity but worsens after strenuous exertion. Joint pain lasts for a week or so in most patients and may require months to resolve completely. The arthritis may persist and become chronic in some patients as in your case.

Chronic Chikungunya arthritis requires expert care with various disease modifying drugs (Imunomodulators). You can start these drugs after discussing with your doctor.

I would like to give some diet tips which might be helpful to get rid of these pain. Often the elimination of certain foods such as the following will help greatly:

Dairy products, with the exception of plain yogurt with active culture
Citrus, with the exception of lemon and grapefruit
Alcohol
Meat including beef, pork, and lamb (other sources of protein such as chicken, fish and beans are less likely to promote inflammation)
Vegetable oils (continue using olive oil and the essential fatty acids flax seed, sesame, pumpkin, sunflower oils)

I would also like to give some advice to make the life better and to fight with these pains-

Do regular physiotherapy of joints.
Hot fomentation to decrease the joint stiffness
Hot bath of Epsom salts (magnesium sulphate)-Magnesium has both anti-inflammatory and anti- arthritic properties and it can be absorbed through the skin.

I hope this answers your query. Let me know if you have more concerns.

Please accept my answer in case you do not have further queries.

Wishing you good health...
Regards
Above answer was peer-reviewed by
 
Follow-up: Having pain and swelling in finger joints. Taking dolo 650 for fever. What is causing this and cure? 44 hours later
Hi dr
Please find a pdf doc attached and let me know if they are talking about my desease



XXXXXXX
 
 
Answered by Dr. Saurabh Gupta 16 hours later
Hello,

Thanks for posting your query again.

I have gone through the article attached. They are talking about chronic and persisting arthritis after chikungunya infection. As I had already said, it might be your case.

You could consult an orthopedician / rheumatologist to start your treatment.

Hope I have answered your query. Let me know if you have any more concerns.

Wishing you good health...

Regards
Above answer was peer-reviewed by
 
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