Definition Clubbing is a thickening of the flesh under the toenails and fingernails. The nail curves downward, similar to the shape of the round part of an upside-down spoon. Alternative Names Clubbing Considerations Clubbing occurs with a wide number of diseases. It is most often found in heart and lung diseases that cause a lower-than-normal amount of oxygen in the blood. Clubbing may also be due to lung cancer, and diseases of the liver and gastrointestinal tract. Clubbing may also occur in families. In this case it may not be due to an underlying disease. Common Causes Chronic lung conditions
Bronchiectasis Cystic fibrosis Lung abscess Lung cancer Pulmonary fibrosis Congenital heart disease (cyanotic type)
Tetralogy of Fallot Total anomalous venous return Transposition of the great vessels Tricuspid atresia Truncus arteriosus Digestive system diseases
Celiac disease Cirrhosis Crohn's disease and ulcerative colitis Graves disease or hyperthyroidism Other conditions
Dysentery Other types of cancer,...
Alternative Names Blanching of the fingers; Fingers - pale; Toes that change color; Toes - pale Home Care Avoid smoking. Avoid exposure to cold in any form. Wear mittens or gloves outdoors and when handling ice or frozen food. Avoid chilling, which may happen following any active recreational sport. Wear comfortable, roomy shoes and wool socks. When outside, always wear shoes. Call your health care provider if Call your doctor for an appointment if: Your fingers change color and the cause is not known Fingers or toes turn black or the skin breaks What to expect at your health care provider's office The doctor will perform a physical examination , which will include close examination of the hands, arms, and fingers. The doctor will ask questions about your medical history and symptoms, including: Time pattern
Did the fingers or toes suddenly change color? Has the color change occurred before? Aggravating factors
Does cold or emotion cause the fingers or toes to turn white or blue? Did this occur a...
Most of us with RA have pain in our feet and ankles. According to an article I read on Medscape, up to 85 percent of people with RA will experience painful feet or ankles at sometime during their life with this disease. During the first year of diagnosis, 57 percent of patients report foot and/or ankle pain.
Statistics are important, but statistics are numbers. What really matters to us is that our feet hurt . When our feet hurt, we have trouble getting around, and that is a bad thing for anyone. Not being able to walk keeps us from going places we want to go. It limits even more the amount of exercise we are able to do on a daily basis, and it isolates us socially.
A few weeks ago, I was experiencing a lot of pain in my feet and ankles. I noticed that I was “shuffling” instead of walking, and I was walking on the inside edges of my feet. My ankles were turning in, as evidenced by the shoes sitting in my closet. They all looked as though a I was wearing them w...
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