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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Painful Knuckle That Is Hard To Bend?

Hi. I have a painful knuckle on my left hand. I can't remember hurting it but it has been hurting for over a week now. It's just the one knuckle and hurts when I bend or put pressure on it. It seems to be down the left hand side of the knuckle when I press down that it hurts. The movement is fine but I can't bend it as fully as the right hand and this is when it becomes really painful. What could this be?
Sat, 17 May 2014
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Orthopaedic Surgeon 's  Response
Hello

First I will advise to do x ray and rule out any unicortical fracture in your knuckle.
There is possibility of injury to ligament of metacarpal or phalange joint.
If you are having swelling and pain you can strap your finger to get proper rest to joint.And apply crepe bandage for support and compression.

Use ice packs to reduce swelling, inflammation and pain.
Physiotherapy with ultrasound and Tens will help you,
For early healing you can take Tab celin [vit C] and antioxidant with anti-inflammatory [Tab enzomac plus ].
If there is no relief them you may need to do MRI.

Rheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have such complain?

When such patients come to our hospital I advise them blood test like RA factor, ACCP, ESR, complete blood count, HLA B27

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care
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What Causes A Painful Knuckle That Is Hard To Bend?

Hello First I will advise to do x ray and rule out any unicortical fracture in your knuckle. There is possibility of injury to ligament of metacarpal or phalange joint. If you are having swelling and pain you can strap your finger to get proper rest to joint.And apply crepe bandage for support and compression. Use ice packs to reduce swelling, inflammation and pain. Physiotherapy with ultrasound and Tens will help you, For early healing you can take Tab celin [vit C] and antioxidant with anti-inflammatory [Tab enzomac plus ]. If there is no relief them you may need to do MRI. Rheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have such complain? When such patients come to our hospital I advise them blood test like RA factor, ACCP, ESR, complete blood count, HLA B27 Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care