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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain, Swelling And Redness On The Fingers?

For past month I have had swollen, red and painful fingers. I haven t quite been able to make tight fists. I suspected a rheumatoid flare up as I have a history of rheumatoid arthritis in my knees. This summer I also had a few cases of tendinitis and trigger finger where it was also hard to make a fist (precursors to rheumatoid?). Another strange this is a couple time I have a cut on one of my fingers and the swelling and pain is noticeably worse in that finger.
posted on Tue, 13 Dec 2016
Twitter Sun, 25 Dec 2016 Answered on
Twitter Mon, 26 Dec 2016 Last reviewed on
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General & Family Physician,  's  Response
Hi,
Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. Please find my advice below-:
1)Do RICE(rest,ice,compression,elevation)
2)Take NSAID Combiflam for pain,with 3a PAN-D
3)Take oral steroid first day to third day 30 mg then tapper 5 mg every week until 21 tablets taken.
Investigations-
a)Full blood count with differential
b)Erythrocyte sedimentation rate (ESR)
c)C-reactive protein (CRP)
d)Rheumatoid factor (RF) assay
e)Antinuclear antibody (ANA) assay
f)Anti−cyclic citrullinated peptide (anti-CCP)
g)Anti−mutated citrullinated vimentin (anti-MCV) assays

Do all these test and report after 20 days,

I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me.
Wishing you all the best.
Thanks,
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What Causes Pain, Swelling And Redness On The Fingers?

Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. Please find my advice below-: 1)Do RICE(rest,ice,compression,elevation) 2)Take NSAID Combiflam for pain,with 3a PAN-D 3)Take oral steroid first day to third day 30 mg then tapper 5 mg every week until 21 tablets taken. Investigations- a)Full blood count with differential b)Erythrocyte sedimentation rate (ESR) c)C-reactive protein (CRP) d)Rheumatoid factor (RF) assay e)Antinuclear antibody (ANA) assay f)Anti−cyclic citrullinated peptide (anti-CCP) g)Anti−mutated citrullinated vimentin (anti-MCV) assays Do all these test and report after 20 days, I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks,