[66M] Experiencing intermittent sharp pain in the middle finger

Patient Description

A 66-year-old male reports having sharp, intense, shock-like pain in the second joint of the middle finger on the right hand. The pain has been present for one week and is described as being similar to an electric shock. It is somewhat alleviated by moving or wiggling the finger. The patient experiences his right arm going to sleep when it is laid on his lap, but there is no weakness or difficulty with movement in the hand or fingers. There is no swelling, redness, or warmth at the affected joint. The patient has a history of atrial fibrillation since 1978 and is on Toprol (50 mg daily) and digoxin (0.25 mg daily). He reports tolerating all medications well with no known allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Carpal Tunnel Syndrome: This condition is caused by pressure on the median nerve as it passes through the wrist. Symptoms can include tingling, numbness, and pain in the fingers, which can sometimes feel like an electric shock. However, the middle finger is not typically affected in isolation.

    • Treatment can include wrist splints, non-steroidal anti-inflammatory drugs (NSAIDs), and in some cases, surgery.
  • Peripheral Neuropathy: This condition involves damage to the peripheral nerves, which can cause symptoms like pain, tingling, and numbness in the hands and feet. It can be caused by a variety of conditions, including diabetes, infections, and certain medications.

    • Treatment typically involves managing the underlying cause and may include medications to manage symptoms.
  • Trigger Finger: This condition involves inflammation of the tendons in the finger, which can cause pain and stiffness, particularly when bending the finger. However, the pain is typically more of an ache or stiffness rather than an electric shock sensation.

    • Treatment can include rest, splinting, NSAIDs, and in some cases, corticosteroid injections or 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 in person.

What you can do

  1. Try to rest your hand and avoid activities that exacerbate your symptoms.
  2. Over-the-counter pain relievers, such as ibuprofen, may help to reduce your pain.
  3. If your symptoms persist or worsen, please seek medical attention. Your healthcare provider may want to perform further tests, such as nerve conduction studies or an MRI, to better understand what's causing your symptoms.

What you should look out for

Please seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You notice a sudden change in the color or temperature of your hand or fingers
  • You experience a sudden loss of sensation or movement in your hand or fingers
  • You develop any other new or concerning symptoms.

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1 yr ago

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People Also Ask


What are the common symptoms of carpal tunnel syndrome?

Common symptoms of carpal tunnel syndrome include tingling, numbness, and pain in the thumb, index, and middle fingers. The pain can sometimes feel like an electric shock and may worsen at night or with certain activities.


How is peripheral neuropathy diagnosed and treated?

Peripheral neuropathy is diagnosed through a combination of medical history, physical examination, and tests such as nerve conduction studies or blood tests. Treatment focuses on managing the underlying cause and may include medications to relieve symptoms, physical therapy, and lifestyle changes.


What is trigger finger and how is it treated?

Trigger finger is a condition where the tendons in the finger become inflamed, causing pain and stiffness, especially when bending the finger. Treatment options include rest, splinting, NSAIDs, corticosteroid injections, and in some cases, surgery.


When should I seek immediate medical attention for hand or finger pain?

You should seek immediate medical attention if you experience severe or unbearable pain, a sudden change in the color or temperature of your hand or fingers, a sudden loss of sensation or movement, or any other new or concerning symptoms.


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