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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Painful Swollen Hands

Hello. I generally feel that my hands are slightly swollen and recently, my left thumb (top joint) won t bend without a lot of pain and it pops when returning to its prior position. The base of the thumb joint is also so but can move it about (I type for my job in an office).
Fri, 5 May 2017
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Orthopaedic Surgeon,  's  Response
Dear patient thank you for your question.
Here are the differential diagnosis for your condition
1) Rheumatoid arthritis: It commonly presents with hand swelling and affects joints. Get a complete blood work done with RA factor and anti CCCp. An associated Carpal tunnel syndrome is quite common

2) Trigger thumb: Fibrosis of the flexor sheath with nodules at the joint. Splitting of the sheath works wonders

3) Osteoarthritis: If u notice nodules on the thumb joint then this diagnosis is as good as confirmed

You will need an x-ray in all three conditions.
For the pain and swelling I suggest Ibuprofen 800mg twice daily.
Please do discuss the above mentioned with your doctor.
I hope this helped
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Suggest Treatment For Painful Swollen Hands

Dear patient thank you for your question. Here are the differential diagnosis for your condition 1) Rheumatoid arthritis: It commonly presents with hand swelling and affects joints. Get a complete blood work done with RA factor and anti CCCp. An associated Carpal tunnel syndrome is quite common 2) Trigger thumb: Fibrosis of the flexor sheath with nodules at the joint. Splitting of the sheath works wonders 3) Osteoarthritis: If u notice nodules on the thumb joint then this diagnosis is as good as confirmed You will need an x-ray in all three conditions. For the pain and swelling I suggest Ibuprofen 800mg twice daily. Please do discuss the above mentioned with your doctor. I hope this helped