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Why Pain in Hand Fingers?

Published in Hand Pain 3 mins read

Pain in your hand fingers is often due to an injury or an underlying medical condition.

Common Causes of Finger Pain

Finger pain can stem from a variety of reasons, broadly categorized as injuries and medical conditions.

Injuries

  • Cuts and Lacerations: A direct cut to the finger, often from sharp objects, can cause immediate pain.
  • Broken Finger: A fracture can cause significant pain, swelling, and difficulty moving the finger.
  • Broken Fingernail: Damage to the nail bed can be very painful.
  • Sprains and Strains: Overexertion or sudden twisting can lead to ligament or muscle injuries in the fingers.

Medical Conditions

  • Osteoarthritis: This degenerative joint disease causes cartilage breakdown, leading to pain, stiffness, and swelling in the finger joints. It is a common cause of finger pain, especially in older adults.
  • Rheumatoid Arthritis: An autoimmune disease that causes inflammation of the joints, including those in the fingers, resulting in pain, swelling, and stiffness. Unlike osteoarthritis, it's a systemic disease that can affect other parts of the body.
  • Carpal Tunnel Syndrome: While primarily affecting the wrist, carpal tunnel syndrome, which involves compression of the median nerve, can cause pain and numbness that radiates into the fingers.
  • Trigger Finger (Stenosing Tenosynovitis): Inflammation of the tendons in the finger can cause the finger to catch or lock in a bent position, accompanied by pain.
  • Gout: A form of arthritis caused by the buildup of uric acid crystals in the joints, which can affect the fingers, leading to intense pain, redness, and swelling.
  • De Quervain's Tenosynovitis: Though it mainly affects the tendons on the thumb side of the wrist, pain can radiate into the fingers.
  • Infections: Bacterial or fungal infections around the fingernail (paronychia) or within the finger can cause significant pain and swelling.

When to Seek Medical Attention

Consult a doctor if you experience:

  • Severe pain
  • Inability to move your finger
  • Deformity of the finger
  • Signs of infection (redness, swelling, pus)
  • Numbness or tingling that doesn't resolve
  • Pain that interferes with daily activities

Diagnosis and Treatment

A doctor will typically diagnose the cause of finger pain through a physical exam and potentially imaging tests like X-rays. Treatment options vary depending on the cause and can include:

  • Rest and ice
  • Pain medication (over-the-counter or prescription)
  • Splinting or casting
  • Physical therapy
  • Injections (corticosteroids)
  • Surgery (in severe cases)

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