Alternate Names: Pain - finger(s)
Considerations: Nearly everyone over a lifetime has a few fingers that have been injured and remain a bit crooked or stiff. The hand functions quite well with these minor deformities; fingers need not open fully or close completely to be functional.
Don’t expect an injury to fingers to heal completely. Even after healing is complete, some leftover stiffness or discomfort is possible.
Osteoarthritis causes knobby swelling of finger joints and can also cause problems at the base of the thumb (expect some pain and stiffness). Specific treatment, other than exercise, is not required.
Numbness or tingling may indicate a problem with nerves or circulation.
Common Causes:
Home Care: Avoid activities that cause or aggravate pain.
Rest the finger joints so that they can heal, but use mild stretching exercises to keep them limber and maintain motion. Stretch the joints gently (just to the edge of discomfort) twice a day to maintain motion, but don’t force them.
Use common sense in thinking of ways to perform activities that are less stressful to the joints. For example, a big handle can be gripped with less strain than a small handle.
Avoid strong pain medicines that tend to mask the pain and may lead to excessive activity or exercise.
Anti-inflammatory medication can help. Any prescribed medication for inflammation should be taken only as directed.
Call If:
- the finger pain is caused by injury.
- the problem persists after 2 weeks of home treatment.
- there is numbing or tingling in the fingers.
- there is severe pain at rest.
- it is impossible to straighten the fingers.
What To Expect: The medical history will be obtained and a physical examination performed.
Medical history questions documenting finger pain in detail may include:
- location
- Exactly what part is affected?
- Is it on both hands?
- Is it every finger?
- Which finger?
- Is it only a particular joint? Which joint?
- time pattern
- When did the finger pain first start?
- How long has it lasted?
- Is it continuous or off-and-on?
- quality
- Is the pain burning?
- Is the pain crushing?
- Is the pain sharp?
- medical history
- Has there been a recent injury?
- What other symptoms are also present?
The physical examination will include examination of the hand and finger movement.
Diagnostic tests:
X-ray of the hand may be recommended
Intervention:
Cortisone injections into a particularly bad finger joint may be recommended but are rarely helpful. Surgery may also not be very effective with small joints.
After seeing your health care provider:
You may want to add a diagnosis related to finger pain to your personal medical record.
