Hello,
Thank you for your query at DoctorSpring.com
I need you to give me a few more details before I give you my opinion :
1) Where exactly is the pain - around your shoulder joint/ elbow/ wrist? Or is it through out your hand?
2) Any numbness associated?
3) Does the pain last throughout the day?
4) Can you rate the pain on a scale of 1-10?
5) Any fever/ other joint involvement?
Feel free to discuss further,
Regards.
Patient replied :
The pain is through out the hand with no numbness. It gets better through the day and is gone by evening. the pain is around an 8 when I wake up and no fever is involved. I am a smoker, about a pack and a half a day.
Hello,
Since it gets better as the day passes, and with no other history of any joint involvement arthritis/ osteoporosis can be ruled out.
In some cases such unilateral pain could arise because of the sleeping posture. Do you sleep on your back ( supine ) or do you like sleeping prone?
Feel free to discuss further,
Regards.