Pain in the fingertips

Sometimes, while doing routine tasks, caring or resting, do you experience pain in your fingertips? How to react if this pain recurs periodically? What is the evidence of such painful moments? What to do and how to deal with it?

The man's brush has 14 joints connecting the phalanges of the fingers. Each joint is a kind of small hinge, which is powered by a system of forearm muscles and a complex system of tendons that are located in the palm of your hand until the wrist joint. Therefore, the hands should be treated with care, do not allow inflammation or damage to the joints, since such injuries can lead to a loss of the ability to move them.

Diseases that develop in the joints of the fingers, it is extremely difficult to cure. And after successful courses of treatment, there may be a residual phenomenon - some stiffness, discomfort or pain at the fingertips. In some cases, after the injuries suffered can appear on the appearance of the fingers - they can remain warped or incorrectly moving.

So, if the fingertips or middle phalanges swell, then this indicates the appearance in your life of a disease called deforming osteoarthritis. This disease manifests itself mainly in the elderly and manifests itself as "knots" on the fingers. Usually this disease does not cause any special discomfort and is treated with the help of a course of usual exercises on mobility and fine motor skills of the hands.

[1], [2], [3]

Causes of pain in the fingertips

Pain in the fingertips should be divided into two camps - hands and feet - because the causes of pain in the tips of the fingers and toes are different and indicate different diseases.

However, it can be safely asserted that the causes of pain at the fingertips are a problem not only of a mechanical nature in the form of a bruise or other trauma, but more often it is the manifestation of some internal disease that is skillfully masked.

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Symptoms of pain in the fingertips

Symptoms of pain at the fingertips can be quite diverse. Temporary numbness of phalanges of fingers, burning or tingling may portend an impending painful wave. Also, with the possible rapid onset of pain in the fingertips, the habitual color of the skin of the phalanges of the fingers may be disturbed. An ache in the joints or in the places of previous fractures can also portend an early pain at the fingertips.

Depending on the disease, the fingers and entire palm can swell. Also about the neglected disease can be evidenced by the change in the shape of the joints, their bulging. In this case, pain at the fingertips, as well as in other phalanges, is inevitable.

Pain in the fingertips

Causes of pain in the fingertips are extremely diverse and characterize more than a dozen different common diseases of the body, joint and vascular diseases.

The carpal tunnel syndrome, carpal tunnel syndrome, or stenosing ligament of the transverse ligament of the wrist, to which women are mainly exposed after 40 years, is manifested by numbness and burning in all fingers of the hand, except the little finger. Pain and numbness begins in the fascicles of the fingers, stretches to the base of the palm, but does not concentrate in the area of the joints. Pain in the fingertips and on the surface of the palm can intensify at night or in the morning. In the daytime, such pain is rarely experienced. Visually the shape of the joints and the fingers themselves does not change, however, some cyanosis may appear, or vice versa, the pallor of the entire brush, an easy swelling of the tissues.

Inflammation in the joints of the fingers, which are accompanied by pain, swelling, redness and impaired motor ability, can signal the arthritis. More common is rheumatoid arthritis, which is manifested in three or more small joints of the hand and lasts for more than three months. In the course of this disease, symmetrical joints of the hands, that is, for example, the middle joints of the middle fingers of both hands, can be involved. About this disease can say some stiffness of the movements in the affected joints, which becomes less noticeable during the day. Such a disease, in the absence of the necessary and timely treatment, affects with time more and more joints of the hands, which makes it difficult to perform routine routine tasks.

Rheumatoid arthritis can be observed not only on the joints of the hands, but also on the ankles or on the joints of the toes. However, this type of arthritis is not observed in large joints, such as the knee, hip or shoulder. In addition to joints, arthritis can affect the internal organs - kidneys, lungs, vascular system and others. Therefore, the treatment of this disease is extremely important.

Reynaud's syndrome, or angiospastic peripheral crises, can be determined by blueness or blanching, as well as coldness of the fingers, sensation of goosebumps under the skin, tingling or numbness in phalanges. This disorder can occur several times a day and last for several minutes. It can lead to hypothermia or mental trauma.

With diseases of the vessels of the hands, pain in the fingertips and along their entire length, convulsions, periodic numbness, fatigue in the fingers can also be observed. At the same time there is a pallor and cooling of the limbs, thinning of the hair, thickening of the nail plates. With the course of the disease, the lumen in the arteries of the upper limbs decreases, which leads to blood flow disorders. The pain in the fingers and hands becomes chronic, the arms become fatigued more quickly, the pulse is palpated slightly.

Pain in the fingertips can also occur in the case of vibration sickness, which occurs in persons working with manual mechanized tools. Discomfort begins when there are periodic mild pains, numbness, tingling in the fingers. In the future these symptoms intensify, acquire a permanent character and affect the tone of the vessels. Vibration disease can lead to the development of vegetative-vascular dystonia and asthenia.

Pain and paresthesia in the ring finger and little finger, when squeezed, may indicate the manifestation of the neuropathy of the ulnar nerve. This disease occurs when the elbow or wrist joint is mechanically damaged. With the course of the disease, there may be difficulties with motor ability, muscle atrophy and the formation of a "clawed brush."

If you have damaged the cervical spine, then in one of the arms may appear discomfort, numbness, lower the pain threshold. Usually, pain and numbness are then observed in either of the fingers, or concentrates on the ring finger and little finger.

If you dislocate your finger, a sharp pain will appear in it, its position will be slightly wrong, the finger may look twisted, stick out of the joint. Most often, the dislocated finger is immobilized. Usually dislocations occur on large (first) fingers.

Inflammation of the tissues of the fingertip, or panaritium, arises in the body due to the development of infection, recorded during a manicure or when abrasions occur in the peri-oral space. The pain is pulling, it increases gradually. The damaged limb is flushed, often swollen and aching. Sometimes the body temperature rises. In such cases, contact the surgeon, so as not to bring himself to blood poisoning.

With polycythemia - a quantitative increase in red blood cells - there can also be numbness and periodic pain at the fingertips in conjunction with headache, itching, insomnia. In the body, microcirculation is disturbed.

Also, unpleasant numbness, chilliness, "crawling crawl" and other symptoms may indicate the development of cervical osteochondrosis. At night, such pains increase, the mobility of the damaged site of the spine decreases.

Often, pain in the fingertips are observed with gout, rheumatism, scapula-brachial periarthritis and other diseases.

Pain in the toes

Pain in the tips of the toes can manifest itself in fewer cases. Most painful moments are signs of physiological and mechanical damage.

Arthritis is characterized by a special inflammatory rhythm of pain, which falls at 3-4 o'clock in the morning. It is worth noting that different forms of arthritis affect the different toes. So, pain in the big toe indicates gout, reactive or psoriatic arthritis. The rest of the toes tell about rheumatoid arthritis, less often about psoriatic.

Osteoarthritis, popularly known as gout, although it has nothing to do with it, is striking, as it was written earlier precisely by the big toe in women. With arthrosis, the thumb is strongly leaning against the second finger, the joint begins to bulge strongly to the side and the resulting tuber is often rubbed with shoes. The joint deforms, it becomes practically motionless. To this disease leads a long wearing shoes with a narrow toe. With further deformation of the joint, the other toes of the foot may be pushed to the side. It is treated by therapeutic methods.

Also in women, Morton's neuroma disease occurs. The pain begins at the base of the toes, the nerve is jammed. Most often it grows into a chronic form, the nerve thickens and becomes more sensitive and painful. It hurts at the base of the second, third and fourth fingers.

Numbness of the feet and fingers in particular can talk about diabetes. In this case, especially at night, there is burning, which is due to increased activity of nerve endings.

Blushing of the skin of the toes, as well as pain during physical exertion can tell about the problems associated with the blood vessels, and in particular - the arteries of the legs. In the tissues of the legs, there is insufficient oxygen and nutrients, so the feet begin to ache, their hair becomes thin, the skin and nails are spoiled, and there is an increased sensitivity to cold.

If the finger is very sore, reddened or swollen, most likely you have a fingernail. Similar cases occur in poor pedicure or when walking in uncomfortable shoes.

When the skin on the feet coarsens, thickens, it can also cause pain in the toes. Hardened and deadened cells are usually located on the heels and on the foot pads, causing pain when pressure is applied to them.

Diagnosis of pain in the fingertips

To establish the necessary treatment, it is necessary to diagnose pain at the fingertips.

So, with traumatic pain at the fingertips, hematomas or abrasions are usually visible, which are visible during examination.

When there are infectious diseases with inflammatory reactions, several symptoms can be observed. The skin can become edematous, pus can periodically be allocated. When neglected, tissue necrosis, inflammation of the tendon sheath or osteomyelitis of the fingertip can begin. With inflammation of the tendon sheath, the same swelling, hyperemia and sharp pain during palpation are observed.

Neoplastic pain can be determined by the method of palpation or examination, in which visible purple-red spots. They indicate the appearance of glomus tumors.

Degenerative pains are called pains in rheumatoid arthritis, which are characterized by changes in the shape of the fingertips, joints are deformed, abnormal inter-flank joints are observed, and the muscles of the hand are atrophied.

If the pain in the fingers is characterized as vascular, then they can manifest themselves in two cases. If there was frostbite of the dorsal or lateral surfaces of the fingers, then there will be a characteristic blue-red skin, edema. Blisters or sores may appear with a crust.

When diagnosing diseases of small vessels, paleness of the extremities is observed, cyanotic or gangrene, ulcers may appear, atrophy pads. Check cardiac rhythm for check.

Metabolic pain in the finger, caused by gout, can be determined by the condition of the skin around the joint - it becomes stretched, reddened, shiny. The diagnosis can be confirmed if groping for gouty knots near the joint.

With scleroderma, which speaks of the autoimmune character of the pain, the skin of the hands becomes waxy, fairly pale, thickened. Fingers seem swollen, pads can lose sensitivity. When diagnosing scleroderma, pay attention to the patient's face - the skin of the face is also similar to the waxy face, a lot of wrinkles accumulate near the mouth. The patient may look rather thin.

If you suspect that the pain in the fingertips is irradiating - check the sensitivity of the fingers, the reflexes on the upper limbs, the volume and nature of movements in the cervical vertebrae.

[6], [7], [8]

Treatment of pain in the fingertips

In order to avoid pain in the fingertips, avoid movements that may provoke or aggravate them. To improve the condition of blood vessels and joints, stretch, bend your arms and fingers, do simple exercises to compress / unclench your arms, come up with a set of exercises.

When determining the type of pain, ibuprofen may be prescribed as an anti-inflammatory drug, in the case of a dystrophic lesion, the treatment is initially directed to the restoration of cartilage in the joint, for which chondroprotectors are prescribed, and massage is also recommended. If the pain in the joint is unbearable, injections, ointments or tablets are prescribed.

Chondroprotectors (including glucosamine and chondroitin sulfate) are the most effective group of drugs that are prescribed for the treatment of arthrosis. They not only eliminate the symptoms of pain, but also directly affect the restoration of the cartilaginous tissue of the affected joint, contribute to the release of fluid that lubricates the joint.

Chondroprotectors, with their complex effect on the joints, are indispensable in the fight against arthrosis, but their effectiveness is significantly reduced when the disease passes to the last stage, when the joint is destroyed. The thing is that it is possible to cure pain at the fingertips or restore the properties of the lubricating joint of the fluid they can, but to build up a new joint or to return the correct form to deformed bones with the help of the drug is impossible.

Chondropotectors are effective in fighting pain in the fingertips and joint disorders, however, to achieve the effect, you need to complete 2-3 complete courses of treatment. These courses can stretch for a year and a half.

At present, the chondroprotektor in the market of medicines is represented by the following medicinal preparations:

• Arthra is a country of the United States, a tablet form, taking 2 tablets a day;
• Dona - country of origin Italy, forms: injection, powder or capsular; course of treatment - 3 injections per week, or 1 packet of powder per day, or 4-6 capsules per day;
• Structum - country of origin France, capsule form, 4 tablets of 250 mg or 2 tablets of 500 mg per day are taken;
• Teraflex - country of origin United Kingdom, capsule form, 2 tablets taken per day;
• Chondroitin AKOS - Country of origin Russia, capsule form, is taken at least 4 tablets per day;
• Khondrolon is a country of origin in Russia, an injection form, a course of 20-25 injections;
• Elbon - Russia's producer country, the form of injection, the course involves 3 intramuscular injections per week.

In medical practice, Don is usually administered in an injectable form.

Chondroprotectors have practically no contraindications in the treatment of pain in the fingertips and joint problems. Of the side effects in extremely rare cases, there are allergic reactions, abdominal pain, swelling, constipation or diarrhea, and in isolated cases - headaches, pain or swelling of the legs, drowsiness, insomnia or tachycardia.

The most acceptable course of treatment with chondroprotectors is 3-5 months with daily intake. The course must be repeated in six months.

As anesthetics and anti-inflammatory drugs, supplementing the treatment of pain in the fingertips and in the joints, salicylates (marching from diclofenac), paracetamol or indomethacin are prescribed. A good analgesic effect has local remedies - ointments, which contain novocaine, anesthesin or ointments based on menthol.

Diclofenac is a tablet form, taken at the initial stage - 100-150 mg / day, divided into several receptions.

Indomethacin is a tableted, capsular, injectable, suppository form. The daily dose is up to 100-150 mg, divided into 3-4 doses. The course of treatment of pain in the fingertips and in the joints must be completely, otherwise there is the possibility of updating the disease.

To remove acute attacks of gout, 0.05 g is prescribed three times a day. For the treatment of acute conditions or exacerbation of the chronic process, 1-2 mg per day is administered 60 mg intramuscularly for 7-14 days or 1 suppository twice a day.

As for corticosteroids, they are prescribed for the treatment of carpal tunnel syndrome - compression of the median nerve inside the carpal tunnel.

Symptoms of carpal syndrome are removed with 1-2 injections of low dose cortisone administered in the wrist area. This treatment has no side effects.

If the stage of the disease is neglected, then surgery for the treatment of carpal tunnel syndrome and pain at the fingertips is necessary. When performing the operation, both in the form of open access using local anesthesia, and in the case of micro-invasive access, the task of medics is to reduce the compression of the median nerve. Crosses the transverse ligament of the wrist, which helps open the carpal tunnel.

For the treatment of pain in the fingertips with gouty arthritis, the above-described indomethacin, naproxen, phenylbutazone and feniprofen are most often prescribed.

Doses of indomethacin are reduced with each reception: the first reception - 75 mg, the next day - 50 mg every 6 hours, then the day - 50 mg every 8 hours, the subsequent treatment - 25 mg every 8 hours.

Side effects of this drug include disorders of the gastrointestinal tract, symptoms of disruption of the central nervous system, sodium retention in the body. Despite all sorts of side effects of the drug, observed in 60% of cases, indomethacin is preferable to colchicine. Also, for acute gout attacks, an effective drug is systemic or topical injection of glucocorticoids into the joint. Usually, moderate doses of glucocorticoids are prescribed for the treatment of pain at the fingertips and articular pains for several days, as the concentration of the drug in the body is dramatically reduced and the effect is weakening. Intra-articular injections of the drug help stop bouts of bursitis or monoarthritis for a day or a half. Such treatment is mainly prescribed if it is impossible to complete the full course of treatment.

For the treatment of pain in the fingertips and joints, alternative means can also be used:

• hellebore caucasian in the composition of ointment. To prepare the ointment, it is necessary to mix 20 g of dry hellebore, 20 g of honey, 10 g of vegetable oil and 5 g of dry mustard. Melt all the ingredients in a water bath and mix until smooth. Transfer to a dark vessel and cool. To relieve pain, lubricate the joints at night;
• using fruit vinegar, make compresses on painful joints;
• a small amount of propolis mixed with sunflower or corn oil. Apply as an ointment;
• slice the burdock leaves and densely pound it into the jar, leave it on the window to which the sun is constantly shining. When the leaves turn into a foul-smelling mush and are covered with mold, apply them as a compress on the joints. The burdock leaves can also be used to wrap the joints at night;
• 100 g of camphor oil, 100 g of dry mustard, 2 whites from fresh chicken eggs to a uniform foam mass, pour into a jar, close tightly with a lid and put in a dark place. Rub this mixture of joints and make compresses, covering with cellophane and something warm from above for a warming effect;
• Sponge from the branches of the bodyworms, cut, rinse and dry, warm in the oven and grind to powder. Rub a powder with a drop of vegetable oil in a painful place. You can feel a slight burning sensation in the smeared place;
• flower Kalanchoe grind through a meat grinder, add 0.5 liters of gruel 1 liter of vodka. Insist 3 to 5 days, rub into the joints. Also, an effective tool crushed through a meat grinder Kalanchoe mixed with grated chalk to a thick mixture and apply it as a compress, wrapping cellophane and something warm;
• you need to rub the sick joints with natural fat - after the bath rub the natural pork fat into the joint that hurts. Repeat the procedure for several months;
• 1 glass of sticky birch buds, insist on 0.5 liter of alcohol or moonshine 2 weeks in a dark place, shaking occasionally. Then rub the infusion into the joints that hurt.

How to prevent pain in your fingertips?

• Remember that it's better not to start your own health than to diligently treat it.
• The first rule of preventing pain in the tips with your finger is the rejection of alcohol, nicotine, a lot of spicy food, spicy and salty.
• Eat more fresh fruits, vegetables, refuse fried, prefer steamed or boiled foods.
• Do not freeze. Do a workout during work, do not let the blood stagnate.
• Wear comfortable shoes that fit you in size and shoe.
• Do a manicure or wound treatment with only sterile instruments.

Prevention of pain at the fingertips is extremely important, as it prevents the appearance of dangerous diseases and hardens your organs and limbs.