Boyfriend extremely painful swollen index finger, claims its arthritis, looks like edema?

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cured4real?
Veteran Member


Date Joined Dec 2005
Total Posts : 1944
   Posted 6/25/2009 8:10 PM (GMT -7)   
Hi,
My arthritis doesnot look like this, my wholefinger doesn't swell, just the nuckles and a little maybe, but mostly crooked and stiff. His finger is twice the size of the other overnight he says the two joints hurt. I don't have rheumatoid, but wondered if this is what RA does or even some types of arthritis.
 
He says he can't take off work for the doc and is working long hours. I am going to get him in somehow, even if ER, though I knowhe won't wait. I think it looks like an infection, like you get froma spider bite, but it is not warm and not black and blue or green. It seems like its septic, maybe like cellulitis. But it is oddly limited to thisone finger and his pain is inthe joints and is bringing him to tears when he bends it and he is super tough.
 
Does this sound like arthritis? I know he will have some arthritis inhis hands from doing rough outdor work. I'm worried he may have broken it, didn't know it, an there is a worse infection. Maybe it is just really painful arthritis. I don't know.
 
Any ideas? Have you had arthrits like this?
Love, Marji
Ills--Sjogrens-Lupus cond., AI polygland. dysfunction 2, hyper/hypopigment, scoliosis,kyphosis,stenosis, deg.,O.A.,spine surgeries, salivary/lymphectomies, NASH, COPD, RLS, UT/GI bleeds, hystero, brain/nerve damage,TB
Meds--INH,Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, HRT and Lidocaine patchs, Voltaren gel, Klonopin, Vicodin, Restasis, Albuterol, steroids


sjkly
Veteran Member


Date Joined Dec 2007
Total Posts : 2113
   Posted 6/26/2009 9:11 PM (GMT -7)   
Everyone is different. I have RA and when my fingers are swollen it is the joint at the base of my hand and it is just the joint the rest of my finger does not swell. Also RA usually to get that much inflamation you also have all kinds of systemic stuff going on. Fever, fatigue, morning stiffness...well this is a lupus forum so you probably know the AI syndrome drill.
It sounds like it could be some kind of trauma-like he broke it.
sj

firebabe
Regular Member


Date Joined Aug 2007
Total Posts : 206
   Posted 6/27/2009 5:06 PM (GMT -7)   
Hi, when my Lupus actus up, I do get swelling in my hands.  This usually affects the entire finger, not just the joint.  I like to refer to my finger(s) as a sausage, because it looks 2 times the regular size when it does swell.  This always comes with pain in at least 1 joint.  This last week, I had my index and ring fingers swell up on my left hand and just around the joint of my ring finger on my left hand.  Does your boyfriend take any anti-inflammatories or prednisone?  I called my dr. to get a taper of pred because it could just be the weather we've been having that brought on a slight flair.  It was been very hot and extrememly humid here.  I guess both types of swelling can be normal with Lupus.  I do not have RA.  When I have pain and swelling like this I alternate between ice packs and heat, that seems to take some of the pain out along with my normal dose of anti-inflammatories.  Hope this helps.
~Tammy~
 "Challenges make you discover things about yourself you never really knew."
 SLE and Class II Lupus Nephritis


cured4real?
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Date Joined Dec 2005
Total Posts : 1944
   Posted 6/28/2009 6:46 PM (GMT -7)   
Well, he went to the doctor and she did not xray it and just said its gout or gouty arthritis and put him on gout medicine that he's supposed to take every hour, colchiicine or something like that. The swelling went partially down but he's been asleep all day. Maybe it is gout. It would have been good for him to get an xray because his knuckles are so messed up anyway. The normal Aleve, motrin, aspirin, stuff that helps arthritis somewhat worked okay, but did nothing for the swelling. I thought gout affectedthe legs. He drinks, and gout is related to the liver, so they told him not to drink. I guess sometimes these things happen to straighten people out. It really hurt him bad so...

I'm still not totally convinced its not RA, we both have it in our families and he has gotten hurt so many times and seems like the arthritis is setting in now. HE has other problems as well, the general cluster most of us have is now setting in.

When I think of of gout I think of henry the eighth walking around with that turkey leg.
Love, Marji
Ills--Sjogrens-Lupus cond., AI polygland. dysfunction 2, hyper/hypopigment, scoliosis,kyphosis,stenosis, deg.,O.A.,spine surgeries, salivary/lymphectomies, NASH, COPD, RLS, UT/GI bleeds, hystero, brain/nerve damage,TB
Meds--INH,Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, HRT and Lidocaine patchs, Voltaren gel, Klonopin, Vicodin, Restasis, Albuterol, steroids


sjkly
Veteran Member


Date Joined Dec 2007
Total Posts : 2113
   Posted 6/28/2009 7:09 PM (GMT -7)   
Gout is caused by genetics. It is agrivated by high uric acid levels which cause chrystal formation inside of joints-the joint most often affected is at the base of the great toe but it can effect other joints and is often found in small joints. That said, how did they diagnos it-did they aspirate fluid from the joint to examine it for chrystals? Did they test his uric acid levels? Alcohol and high purine foods can contribute to flares.
Gout is usually extreemly painful and touching the effected joint can be excruciating.
In contrast I often rub my RA effected joints as it feels good.

cured4real?
Veteran Member


Date Joined Dec 2005
Total Posts : 1944
   Posted 6/28/2009 7:53 PM (GMT -7)   
Thanks so much all for the kind replies and info. No, they did not look for crystals, all she did was bend the finger around. I'm going to get him in to a regular doc instead of urgent care. I can't believe they wouldn't xray. It looked infected to me. It hurts for him to bend it,but not to rub it. It is excruciating for him to bend it. No one in his family has gout, but his feet did mysteriously swell for three days and he couldn't wear shoes or walk. They did look like gout, but also, it sounds like ra does the same kind of swelling, so it could be that.

It seems like putting him on that gout medicine without knowing thats the problem might hurt him. Would an xray show the gout crystals? Seems like I remember there is another condition called psuedogout, or gouty arthritis where the crystals are calcium and not the uric acid. And the gout medication doesn't work on it.
Love, Marji
Ills--Sjogrens-Lupus cond., AI polygland. dysfunction 2, hyper/hypopigment, scoliosis,kyphosis,stenosis, deg.,O.A.,spine surgeries, salivary/lymphectomies, NASH, COPD, RLS, UT/GI bleeds, hystero, brain/nerve damage,TB
Meds--INH,Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, HRT and Lidocaine patchs, Voltaren gel, Klonopin, Vicodin, Restasis, Albuterol, steroids


sjkly
Veteran Member


Date Joined Dec 2007
Total Posts : 2113
   Posted 6/29/2009 7:30 PM (GMT -7)   
X-rays will not show the chrystals-you have to aspirate the fluid and look at it. Gout is generally painful to the touch-I definetly think another doctor and a more thourough look at the situation is in order.

Currently I would diagnose him with chronically bad medical advice syndrom and prescribe a doctor who is not an idiot.
But, I have never been known to be politically correct.

cured4real?
Veteran Member


Date Joined Dec 2005
Total Posts : 1944
   Posted 6/29/2009 8:45 PM (GMT -7)   
****, you definitely hit the nose on the head!?  I'm really afraid most of these docs don't have valid licenses, just printed them up on PCs, either that or they've been putting something in the water at med school. Perhaps there is something on all that money they are making that is causing the problem. 
 
We are going to struggle to get an xray. His boss told him to go to the ER, they are morelikely to xray there. I think so too.  He took all the gout pills,one an hour as directed, butbesides getting a thorough "flush" of his system, the swellingis as bad as ever.
 
Man, I wonder if I go to medical school I will be able to just look at people and guess what's wrong with them and act like its fact. Even on star trek they have to use that scanner thingy.
 
Love, Marji
Ills--Sjogrens-Lupus cond., AI polygland. dysfunction 2, hyper/hypopigment, scoliosis,kyphosis,stenosis, deg.,O.A.,spine surgeries, salivary/lymphectomies, NASH, COPD, RLS, UT/GI bleeds, hystero, brain/nerve damage,TB
Meds--INH,Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, HRT and Lidocaine patchs, Voltaren gel, Klonopin, Vicodin, Restasis, Albuterol, steroids


whyme?2010
New Member


Date Joined Jun 2010
Total Posts : 1
   Posted 6/13/2010 8:00 AM (GMT -7)   
cured4real?,

Did you ever get this ailment resolved w/ your boyfriend? This sounds EXACTLY like what is going on with my husband. He had a "gouty" attack a few months ago in his knee, but it responded well to the meds, and only lasted a day or two.

about 6 weeks ago, his finger became sore (no injury), and then progressively got worse and swollen. At first it seemed like just the joint, but now the entire finger is completely swollen. He was treated for gout (again), but it didn't help. They took x-rays to rule out injury, and eventually sent him to an orthopedic specialist. After steriods, and a cortizone shot, finger was still as big as a sausage. Now his palm, and forarm are hurting. Doctor tried to aspirate the joint for fluid or puss, but there was nothing.

Last week, he had outpatient surgery. Doctor wanted to open his finger and see if he could see any sign of infection. The surgery has still left us with no answers, as there was no puss or other visable infection, and no sign of gout chrystals.

He is in such pain, and he is having a horrible time trying to work. If you could please tell me what you found out, I would greatly appreciate it.

Post Edited (whyme?2010) : 6/14/2010 10:53:07 AM (GMT-6)

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