The diagnosis of pain in the finger end joints | Pain in the finger end joints

The diagnosis of pain in the finger end joints

Pain in the end joints of the fingers is a symptom that can be caused by various factors. In order to find the right diagnosis, the doctor first conducts a thorough discussion with the person affected about the character of the pain, accompanying symptoms and the chronological course of the symptoms. This is followed by a physical examination of both hands. Depending on the suspected diagnosis and possible exclusionary diagnoses, a blood test, imaging such as X-rays or referral to a specialist may be indicated.

Treatment of pain in the finger end joints

For pain in the end joints of the fingers, various therapies can be considered, depending on the cause of the pain. Liverden arthrosis is initially treated conservatively, with anti-inflammatory pain medication, immobilization and, if necessary, an injection of cortisone. In addition, physiotherapy and heat applications at non-inflammatory intervals are also possible.

Surgery may be considered if the fingers are severely deformed. An acute attack of gout is also treated with anti-inflammatory drugs or cortisone. In some cases the use of colchicine may be indicated.

In case of pain, the joint may be cooled and in case of a diagnostically confirmed gout attack, a long-term medicinal uric acid lowering may be indicated. Psoriatic arthritis can be treated with local immunosuppressive drugs, phototherapy and analgesics. If this treatment is not sufficient, stronger immunosuppressive drugs such as retinoids or methotrexate may be considered.

The rupture of a finger extensor tendon must be sutured within a short period of time in case of a complete rupture and then immobilized for six weeks. For Raynaud’s syndrome, triggers such as stress and cold must be avoided. Heated warm gloves and not smoking can alleviate the symptoms.

If the symptoms are frequent and subjectively unbearable, drugs such as calcium antagonists can be applied to the affected areas. In case of secondary Raynaud’s syndrome, the underlying disease should be treated as well as possible. The therapeutic efficacy of homeopathic globules has not yet been proven.

Nevertheless, homeopathic remedies are gaining in popularity and can be taken without hesitation (in recommended doses), since there are almost no known side effects. For pain in joints, the homeopathic remedies Acidum Sulfuricum, Aconitum Napellus, Bryonia, Calcium fluoratum and Sulfur are often recommended. In addition, the well-known remedies Belladona and Arnica are also very popular.