[22M] Experiencing hand redness, pain, and swelling with activity

Patient Description

A 22-year-old male reports that his hands turn red and blotchy after prolonged activity lasting more than 20 minutes, such as writing, typing, or playing the piano. The redness is accompanied by a dull pain, predominantly around the joints, and the hands appear swollen and throb. The symptoms also include severe dryness of the hands. Additionally, the patient notes that alcohol consumption and receiving the flu vaccine can trigger similar reactions. The pain, rated as a 6 out of 10 in severity, is described as a severe ache within the joint or affected area, particularly in the interphalangeal joint of the thumb, metacarpophalangeal joint of the index finger, and carpometacarpal joint of the middle finger. The pain is persistent, occurring almost daily, and affects dexterity and focus. The patient has been experiencing these symptoms for over two years, and there is no history of recent injuries or accidents related to the condition.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Carpal Tunnel Syndrome: This condition is caused by pressure on the median nerve, which runs the length of the arm, goes through a passage in the wrist called the carpal tunnel, and ends in the hand. Symptoms often include numbness, tingling, and pain in the hand and arm, which can be worse with activity.

    • Treatment typically involves wrist splinting, avoiding activities that worsen symptoms, and physical therapy. In severe cases, surgery may be needed.
  • Rheumatoid Arthritis: This is an autoimmune disease that can cause joint pain and damage throughout your body. The joint damage that RA causes usually happens on both sides of your body. So if a joint is affected in one of your arms or legs, the same joint in the other arm or leg will probably be affected, too.

    • Treatment often involves medications to reduce inflammation in your joints in order to relieve pain and prevent or slow joint damage.
  • Raynaud's disease: This is a condition that causes some areas of your body — such as your fingers — to feel numb and cool in response to cold temperatures or stress. In Raynaud's disease, smaller arteries that supply blood to your skin narrow, limiting blood circulation to affected areas.

    • Treatment typically involves avoiding triggers such as cold temperatures and stress. In severe cases, medications may be needed.

What you can do

You should definitely see a doctor about your symptoms. They can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Avoid activities that worsen your symptoms.
  2. Apply warm compresses to your hands to help improve blood flow.
  3. Try over-the-counter pain relievers to help manage your pain.

What you should look out for

Reasons to see a doctor more urgently:

  • If your pain becomes severe or unmanageable
  • If you notice any deformity in your hands or fingers
  • If you develop a fever or other signs of infection

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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1 yr ago

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People Also Ask


What could cause my hands to turn red and blotchy after prolonged activity?

Red and blotchy hands after prolonged activity could be due to conditions like Carpal Tunnel Syndrome, Rheumatoid Arthritis, or Raynaud's disease. These conditions can affect blood flow or cause inflammation, leading to redness and discomfort.


Why do my hands swell and throb with dull pain around the joints?

Swelling and throbbing pain around the joints can be symptoms of conditions such as Rheumatoid Arthritis, which is an autoimmune disorder causing joint inflammation, or Carpal Tunnel Syndrome, which involves nerve compression.


Can alcohol consumption and flu vaccines trigger joint pain or redness in hands?

Yes, alcohol consumption and flu vaccines can sometimes trigger similar reactions in individuals with certain sensitivities or underlying conditions, potentially exacerbating symptoms like joint pain or redness.


What are some common treatments for joint pain and swelling in the hands?

Common treatments for joint pain and swelling in the hands include avoiding activities that worsen symptoms, using warm compresses, taking over-the-counter pain relievers, and in some cases, medications to reduce inflammation or surgery for severe conditions.


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