I Have Achy Swollen Joints In Hands And Toes Hands

Posted on Mon, 19 Aug 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 19 Aug 2019 Answered on

Last reviewed on

Question : I have achy swollen joints in hands and toes Hands are very distorted and enlarged I have pain all the time I am very sensitive to cold and am fatigued much of the time. RA, b12 deficiency and thyroid have been eliminated . What do I ask about next?

Answered by Dr. Dr. Ivan Romich (1 hour later)

Brief Answer:
probably autoimmune issue

Detailed Answer:
HI and welcome.
YOur symptoms are suggestive of generalized arthritis which is most commonly seen in autoimmune disorders: rehumatoid arhritis, osteoarhritis or poliarthritis nodosum.You may also have fibromyalgia or systemic lupus.

I dont think this is related to thyroid or vitamin defficiency so you should focus on autoimmune disorders. Beside RA factor, you should check ANA (antinuclear antibody), cyclic citrullinated peptide (CCP) antibody, HLA-B27, uric levels and viral markers.
ALso, xrays of hands would be useful.

If all these are fine, then you should start with exercises, hav eantiinflammatory medications such as metotrexat or decortin,but it should be discussed with immunologist.

WIsh you good health. Regards. Feel free to ask further questions.

Above answer was peer-reviewed by : Dr. Prasad