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What Are The Symptoms Of Arthritis?

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Posted on Sat, 25 Apr 2015
Question: I am 77 years old and have a lot of arthritis. Now my right hand is very cold, and intense burning on the ends /bottoms fingers 3 and 4 of Right Hand. I have soaked this R H in very warm water but the coldness returns and the burning sensation. Do you have any coments about the cause. I do not have diabetes.

YYYY@YYYY
doctor
Answered by Dr. Prakash H Muddegowda (1 hour later)
Brief Answer:
Nerve/ vessel compression at wrist with neuropathic pain.

Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.

Based on your query, my opinion is as follows:

1. It appears to be ischemic injury leading on to neuropathic pain.
2. Due to reduced vascularity, your hand is very cold.
3. Possible blood vessel compression at the wrist level. Due to reduced nerve oxygenation, you are having possible neural injury, which is presenting with pain.
4. It could be median nerve compression at wrist level.
5. You will need to immediately meet your doctor for decompression of the nerve and possibly blood vessel. If it progresses, it might lead onto permanent damage.
6. Mobic wont be helpful for neuropathic pain. Meet your doctor at the earliest for further evaluation.

Hope it helps.
Any further queries, here to help again.

Dr. Prakash HM
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Pradeep Vitta
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Answered by
Dr.
Dr. Prakash H Muddegowda

Geriatrics Specialist

Practicing since :2004

Answered : 2138 Questions

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What Are The Symptoms Of Arthritis?

Brief Answer: Nerve/ vessel compression at wrist with neuropathic pain. Detailed Answer: Hi, Thanks for asking. I am Dr. Prakash HM and I will be answering your query. Based on your query, my opinion is as follows: 1. It appears to be ischemic injury leading on to neuropathic pain. 2. Due to reduced vascularity, your hand is very cold. 3. Possible blood vessel compression at the wrist level. Due to reduced nerve oxygenation, you are having possible neural injury, which is presenting with pain. 4. It could be median nerve compression at wrist level. 5. You will need to immediately meet your doctor for decompression of the nerve and possibly blood vessel. If it progresses, it might lead onto permanent damage. 6. Mobic wont be helpful for neuropathic pain. Meet your doctor at the earliest for further evaluation. Hope it helps. Any further queries, here to help again. Dr. Prakash HM