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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause Of Finger Swelling?

My 19 year old daughter went for a run. about 6 miles, without incident. She returned to her dorm room, removed her shoe & her left heal was in immediate, excruciating pain. She said it was worse than when she broke her foot. The broken foot she gave an 8 on the pain scale, this she rated as a 12! There were 2 hard lumps, inflammation, hot to the touch - even after icing. The symptoms spread to the ball of her food, near the toes. There were no breaks in the skin. I took her to an urgent care clinic where an x-ray showed nothing out of the ordinary. The doctor said she was a medical mystery, her best guess was plantar fasciitis & to take ibuprofen & stretch before getting up in the morning. The next morning it had spread & started to itch. Her right foot was now showing the same type of symptoms. We went to the ER & this doctor was stumped as well. He prescribed prednisone & an antibiotic & told referred her to a podiatrist if she wasn t showing improvement within 48 hours. Since she was improving, she did not go. She has had 3 recurrences none nearly as severe as the first. Up until last weekend, all symptoms have been in her feet. A few days ago, however, the tip of her finger swelled up to the size of a grape with the same pain, lump, etc. No one has been able to give us a definitive answer as to what could be causing this. Any ideas?
Mon, 14 Nov 2016
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Orthopaedic Surgeon 's  Response
Hi
I may suggest serum uric acid levels test and immunological tests, CRP and ANA to rule out gout and auto immune, immune disorders.
Colchicine may be tried if uric acid level is high.Prednisolone and anti allergic tab like levocetrizine may be given for few days.
Keep both feet elevated when swelling comes
Consult an rheumatologist also
Best wishes
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What Is The Cause Of Finger Swelling?

Hi I may suggest serum uric acid levels test and immunological tests, CRP and ANA to rule out gout and auto immune, immune disorders. Colchicine may be tried if uric acid level is high.Prednisolone and anti allergic tab like levocetrizine may be given for few days. Keep both feet elevated when swelling comes Consult an rheumatologist also Best wishes