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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swollen Right Hand, Fingers, Stiff Left Hand. Diagnosed With Carpal Tunnel Syndrome. Taken Naproxyn. Treatment?

My husband is 55, healthy and a construction worker, he has had hip replacement 8 yrs ago, but relatively thats all. lately his right hand mostly has been swollen in the morning fingers as well and he can t grip anything, it eases during the day as he moves it, but starts again at night. his other hand is stiff as well. he was diagnosed with mild capral Tun. syn yrs ago in both hands , however, I m thinking arthritis , I m calling a dr monday for appt. he took a naproxyn today and it seemed to help the pain but he can t wear any ring on his right hand. ??? any thoughts. no heart disease , no high blood pressure weight 160 normal for 5 8 . ps, he has had asthma for 25 yrs, and akes thophylline one pill a day and advair 2 times a day. thx
Thu, 26 Jul 2012
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General & Family Physician,  's  Response
Hi,
Thanks for writing in.

I would agree that your husband's symptoms are suggestive of arthritis. This could be either osteoarthritis or rheumatoid arthritis. The possibility of the latter is greater in your husband's case. A detailed examination by a physician and an Xray would be required to know what it is. If the suspicion is towards RA, then some tests like rheumatoid factor and Anti-CCP antibodies would be required.
Till then, I would suggest that he exercise his hand as much as possible; take Tablet Motrin 1 tablet as and when required ( upto 4 times daily) and not take any stress.
In either case, we should be able to deal with the problem and I am sure your husband will be much better very soon.
Hope this helps.
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Swollen Right Hand, Fingers, Stiff Left Hand. Diagnosed With Carpal Tunnel Syndrome. Taken Naproxyn. Treatment?

Hi, Thanks for writing in. I would agree that your husband s symptoms are suggestive of arthritis. This could be either osteoarthritis or rheumatoid arthritis. The possibility of the latter is greater in your husband s case. A detailed examination by a physician and an Xray would be required to know what it is. If the suspicion is towards RA, then some tests like rheumatoid factor and Anti-CCP antibodies would be required. Till then, I would suggest that he exercise his hand as much as possible; take Tablet Motrin 1 tablet as and when required ( upto 4 times daily) and not take any stress. In either case, we should be able to deal with the problem and I am sure your husband will be much better very soon. Hope this helps.