OA in finger and sleeping

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Red_34
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Date Joined Apr 2004
Total Posts : 23413
   Posted 12/5/2008 6:06 AM (GMT -7)   
I have OA in the middle joint of my middle finger and I found that when I sleep, it wakes me up when I bend it.  I have tried using a pain cream before bed, wearing a glove and using a splint (which btw the morning after it feels like someone is taking a knife to that joint when I first bend it). Is there anything else I can try so my finger doesn't wake me up?  I am already a chronic insomniac and I take Tylonel Simply Sleep every night (unable to use other sleep aids) and whatever rest I do get is much needed.  So now that my finger is waking me up at night I am getting even less sleep.  Any suggestions?
 @--->--SHERRY--<---@
Moderator for Allergies/Asthma and Co-moderator for UC
~Left sided Uc-'92-Colazal(9 daily),6mp(50-100mgs),Bentyl, Prilosec,Biotin,Forvia,Pro-Bio**Unable to tolerate Asacol, Rowasa or Canasa**~Year-round allergies-Singulair, Zyrtec~Secondary Reynauds Syndrome-'04-Norvasc~Sacroiliitis-epidural injections~bulging and herniated discs C5/C6 & C6/C7~3 epidural injections-worked great!, OA
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Snickerdoodle
Regular Member


Date Joined Aug 2006
Total Posts : 142
   Posted 12/7/2008 1:03 AM (GMT -7)   
Hi just wanted to let you know Tylenol Simply Sleep is just diphenhydramine, same stuff in benadryl and most over the counter sleep aids. I am sure its pretty expensive being that its tylenol brand!
As for your thumb pain do you take any pain meds? What about a couple ibuprofen or acetaminophen? How about asulfasalazine rx from your md? The sulfasalazine works as an anti-inflammatory and is also treatment for ulcerative colitis. That may be a good option for you since you have some other inflammatory conditions too.
Melissa
Dx: UCTD vs autoimmune spondyloarthropathy vs psoriatic arthritis (ie Limbo x5 yrs) Raynaud's, proteinuria
Rx: Plaquenil 400mg, Ultram PRN, Sulfasalazine 2 gram


Red_34
Forum Moderator


Date Joined Apr 2004
Total Posts : 23413
   Posted 12/7/2008 6:24 AM (GMT -7)   
Thanks for the suggestions Snickerdoodle :) However I am allergic to sulfa so sulfasalazine is out of the question for me. Right now the only med I can take for it is Tylonel Arthritis and I take them before I go to bed.
 @--->--SHERRY--<---@
Moderator for Allergies/Asthma and Co-moderator for UC
~Left sided Uc-'92-Colazal(9 daily),6mp(50-100mgs),Bentyl, Prilosec,Biotin,Forvia,Pro-Bio**Unable to tolerate Asacol, Rowasa or Canasa**~Year-round allergies-Singulair, Zyrtec~Secondary Reynauds Syndrome-'04-Norvasc~Sacroiliitis-epidural injections~bulging and herniated discs C5/C6 & C6/C7~3 epidural injections-worked great!, OA
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Ides
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Date Joined Nov 2003
Total Posts : 7077
   Posted 12/7/2008 4:11 PM (GMT -7)   
I have had the same problem on and off for three years. My best advice is to get your rheumatologist to inject the joint with steroids. It is the only thing that works for me. Otherwise I have to sleep with the hand propped on a pillow higher than my heart to keep it from throbbing.
Moderator Crohn's Disease Forum
CD, Ankylosing Spondylitis, lupus, small fiber peripheral neuropathy, avascular necrosis, peripheral artery disease, degenerative disc disease, and a host of other medical problems.
 


sjkly
Veteran Member


Date Joined Dec 2007
Total Posts : 2113
   Posted 12/7/2008 6:40 PM (GMT -7)   
I was also going to suggest steroid injections-also what type of splint did you try? An occupational therapist may be able to design one that is better then the otc ones if you haven't already done that.

Red_34
Forum Moderator


Date Joined Apr 2004
Total Posts : 23413
   Posted 12/9/2008 9:14 AM (GMT -7)   
I was hoping there was another simple remedy instead of getting steroid shots! LOL Oh well. I used one of those OTC aluminum splint that you have to tape on. For the past few nights, my finger hasn't been bothering me but it started again last night. It woke me up when I bent it.

But a question about the steroid shot. I just had my pointer finger of my left hand injected about 2 months ago. Is it too early to get another steroid shot in the middle finger of my right? I know that steroid has a cumulative effect in the body but I don't know the time span in between injections.  Also, can they do an injection like at the base of the hand so it will help all the fingers or does it has to be individually?
 
**edited to add - ok slap me in the forehead!  I just realized why my finger wasn't bothering me in the night for the past few days.  I was taking Tylonel Arthritis before I go to bed!  Ok, so that makes sense LOL**


 @--->--SHERRY--<---@
Moderator for Allergies/Asthma and Co-moderator for UC
~Left sided Uc-'92-Colazal(9 daily),6mp(50-100mgs),Bentyl, Prilosec,Biotin,Forvia,Pro-Bio**Unable to tolerate Asacol, Rowasa or Canasa**~Year-round allergies-Singulair, Zyrtec~Secondary Reynauds Syndrome-'04-Norvasc~Sacroiliitis-epidural injections~bulging and herniated discs C5/C6 & C6/C7~3 epidural injections-worked great!, OA in my fingers 
To help Healingwell - click here: DONATE
 
 
 
 

 
 

Post Edited (Red_34) : 12/9/2008 9:17:48 AM (GMT-7)


Ides
Forum Moderator


Date Joined Nov 2003
Total Posts : 7077
   Posted 12/9/2008 6:51 PM (GMT -7)   
I have had two different joints injected on the same day. The limitation is to the number of injections and the spacing of the injections. My rheumy will not inject a joint more than 3 times a year. He will also not inject more often than every 3 months. My back guy will only inject the SI joints every 6 months.
Moderator Crohn's Disease Forum
CD, Ankylosing Spondylitis, lupus, small fiber peripheral neuropathy, avascular necrosis, peripheral artery disease, degenerative disc disease, and a host of other medical problems.
 

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