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Arthritis

Question
Posted by: | 2019/10/09

Q.

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

A.

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.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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