[60F] Experiencing severe hand pain with tingling and numbness

What might be happening

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

• Rheumatoid Arthritis: This is a chronic inflammatory disorder that can affect more than just your joints. It typically presents with pain and swelling in the hands and wrists, especially in the morning or after periods of inactivity.

  • Treatment typically involves medications to reduce inflammation and slow the progression of the disease, physical therapy, and in some cases, surgery.

• Carpal Tunnel Syndrome: This condition is caused by pressure on the median nerve in your wrist, leading to pain, numbness, and tingling in the hand and arm. It can be worse at night.

  • Treatment can involve wrist splinting, medications, and in severe cases, surgery.

• Raynaud's disease: This is a condition that causes some areas of your body — such as your fingers — to feel numb and cold in response to cold temperatures or stress. It can cause fingers to turn white and go numb.

  • Treatment typically involves protecting your hands and feet from the cold, medications to widen blood vessels, and in severe cases, nerve surgery.

Please note, these are only possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for a formal evaluation.

What you can do

1. Try over-the-counter pain relievers, such as ibuprofen (Advil, Motrin IB) or naproxen sodium (Aleve), to help reduce pain and inflammation.
2. Rest your hands when possible, and avoid activities that worsen your symptoms.
3. Apply warm compresses to your hands to help improve blood flow and reduce pain.
4. If your hands are often cold, try wearing gloves to keep them warm.

What you should look out for

Reasons to see a doctor more urgently:

• If your hand pain becomes severe or unbearable
• If you notice a sudden increase in swelling or redness in your hands
• If you develop a fever or other signs of infection, such as redness, warmth, and tenderness in the affected area
• If you notice any changes in the color or temperature of your hands, such as them turning blue or white, especially in response to cold temperatures or stress

Remember, it's important to consult with a healthcare provider for a formal evaluation.