[26F] With sudden onset of sharp, throbbing hand pain and weakness

Patient Description

A 26-year-old female reports experiencing sudden onset of sharp and throbbing pain in her right hand, specifically in the thumb, index finger, and middle finger, which started last night and has persisted all day. The pain is rated at 8 out of 10 in severity. The patient also notes swelling in the pointer finger, which feels squishy, and a sensation of heat in the hand. Additionally, she is unable to put any weight on her arm or pick anything up, indicating significant weakness, rated as 6 out of 10. There is no numbness or tingling in the affected fingers. The patient denies any recent injuries, changes in daily activities, or repetitive motions that might have contributed to these symptoms. She has no history of musculoskeletal or nerve-related issues and no pre-existing conditions or chronic illnesses. The patient vapes a couple of times a day but has not traveled recently or been exposed to any infections or health risks. She is not taking any medications and has no known allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Carpal Tunnel Syndrome: This condition occurs when the median nerve, which runs from your forearm into the palm of your hand, becomes pressed or squeezed at the wrist. Symptoms often include pain, weakness, and a hot sensation in the hand, particularly affecting the thumb, index, and middle fingers.

    • Treatment: Initial treatments may include wrist splinting, anti-inflammatory medications, and avoiding activities that worsen symptoms. In more severe cases, corticosteroid injections or surgery may be necessary.
  • Tendonitis: Inflammation of the tendons in your hand and wrist can cause pain, swelling, and weakness. This can be due to overuse or repetitive motions, even if you don't recall a specific incident.

    • Treatment: Rest, ice, and anti-inflammatory medications can help reduce symptoms. Physical therapy and, in some cases, corticosteroid injections may also be recommended.
  • Infection: An infection in the hand can cause pain, swelling, and a hot sensation. This is less likely without a known injury or cut, but it is still a possibility.

    • Treatment: Antibiotics are typically required to treat infections. In severe cases, surgical drainage may be necessary.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Rest and Immobilize: Try to rest your hand and avoid activities that exacerbate the pain. You might consider using a wrist splint to immobilize the area.
  2. Apply Ice: Applying ice to the affected area for 15-20 minutes every few hours can help reduce swelling and pain.
  3. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and reduce inflammation.
  4. Elevate Your Hand: Keeping your hand elevated can help reduce swelling.
  5. Use MDandMe: Journal your symptoms, track your progress, and get insights. This information can be very helpful for your healthcare provider.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

  • Increased Swelling or Redness: This could indicate an infection or worsening inflammation.
  • Fever or Chills: These symptoms could suggest an infection.
  • Numbness or Tingling: This could indicate nerve involvement that needs prompt attention.
  • Inability to Move Your Hand or Fingers: This could be a sign of a more serious condition that requires immediate medical intervention.

Remember, while these tips can help manage your symptoms, it's crucial to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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3 mo ago

People Also Ask


What are the common symptoms of carpal tunnel syndrome?

Common symptoms of carpal tunnel syndrome include pain, tingling, and numbness in the thumb, index, and middle fingers, weakness in the hand, and a sensation of heat or swelling in the affected area.


How can tendonitis in the hand be treated at home?

Tendonitis in the hand can be treated at home by resting the affected area, applying ice to reduce swelling, taking over-the-counter anti-inflammatory medications like ibuprofen, and using a wrist splint to immobilize the hand.


What signs should prompt me to seek immediate medical attention for hand pain?

You should seek immediate medical attention if you experience increased swelling or redness, fever or chills, numbness or tingling, or an inability to move your hand or fingers, as these could indicate a more serious condition.


Can vaping contribute to hand pain or related conditions?

While vaping is not directly linked to hand pain, it can affect overall health and circulation, which might indirectly contribute to musculoskeletal issues. However, more research is needed to establish a direct connection.


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