Good Morning msfroggi,
Does the swelling go away after you are up and about? Do you have the tingling sensation at night in your hands as well. I'm just asking because I also have many problems with my hands and joints in the fingers related to carpal tunnel syndrome. This all came out a few months prior to my lupus diagnosis and it drove me absolutely crazy because I couldn't sleep at night. Finally went to an orthopaedist and they had me get a carpal tunnel analysis test done which came back mild to moderate, so therefore, I get injections in my hands about every three months to keep the swelling down and keep the nerve from flaring at night. My rheumatologist is fine with me getting the injections on top of my other meds because the cortisone stays in the area of my hands and does not affect my body systemically. It's all a pain in the butt dealing with it. I was a piano teacher for years and played almost daily and now I hardly ever play because I don't have the mobility in my hands and fingers that I used to. I had the swelling so bad just like you that I couldn't make a fist and to even get dressed and do my hair was difficult. Okie, is right, you have to watch the edema because it can be very detrimental to your heart and could also signal kidney problems. I would call your rheumy and let them know, maybe they can get you in earlier. You don't want to wait another week for it to get any worse. Keep us posted.
Hugs and Angels,
DX - sle and carpal tunnel syndrome