[37F] With chronic hand pain and swelling

Patient Description

A 37-year-old female presents with a 3-year history of sharp pain and swelling in the palm of her left hand, which has been persistent and worsening over time. The pain is described as severe, with a 7-8/10 intensity, and is aggravated by pressure and use of the hand. The swelling is localized to the palm, with no discoloration, but is painful to touch. The patient reports significant difficulty in gripping objects due to the pain and swelling, but no stiffness, numbness, or tingling is noted. The patient's medical history is unremarkable with no known allergies, no chronic illnesses, and no relevant past injuries recalled. The only medication reported is Vyvanse.

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Arora's Assessment

What might be happening

Based on the information you've provided, there are a few possible conditions that could be causing your symptoms:

  • Carpal Tunnel Syndrome: This is a common condition that causes pain, numbness, and tingling in the hand and arm. It occurs when the median nerve, which runs through the wrist, becomes compressed or squeezed. However, you did not report any numbness or tingling, which are common symptoms of this condition.

    • Treatment typically involves wrist splinting, avoiding activities that worsen symptoms, and taking over-the-counter pain relievers to reduce inflammation and pain. In more severe cases, surgery may be necessary.
  • Tendonitis: This is inflammation or irritation of a tendon, the thick fibrous cords that attach muscle to bone. It can cause pain and tenderness near a joint. It's often caused by repetitive minor impact on the affected area, or from a sudden more serious injury.

    • Treatment typically involves resting the affected hand, applying ice to reduce swelling, and taking over-the-counter pain relievers. Physical therapy can also be helpful.
  • Arthritis: This is inflammation of one or more of your joints that can cause pain and stiffness. Osteoarthritis and rheumatoid arthritis are the most common types. However, you did not report any stiffness, which is a common symptom of arthritis.

    • Treatment typically involves physical therapy, pain relievers, and in some cases, surgery.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history to provide an accurate diagnosis.

What you can do

  1. Rest your hand and avoid activities that make your symptoms worse.
  2. Apply ice to your hand for 15 minutes at a time to help reduce swelling.
  3. Over-the-counter pain relievers such as ibuprofen can help reduce pain and inflammation.
  4. Consider wearing a wrist splint at night to help alleviate symptoms.

What you should look out for

If your symptoms worsen or you develop new symptoms such as numbness, tingling, or stiffness in your hand, you should seek medical attention. Also, if your symptoms are affecting your ability to perform daily activities, it's important to consult with a healthcare professional.

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11 mo ago

People Also Ask


What are the common causes of sharp pain and swelling in the palm of the hand?

Common causes of sharp pain and swelling in the palm of the hand include conditions like tendonitis, carpal tunnel syndrome, and arthritis. These conditions can result from repetitive strain, inflammation, or nerve compression.


How can tendonitis in the hand be treated at home?

Tendonitis in the hand can be treated at home by resting the affected hand, applying ice to reduce swelling, and taking over-the-counter pain relievers like ibuprofen. It's also helpful to avoid activities that exacerbate the pain.


What symptoms differentiate carpal tunnel syndrome from other hand conditions?

Carpal tunnel syndrome is often characterized by numbness, tingling, and pain in the hand and arm, particularly affecting the thumb, index, and middle fingers. These symptoms are due to compression of the median nerve, which differentiates it from other conditions that may not involve nerve compression.


When should I seek medical attention for hand pain and swelling?

You should seek medical attention for hand pain and swelling if the symptoms worsen, if you develop new symptoms such as numbness, tingling, or stiffness, or if the pain affects your ability to perform daily activities.


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