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Suggest Treatment For Severe Cramping In The Hands

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Posted on Wed, 30 Sep 2015
Question: Severe cramping of the hands. 49 years old. I have had dupretens (spl) surgery on one hand. It just started today.

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Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)
Brief Answer:
Enzymes, NSAIDs, Corticosterids, Rheumatology consultation

Detailed Answer:
Hello and Welcome

I appreciate your concern

Enzymes i.e collagenase clostridium histolyticum have been recently approved by FDA for treating dupuytren contracture. In case of flares associated with joint swelling and tenderness, corticosteroids can be resorted to in a tapering course over 3 to 4 weeks. NSAIDs like nimesulide or celecoxib can be used in the meanwhile. Fasting blood sugar and HBA1C levels should be done to rule out the possibility of neuropathic pain associated with diabetes. A rheumatologist should be consulted to examine the hand and wrist to look for possibilities like carpal tunnel syndrome or rheumatoid arthritis.

Wishing you best of health

Thanks

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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Suggest Treatment For Severe Cramping In The Hands

Brief Answer: Enzymes, NSAIDs, Corticosterids, Rheumatology consultation Detailed Answer: Hello and Welcome I appreciate your concern Enzymes i.e collagenase clostridium histolyticum have been recently approved by FDA for treating dupuytren contracture. In case of flares associated with joint swelling and tenderness, corticosteroids can be resorted to in a tapering course over 3 to 4 weeks. NSAIDs like nimesulide or celecoxib can be used in the meanwhile. Fasting blood sugar and HBA1C levels should be done to rule out the possibility of neuropathic pain associated with diabetes. A rheumatologist should be consulted to examine the hand and wrist to look for possibilities like carpal tunnel syndrome or rheumatoid arthritis. Wishing you best of health Thanks Please consult your doctor before deciding on any further course of action. For future follow up / correspondence you may ask me directly at the link given below http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107 Dr. M.S. Khalil