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Paula-C
#1 Posted : Saturday, May 01, 2010 8:59:40 AM Quote
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Need some advice please

My middle finger on my left hand been painful on and off for the last few days. This morning it just curled up and if I try to move it it's so painful and the other fingers have come out in sympathy and are joining the offending finger in the curled up postion. It's surprised me just how painful one finger can be. I now understand others when they tell of squealing when doctors touch inflammed joints.

Being it is Saturday I can't ring anyone up for advice of what to do. I have tried putting it in a bowl of hot water and haven't had any relief. Do I try (going through the pain barrier) to move it or is rest the best thing for it? I don't want to do anything to make matters worse. Husbands told me to go back to bed.!!!!

So here I am typing slowly (I can touch type normally), with left hand useless for most tasks and my right wrist which the consultant last Monday diagnosed tendinitis in (I've been having problems with in for several weeks) is wearing a flattering wrist splint with metal bar in nearly 24/7. I've been told to rest it as much as I can.

Any advice would be much appreciated.

Paula x

LynW
#2 Posted : Saturday, May 01, 2010 9:17:31 AM Quote
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Hi Paula

Sorry we didn't get chance to chat last weekend apart from a brief 'hello', more opportunity next time perhaps?!

Oh dear, curled up fingers, not good at any time never mind on a bank holiday weekend! My initial reaction would be simply to rest them completely today. Pushing through the pain barrier, as tempting as it might be, could cause further problems. Perhaps tomorrow very gentle exercise to try to open up the hand and bathing in warm water. Sounds like the tendons have tightened, possibly due to inflammation in the joints so resting the hand is crucial. If by Tuesday there is little or no improvement I think I would get in touch with your GP for medical advice.

Hope you are feeling better very soon Paula,

Lyn x
My son, Ian, completed the BUPA Great North Run on 15th September running for the National Rheumatoid Arthritis Society (NRAS). You can read his story at http://www.justgiving.com/ianlukewilson

Damned76
#3 Posted : Saturday, May 01, 2010 9:28:19 AM Quote
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Hi Paula - I've had this a few times. It feels like I have toothache in my hands. As Lyn says, I was told it was due to inflammation affecting the tendons. I was told that rest was vital and put me on anti-inflammatories. I also agree with Lyn that you shouldn't try to straighten the fingers. Just try to wiggle them gently as far as you can to keep the circulation going. I hope it improves for you.

Julie
Paula-C
#4 Posted : Saturday, May 01, 2010 9:44:44 AM Quote
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Thank you Lyn and Julie I knew if I asked for advice it wouldn't be long coming.

It's only my middle finger that is the problem one I can wriggle my ring finger and little finger if I want to but when I need to do anything with my left hand I have to move all of my fingers together and the middle one just doesn't want to play ball.

The knuckle is very, very sore so I think it is more the joint than the tendon, but because this has never happened before I may be wrong.

I am on anti-inflammatories, have been for the last two years, but on saying that the tendinitus according to the doctor is inflammation in the tendon on my wrist/thumb. Just thought, according to my recent blood tests my inflammation levels are normal, just shows that they are wrong, I was having problems with my wrist when these were done. But what is normal for one person may not be normal for another. I never had these sort of blood test done when I was free of RA so no one really knows what my normal readings would of been.

Looks like I am going to be a 'lady of leisure over the weekend not being able to do anything (what a pity) Husband...peel me them grapes and plump up my pillow.LOL LOL

Paula x
joeyvt
#5 Posted : Saturday, May 01, 2010 10:32:57 AM Quote
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Hi Paula,

I've had this before and I agree with the others not to force the finger to move. It's very important though that you move the other fingers on either side as much as you can as these fingers can seize up too. Move the offending finger as far as is comfortable to keep it from becoming completely stiff. If the anti-inflammatories don't work, I would suggest a call to the rheummy and ask for an urgent appointment where they will be able to give you a steroid shot to get it moving again.

Hope it gets better x x

Joanna
jeanb
#6 Posted : Saturday, May 01, 2010 1:54:48 PM Quote
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Hi Paula

Poor you - this is SO painful. I don't know about you, but I always manage to bang or bump the finger that is doing this!!!!!

The advice given is spot on - rest the finger. If you try to push through the pain you could cause more damage to an already inflamed joint. If you haven't already done so, how about increasing your pain meds for a while and see if that helps. The general rule seems to be if the joint is hot and swollen, try ice packs (frozen peas of something)

It was brilliant to meet you last week - I absolutely LOVED your beautiful coral top - and you, of course!

My e-mail is jeanmboyd@yahoo.co.uk if you want a natter.

Lots of love
Jeanxx
jenni_b
#7 Posted : Sunday, May 02, 2010 2:43:58 PM Quote
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hi!

You can try a parafin wax bath to get heat right in the joints.

it does help.

if it continues- ring the rheummy nurse on tues morning.

Jenni x
how to be a velvet bulldoser
lyn2
#8 Posted : Sunday, May 02, 2010 3:25:03 PM Quote
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Hi Paula

Yes, I've had this, it's called trigger finger. I had it in my middle finger, it wouldn't move at all. My GP was very good and I got an appt the next day with a hand consultant. He injected my palm with steroid ( rather painful), and it's been fine ever since. it uncurled soon after the injection.

So, if yours doesn't go away, you need to talk to your GP or rhuemy.

Lyn
Paula-C
#9 Posted : Monday, May 03, 2010 11:01:43 AM Quote
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Thank you all once again for your help and advice

You know yesterday I went on the forum to show my daughter the Leicester pictures. She asked me why I went on the forum and didn't it make me depressed? I showed her this post and told her that I came on here for some advice because never experiencing the problem with my finger before and with it being a Saturday I couldn't get any help through the normal means. Showed her that within 30 minutes I had two replies giving me advice of what to do. She was very impressed. ThumpUp ThumpUp

Well back to the finger...........

Yes Lyn2 it is trigger finger. Something that I use to think cowboys had from pulling the trigger on their gun. LOL LOL I took Jean up on her kind offer of emailing her and she replied telling me what it was and that she knew just how painful it can be. I asked Mr Google about it and he confirmed it. Apparantly it is common along with tendenitis (right wrist) in people with RA. That's nice to know. I then went onto a forum about it, didn't like one post saying that when they went to get medical help the doctor just yanked the finger back into the right place, I think that was in America, lets hope that our doctors/nurses aren't as barbaric as that!!!! On Saturday morning I accidentally pulled it a little and boy did it hurt. I just can't believe that one finger can hurt that much.

Well..... here I am Monday morning with hardly any improvement at all. The novelty of not being able to do much has worn off and I am now getting flustrated by it all. The right wrist hasn't improved much at all and I have been wearing the now stupid wrist splint since last Monday afternoon. I did take it off at 1am this morning, its not the most comfortable sleeping attire to wear.....regretted that when I got up this morning.

I managed somehow to wash and blow dry my hair yesterday (a task I was going to do last Friday but put off until Saturday, silly me). I have the use in my thumb and forefinger on the offending hand and somehow managed to hold the dryer. Other hand/wrist with the tendernitis in having the task of holding the brush to dry my hair, that was fun, but I did it. I have problems with other everyday tasks, simple things that you never think twice about are now becomming a challenge, even washing and drying my hands.

Tomorrow I will have to seek some medical advice about it. The RA nurses is going to have to be my first port of call. If anyone is going to have to stick a needle in my finger I would prefer someone who is more use to doing it. I would imagine that my GP hasn't had the need to inject people as much as someone in my RA team at hospital. I will keep you informed of what happens.

Sorry this post gone on such a long time but I'm bored...........there is only so much sitting around on my bottom not being able to do much that a person can tolerate.LOL LOL

Hope you have a nice Bank Holiday Monday.

Love Paula xx
prioryc
#10 Posted : Monday, May 03, 2010 12:09:30 PM Quote
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Hello Paula,

My middle finger has been triggering and clicking for a long time. My GP injected mine with success so I would not hesitate to approach your own GP. It seems to be something that they do often. Hope that it gets dealt with soon as I know how painful and awkward it is when it gets stuck.

Eleanor x
jeanb
#11 Posted : Monday, May 03, 2010 12:28:26 PM Quote
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Hi Paula

Sorry things are still no better. My main prob when like this is going to the loo - trying to pull pants up is murderBigGrin Blushing and I ALWAYS end up banging the damned thing on something!!

Please let us know how you get on tomorrow and take care.

Much love
Jeanxxxx
Paula-C
#12 Posted : Wednesday, May 05, 2010 8:43:16 AM Quote
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Well yesterday there was slight improvement in the finger and the pain was not too bad. I tried to get in contact with my specailist nurse but the phone was on answer machine, I tried to ring my GP's surgery but the phone was constantly engaged. I then tried the OT department (have got to see someone there if my tendonitis in wrist doesn't get better), just on the off chance that I could speak to someone. I left my telephone number and an OT got in contact with me. Told him what was what and that I had read on the internet that in some cases the finger is just pulled back into postion. He said that depending on what was wrong with the finger, sometimes that was the only thing that they could do. I really didn't want to hear that, remembering how painful it was when I caught it last Saturday. He told me to get in touch with my GP.

I managed to speak someone there and I was put down for a telephone consultation with my GP. I then set to work on the finger and somehow managed slowly and painfully to straighten it to some degree. When the GP called me I told him that I only needed advice - should I keep bending it, should I strap it to another finger to keep it straight etc? He said that he couldn't give any advice without seeing it, fair enough, so he wanted to see me at 6.15 after his surgery.

He asked about the history had a prod around and said he didn't think it was trigger finger, but tendonitis, advised me to keep using it so it wouldn't sieze up again. I was finding that if I didn't move it around alot it started to get stiff and painful again, but this was totally the opposite of what the OT had told me about the tendonitis in my wrist, he said that rest was the best way for it to heal and that was why I had been given the wrist splint with the metal bar in. Doctor just said that it was getting the balance right between resting it and using it and anything that was repetive would aggravate it more. If it doesn't get any better he will refer me to the RA team to have a orthopedic doctor to give me a steroid injection in it. So off I went home.

Woke up this morning and I am virtually back to square one again. Very painful and stiff, so its just going to have to be wait and see.

Paula
joeyvt
#13 Posted : Wednesday, May 05, 2010 10:05:27 AM Quote
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Hi Paula,

I think it's simply unacceptable that you are not able to contact anyone on your rheummy team. Personally, I think you need to be seen by either a specialist nurse or the rheummy himself and have the finger sorted out. I'd have another stab at it today and if needs be, leave a stern message on the answer phone.

Hope you get some joy with it soon!

Joanna
jeanb
#14 Posted : Wednesday, May 05, 2010 12:18:55 PM Quote
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Hi Paula

I agree with Joanna. This really isn't on. Badger the RA team until you get an URGENT appointment.

Lots of love
Jeanxx
Calmwater22
#15 Posted : Wednesday, May 05, 2010 12:53:46 PM Quote
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oh paula what a non merry go round youve been on not good,sorry hear this id leave messages with rheumy nurse and if no joy try rheumy secretary if call reception at your clinic they can out you through to them.
mellySmile
cuddly cats make my world seem so much more fun
Julia17
#16 Posted : Wednesday, May 05, 2010 2:14:27 PM Quote
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Hi Paula

Its not acceptable, leave a very firm message like suggested you are in alot of pain and discomfort I don t think they have any idea what you are going through, you need to tough - not easy as we all know.

Hope you have success !

Julia xx
amanda_lewin
#17 Posted : Wednesday, May 05, 2010 5:20:46 PM Quote
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So sorry to hear of your pain, Paula.

Let me know if you get through to the Doc's again?

Love,

Amanda
BarbieGirl
#18 Posted : Wednesday, May 05, 2010 8:24:22 PM Quote
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Pau;la, just to say I agree too!!! they must see you. My husband gets this too, (RA too) and it gets very painful, so far his has slowly gone back, but when its bent in is extremely painful. I dont think they realise how bad it can be, sending (((((hugs)))))))
BARBARA
Rose-B
#19 Posted : Wednesday, May 05, 2010 8:37:56 PM Quote
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Paula, how I do understand your pain and frustration/ You will need to be very firm with your#
Rhummy nurse. I have to ring mine tomorrow so hope I have more success.

Good luck get those boxing gloves out

RoseSmile
LynW
#20 Posted : Thursday, May 06, 2010 10:43:58 AM Quote
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Hi Paula

Sorry, and I'll probably be shot down in flames, but I feel that your GP was right in his diagnosis and referral to rheumatology at this point is inappropriate. The finger certainly sounds as though it is victim to tightened tendons (tendonitis) and the best treatment is a balance between rest and gentle exercise. It may calm down completely with rest and no further treatment necessary. I've been there and still have a problem, on and off, with one finger! Whilst steroid injections are a wonderful treatment they are toxic and should be used as a last resort when all else fails.

Paula, I don't mean in any way to undermine the pain you are feeling but I'm just concerned that so many people push for treatments that aren't always in their best interests and no-one really knows the long term effects of all this stuff. Steroid is a 'miracle' drug but it is also responsible for irreplaceable bone thinning/loss.

From 22 years of RA experience I would say give it a month, if no improvement let your GP refer you. But, I do hope you are starting to get some relief; definitely worth trying a paraffin wax bath if you are able. Sorry to be at odds with others but sometimes I just feel that perhaps we expect too much from rheumatology. At the end of the day we have a chronic condition which is going to display as swelling in joints and tendons , lethargy, fatigue etc.., it's par for the course and to be expected. Things often settle down with adequate rest without medical intervention. I have learned from experience that to gain respect and understanding from the medics you need to first respect and understand the disease.

Do hope I haven't upset anyone by voicing my thoughts.

Lyn x
My son, Ian, completed the BUPA Great North Run on 15th September running for the National Rheumatoid Arthritis Society (NRAS). You can read his story at http://www.justgiving.com/ianlukewilson

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