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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Hand, Cannot Open Or Extend Finger. Diagnosed As Carpel Tunnel. What Is It? What To Do?

I am having extreme pain in my right hand just below my ring finger. I cannot open or extend my finger at all without extreme pain. I can close my hand with some pain but cannot straighten or open the one finger at all. I recently went to urgent care and the doctor suggested it was carpel tunnel. It has gotten more painful and much worse. What could it be and what should I do?
Fri, 12 Apr 2013
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Orthopaedic Surgeon 's  Response
Hello, the symptoms are rather suggesting as tenosynovitis of finger FDP tendon which may later lead to trigger finger. All you can do is take some ani inflammatory medication and avoid repititive activity causing pain. You can also go for hand ball physiotherapy later. If the problem persist you can take a local intraarticular steroid injection. Thank you
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General & Family Physician Dr. Achuo Ascensius's  Response
Hello,
thanks for using health care magic
Carpal tunnel syndrome is a progressive disease in which there is irritation or compression of the median nerve that passes through this canal. Characteristic symptoms include numbness, pain and weakness of the hand affecting predominantly in the thumb, index finger, middle finger and or ring finger and not in the small finger. It results due to various reasons some of which include; repeated use of wrist, diabetes, trauma, athritis etc. Treatment options include resting the hand, steroid infiltration, and in extreme cases surgery.
It could also be possible that you have a dactylitis which is inflammation of a finger since you did mention it was only the ring finger involve. This could be of infectious or traumatic or of other origin.
What you should do is to meet your doctor for electrophysiology tests to rule or confirm the carpal tunnel syndrome and for other tests like x-ray, complete blood count etc.
Best regards and hope this helps you.
Dr Achuo
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Pain In Hand, Cannot Open Or Extend Finger. Diagnosed As Carpel Tunnel. What Is It? What To Do?

Hello, the symptoms are rather suggesting as tenosynovitis of finger FDP tendon which may later lead to trigger finger. All you can do is take some ani inflammatory medication and avoid repititive activity causing pain. You can also go for hand ball physiotherapy later. If the problem persist you can take a local intraarticular steroid injection. Thank you