Suggest Treatment For Inflammatory Arthritis

Posted on Fri, 29 Aug 2014

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

Fri, 29 Aug 2014 Answered on

Fri, 19 Sep 2014 Last reviewed on

Question : When I wake up in the morning I csn bearly close my hand my knuckles hurt so bad till I soak them in my hot bath and my pointer finger has felt asleep or numb for week when it all started

Answered by Dr. Dr. Shruti Rijhwani (2 hours later)

Brief Answer:
Could be inflammtory arthritis.

Detailed Answer:
Dear Sir,

Thank you for posting your query.

I have gone through your entire history , I think you are having early morning stiffness which is characteristic for inflammatory arthritis and then relieving it by hot water is also indicator for the same . The pointer finger that you are telling can be due to carpal tunnel syndrome which can be secondary for the same.

Plus metabolic profile also needs to be done . I would advise you to get Rheumatoid factor , Anti CCP antibody , ESR , Vitamin D levels , S. TSH to look for the cause . After establishment of the cause we can suggest the management . Sensory loss in the finger will require NCV testing to be done . You can discuss these with your treating doctor.

Take care.

Dr. Shruti

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar