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Dear Dr. Krant: I am a 55 year-old man who has had osteoarthritis in my feet for 17 years. During the last 3 years it has spread throughout my spine, skull to tailbone, in the shoulders/hips/knees and hands, and nodes on fingers. I also have some difficulty walking. Is this a normal progression, or an extreme variation? You have had osteoarthritis for almost twenty years, beginning in your early 30s. Many people develop aches and pains in the large weight-bearing joints relatively early, even in their twenties. X-ray evidence of joint space narrowing, loose bodies and asymmetry throughout the weight-bearing surfaces usually does not appear until the 40s, although certain people will develop abnormalities early on. This is particularly true when cartilage has been surgically removed from the knees, when work involves repetitive lifting, bending and weight-bearing heavy loads, and when there is a genetic link to an affected parent. Nodes on the fingers (called Heberden...
What is trigger finger?
Trigger finger (also called stenosing tenosynovitis or stenosing tendovaginitis) is a painful condition in which a finger or thumb becomes “locked” in place after it has been flexed. There may be clicking, popping, or a catching sensation in the affected finger which becomes difficult to straighten without assistance. Some patients may experience stiffness and reduced motion without the characteristic catching or locking.
Stenosing tendovaginitis (i.e. narrowing inflammation of the tendon sheath) can affect any of 23 extrinsic tendons that power the wrist and hand. However, trigger finger most commonly affects the little finger, ring finger, or thumb. Additional symptoms include a bump or lump (nodule) at the base of a finger near the palm, tenderness, or lingering soreness at the base of a finger or thumb,.
What causes trigger finger?
A trigger finger is caused by inflammation and/or hypertrophy (enlargement) of the tendon sheath. This inflammation...
Pain - finger
Lyn E, Antosia RE. Hand. In: Marx J, ed. Rosens Emergency Medicine: Concepts and Clinical Practice . 6th ed. St Philadelphia, Pa: Mosby Elsevier; 2006:chap 47.
Swigart CR. Hand and wrist pain. In: Harris ED, Budd RC, Genovese MC, Firestein GS, Sargent JS, Sledge CB, eds. Kelley's Textbook of Rheumatology . 7th ed. Philadelphia, Pa: Saunders Elsevier; 2005:chap 44.
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