Tenosynivitis of the left hand.

Resolved question:
I have had a swollen left hand for the last 5 weeks. I have seen 4 doctors and one physio. No one really knows what the problem is. I have so far been diagnosed with tendinitis, an infection, and miss alignment of the bones/ligaments. The problem is i live in East Timor and there are no specialists here.

I have had a blood test, which came back normal.

No trauma has occurred.

I'm very active, running, body weight exercises, weights, swimming. Also i'm a mechanic although i'm now in management so am not on the tools that much any more. But i would say my wrists have had a hard life so far

I eat very healthy and rarely drink

Height: 1.7m
Weight: 62kg
Male
Resting heart rate: 58
Age: 29

The only pain is on the back of the wrist when the palm of the hand is bent towards the inside of the arm at 90degrees



Submitted: 4 Days
Category: Radiologist

Expert:  Dr. Mukesh Tiwari replied 4 Days.

Hello,

Thank you for your query at DoctorSpring. I have read your query with diligence.

It looks that you were a manual worker in recent past.

Looking at your details, it looks that most probable cause for swelling at hand is due to presence of tenosynovitis & infection or inflammation of deep palmar spaces of hand -

http://www.netterimages.com/image/4585.htm

If you are not having fever or other symptoms except swelling then following conditions should be ruled out -

-Gout

-Calcium pyrophosphate disease

-Hydroxyapetite deposition disease

-Sarcoidosis

-Tenosynovitis

These conditions can be diagnosed by having blood test, prescribed from a Rheumatologist. You should consult to a rheumatologist.

Till then take a mild analgesic like advil or aleeve for relief.

Hope this all will help you. Please feel free to discuss further.

Dr Mukesh Tiwari
Consultant Orthopedic Surgeon

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