Dr. Ebraheim’s educational animated video describes the conditions of arthritis of the fingers
Arthritis of the Fingers
Diagnosing arthritis of the fingers can be difficult. Arthritis can affect any joint in the body but it is commonly seen in the joints of the fingers. The different types of arthritis and the pattern of joint involvement include osteoarthritis, psoriatic arthritis, gouty arthritis, rheumatoid arthritis. Heberden’s nodes are hard or bony swellings that can develop in the distal interphalangeal joints (DIP) and may or may not be painful. Heberden’s nodes are caused by the formation of osteophytes due to repeated trauma at the joint and usually occurs during middle age. Bouchard’s nodes are bony growths that can form on the proximal interphalangeal joints of the finger (PIP). Bouchard’s nodes, like Heberden’s nodes, may or may not be painful. Bouchard’s nodes are typically associated with limited motion of the affected joint. Mucous cysts are small, fluid-filled sacs that form between the DIP joint of the finger and the bottom of the fingernail. The best treatment is surgical excision of the cyst and removal of the underlying osteophyte to decrease the risk of recurrence. It is an anti-inflammatory form of arthritis, and it is sometimes mistaken for osteoarthritis. Dactylitis is also referred to as “sausage digit”. It is inflammation of the entire digit. Sausage fingers is a major finding of psoriatic arthritis. Nail pitting is small depressions in the finger nails, and it is most common in people who have psoriasis. Gout is a form of inflammatory arthritis that is sometimes called “gouty arthritis”. Gouty arthritis will mimic infection and may develop in people who have high levels of uric acid in the blood. The uric acid can form needle like crystals in the joint and cause pain, tenderness, swelling, and tenosynovitis. Periarticular erosions seen on x-ray may also be present with gout of the finger joints. Periarticular erosions are usually multiple and bilateral with sclerotic borders. In juvenile rheumatoid arthritis, it is ANA positive in 30% of the time. Rheumatoid factor is negative in a child and later on it may become positive, and there is shortened digits. Polyarticular rheumatoid arthritis (JRA) is a form of juvenile rheumatoid arthritis that affects five or more joints; it is polyarticular in about 30%. Pauciarticular juvenile idiopathic arthritis (JIA) is a form of juvenile rheumatoid arthritis that affects less than five joints; it is pauciarticular in about 50%. In pauciarticular onset juvenile idiopathic arthritis, check the iris of the eye for iridocyclitis. In polyarticular rheumatoid arthritis, check cervical spine for subaxial instability. Rheumatoid arthritis of the hand occurs more in females than in males. Rheumatoid arthritis has spontaneous remissions and exacerbations. The disease can have a systemic nature. Rheumatoid arthritis is typically poly-articular, bilateral and symmetrical, and most commonly affects the hands and feet. The patient complains of pain and stiffness of the joints, especially in the morning (morning stiffness). X-rays show periarticular erosions at the time of diagnosis. Osteopenia and minimal osteophyte formation favor the diagnosis of rheumatoid arthritis. Early (acute) rheumatoid arthritis has symptoms of hot, swollen, tender joints (synovitis). Complicated rheumatoid arthritis has symptoms of digital vasculitis, ecchymosis, skin atrophy, and nodules. Advanced rheumatoid arthritis has symptoms of swelling of the MCP joint, lateral slippage of extensor tendons and tendon ruptures, ulnar deviation of fingers, and x-ray shows destruction of the MCP joints with subluxation, ulnar deviation, and wrist destruction. Finger deformities include mallet finger, boutonniere, and swan neck. The thumb is also involved. These changes occur due to proliferation, inflammation and hypertrophy of the synovium. Involvement of the distal radioulnar joint is usually associated with rupture of the extensor digiti minimi.
0:00 Introduction
0:07 Arthritis of the Fingers
0:47 Osteoarthritis
2:03 Psoriatic Arthritis
2:44 Gouty Arthritis
3:33 Rheumatoid Arthritis
5:52 Rheumatoid Manifestations in the Hand
source
Super informative, thank you Doc
The main question is what's the golden rule to diagnose this painful issue since X-rays just see bone fracture and not in depth the issue with the joints
A good example of gouty arthritis is Keith Richards of The Rolling stones
Drinking Green Tea daily really comes to my rescue…just saying…I drink it hot and cold at other times.
Thank you
Very helpful!
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I have rheumatoid arthritis and gouty. Keep off sugar fizzy drinks .I take seven seas pills turmeric tablets. Plenty water and keep massaging fingers. Hope this helps.
This honestly could have ALL been avoided had she not allowed a stranger to come to her home! Please, be careful. The world isnt getting any nicer!!!
What is the treatment sir
Get rid of your pain by doing leech therapy. (With Allah's permission)
Mnoge komentare sam procitala, imam RA prsti i cijele sake su me boljeli da se nisam mogla umiti, probala dijete, cajeve , masti i svasta al nije bilo pomoci dok zvanicno nisam posla koristiti lijek (pronisol) na bazi kosteroida sa malim dozom, preporođena sam od tog lijeka i posle mjesec dana svi nalazi su bili uredu i trenutno sam vec par mjeseci u remisiji, isjecam se odlicno. Pozdrav svima vama koji imate RA
Thank you very much, what is the main reason why arthritis occurs in the fingers, how much stress plays a role and what should I do to make my fingers completely fine, several of my fingers are stuck, and one of my fingers is painful and has a cyst. May God bless you and give you health. Thank you, I am waiting for your answer. Also, where is your office pkease .❤
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Drink more water one of the Arthritis Doctors , recommends this to all his patients.
Yes eliminate sugar helps a lot , also foods that have Purines and there are a lot, seafood lobster,crab, anchovies,
Sardines, red meat, these foods and sugar cause inflammation in the body causing many kinds of arthritis , and arthritis gout , one that affected me was sardines, which are healthy and good protein but they caused painful gout. So I stopped them completely, but ground meat is hard to give up completely, I had huge relief by taking megadoses 3-4 grams or more Vitamin C per day , after 2 days I started to feel better. Ibuprofen also of course at the same time!
I had chronic arthritis pain for years, but after following Planet Ayurveda's treatment plan, the pain has reduced significantly. I feel more energetic and active. Their holistic approach is truly effective!
Thank you! Excellent explanation
Very informative ; diff. Kinds of arthritis coz mind just erupted 3 mos .ago ; painful , stiff ;! Inflamed
It's a darn shame that we are expected to listen to all these explanations and stories before hearing the bottom line. Well, to bad for me, I gave up, I hope that the rest of you made it to the end and that it truly helped you.
Does cracking fingers cause this?
I am shi out of luck if I get in a fight because balling my index finger up hurts so good so bad. I want to laugh and really cry from the pain and numbness
But what can one do about it
Thanks a lots Sir for giving such valuable information.I would like to abt Gouty Arthritis because I'm suffering from it
More on This topic on treatment, surgery pictures
I have R.A and O.A of my hand my hand gets very hot and swollen up and I can't been my fingers at all something
Yes, quite helpful info 👍.
Anyone know what it is when the wrist bones or the bottom of thumb bones swell for weeks, then go back to normal? No injuries and no pain except the thumb thing. I thought it was permanent, but thankfully, it's back to normal.
leaky gut = rhematoid arthritis
I have trigger finger and it getting worse now what can I do to be fine again?
im male/54 and taking maintenance medicine for my hypertension for 3 years…i think i have this problem in my left hand ( index finger only or PIP) exactly d same as show in this video. 1:16 Bouchard's Nodes….its 3 weeks already ,i can't move or bent it coz its painful😥😢😢😭
I have 2 of the same fingers on different hands that are difficult to bend fully but the finger on my left hand is painful to stretch as well as bend. My doctor has got an xray done but there is no deformaty in my bones and I have no inflammation. I am lucky not to need any pain killing drugs but I possibly will likely need them if my condition gets worse. I have a lot of internet research ahead of me not having the symptoms Dr Ebraheim discussed. My pain is not injury related to either hand.
If you look at my fingers you will not muss a diagnosis of arthritis. I am just pissd that doctors don't giveasht like it doesn't really matter that much, it's just fingers.
I used to play the piano pretty good tho not excellent but now it hurts. That diminishes quality of life since it takes a lifetime to learn that skill.
Imagine being diminished as a sculptor or painter or even not being able to crochet or knit as you used to.
Sausage digit 😂😂😂