cortisone shot in finger?

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Lynnwood
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Date Joined May 2005
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   Posted 2/20/2012 11:47 PM (GMT -6)   
Lupus has decided that the first 2 fingers of my primary hand are the enemy. I know people get cortisone shots in knees, ankles, etc for inflammation - do they do that for fingers? This really hurts!!

Do I see GP or Rheumy? I bet it's a combination of "mouse finger" and Lupus. Already used ice & anti-inflammatory OTC meds, with no relief.

Hope I can sleep. G'nite.
Lynnwood, Lupus & Sjogren's Moderator
DIAGNOSING-LUPUS & LUPUS-RESOURCES
"Life is far too important to be taken seriously" - Oscar Wilde

Bsime
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Date Joined Apr 2006
Total Posts : 1344
   Posted 2/21/2012 11:12 AM (GMT -6)   
Lynnwood,
 
I would see your rheumy.  It could be lupus or just arthritis.  Cortisone shots could be given to fingers but I would try something like celebrex first.  15 years ago osteoarthritis hit my fingers really hard and celebrex was like a wonder drug for me.
 
Just had a cortisone shot in my knee in Dec and it helped that almost immediately.  Also had 3 shots of synthetic synovial fluid (Orthovisc) and that "greased" up the old joint well.  Unfortunately, after a month of PT my patellar tendon got "angry" and I had terrible pain which is just now subsiding.  Hell to get old.  My lupus is still in full remission but the residual weakness from polymyositis still causes me problems and is contributing to the knee problem.  Will get back to working out again this week I hope.
 
Good luck on your fingers.
 
Bill

Lynnwood
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Date Joined May 2005
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   Posted 2/21/2012 11:40 AM (GMT -6)   
Thanks Bill - that's exactly how I would describe this - "angry tendons"! Plus quite a bit of swelling. One joint normally has an ebb/flow arthritis condition, but this is the tendons along the full length of the top of the fingers. Hurts to touch or bend in either direction. Had similar in feet when Lupus was more active, but it's been quiet for a bit over a year so not sure what dx might be.

I would not be a candidate for Celebrex, turns out it's sulfa-based and like many of us with Lupus I have an allergy to sulfa. Taking 4 ibuprofen every 4 hours, taping the fingers (to keep them resting), ice as I can...

Thankfully I was able to work out some this am - I was afraid once my blood was moving that the fingers would throb but they did not. (Yay!) I'll call my rheumy after lunch. My guess is he'll just want to add some prednisone for a week or so...

Glad your knee is doing better! Hurting and feeling weak is not fun.
Cheers,
Lynnwood, Lupus & Sjogren's Moderator
DIAGNOSING-LUPUS & LUPUS-RESOURCES
"Life is far too important to be taken seriously" - Oscar Wilde

Butterflake
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Date Joined Jun 2006
Total Posts : 1650
   Posted 2/23/2012 10:16 AM (GMT -6)   
Hey Lynnwood. How are the fingers doin? My latest flare problem is if I use our exercise bike I flare and my knees hurt, but if I take walks my hips hurt.
 
Side note: I've misplaced a big partially eaten jar of peanut butter. WT%! How does one do this? Oh well, it helps with my diet. Love ya, Butterflake

Lynnwood
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Date Joined May 2005
Total Posts : 7723
   Posted 2/23/2012 2:53 PM (GMT -6)   
Maybe swimming for those knees & hips? Also PT will help strengthen muscles/tendons around the joints which helps relieve some of the pressure on the joints themselves. PT really helped my knee & hip - knee almost always ok now, hip ok unless I push it.

Two fingers still swollen like sausages, very painful to the touch and excruciating to try to bend in the slightest...slightly better than Tuesday. Rheumy not bothering to call me back -- not that I really thought he would but hoped.

Treating with ice, immobilization, ibuprofen, feldene and voltaren gel. Guess they'll get better or fall off, hopefully the former!
Lynnwood, Lupus & Sjogren's Moderator
DIAGNOSING-LUPUS & LUPUS-RESOURCES
"Life is far too important to be taken seriously" - Oscar Wilde

Lynnwood
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Date Joined May 2005
Total Posts : 7723
   Posted 2/24/2012 11:32 AM (GMT -6)   
lol. Rhuemy finally called back (almost 2 full days later) with script for prednisone taper -- of course, that gave it time to inflame the rest of the hand/wrist and the foot/ankle. Fun, fun, fun....
Lynnwood, Lupus & Sjogren's Moderator
DIAGNOSING-LUPUS & LUPUS-RESOURCES
"Life is far too important to be taken seriously" - Oscar Wilde
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