Posted by: | 2019/10/09


Pain in fingers and toes. ? RA

Since about August my finger joints have become deformed, bilaterally. My fingers ache terribly. Especially in the mornings for the first few days after I have typed for more than 6 hours the previous day. I also atruggle with edema of my hands and feet (not legs). When I get the edema it feels like I have carpal tunnel syndrome, but then subsides. My RA factor etc did not point towards RA. The Dr I consulted said only my toes have the appearance of RA and only Psoriatric Arthritis causes the pain I present with in my hands. I have to take so many pain meds (together with NSAID) to be able to do my office job. I want to seek another opinion, but which investigations can the GP still do? Would a dermatologist be of any value? X rays? Scans? It's as if it flares up at times, accompanied by generally feeling unwell and edema. From what I read on Dr Google I have some symptoms of RA or PsA. I also have Hashimotots. I don't want to take medication unnecessarily. But would like to be painfree again. Please advise what else I can do to get some clarity. I'm in my mid 40's, female. It's extremely difficult to get an appointment with a Rheumatologist. Thanks in advance

Expert's Reply


Arthritis expert
- 2019/10/12

Your symptoms sound like flexor tenosynovitis, which is sometimes due to excessive typing and not RA or PsA.

If you are unable to get to a rheumatologist you may want to see a orthopaedic surgeon. The response to NSAID is not great and we sometimes need to give cortisone injections into the tendon sheath.

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