Wednesday, February 15, 2012

Tuesday, November 04, 2008 venetiaann asks

Q: The three middle fingers on my right hand are locked closed in the morning, Why? Painfull too.

There is also a lot of pain in my hands. My nails are breaking down to nothing and splitting as well. I have psoriasis and am wondering about arthritic psoriasis. Or carpel tunnel.The bones in my finger joints and hands are sore!

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Answers (4)
11/ 4/08 7:38pm

Psoriatic Arthritis is a very strong possiblity. Skin and nail changes of psoriasis must be present to make the diagnosis of psoriatic arthritis.  Nail changes include discoloration, fragmentation, pitting, and lifting up. Usually in psoriatic arthritis the fingers and finger joints will swell like sausages. The swelling and stiffness of the hands can be causing a "locked" like sensation. Morning stiffness is an important clue for psoriatic arthritis.

 

Separate from psoriatic arthritis is tenosynovitis which is very common (sometimes referred to as trigger finger). This can also cause fingers to lock because the tendon cannot slide through the tunnel of the tendon.

 

An orthopedic surgeon or rheumatologist will be able to give you the correct diagnosis with an examination and x-rays of your hands.

Dr. Christina Lasich, MD

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11/ 4/08 1:50pm

i had this happen to me, it was a tight tendon, had to have surgery to loosen the tendon. i went to an ortho. lori

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6/11/09 8:18pm

i have this same symptoms whats the answer?

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11/ 4/10 7:03am

You will probably find that your 3 fingers have a condition caused "trigger fingers". You can wear finger splints that are made by a physical therapist which sometimes fixes the problem. Usually you will need surgery to release the tendons at the base of your fingers.I do not believe the fingernails or psoriasis have anything to do with this condition. I have had 5 fingers released and will be having two more operated on in Dec. It is day surgery and quite painless. There are sites online about trigger fingers that you could find quite useful. Helen39

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