Arthritis Of The Fingers - Everything You Need To Know - Dr. Nabil Ebraheim
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Published 2020-11-05
Arthritis of the Fingers
Diagnosing arthritis of the fingers can be difficult. Arthritis can affect any joint in the body but it is commonly seen in the joints of the fingers. The different types of arthritis and the pattern of joint involvement include osteoarthritis, psoriatic arthritis, gouty arthritis, rheumatoid arthritis. Heberden’s nodes are hard or bony swellings that can develop in the distal interphalangeal joints (DIP) and may or may not be painful. Heberden’s nodes are caused by the formation of osteophytes due to repeated trauma at the joint and usually occurs during middle age. Bouchard’s nodes are bony growths that can form on the proximal interphalangeal joints of the finger (PIP). Bouchard’s nodes, like Heberden’s nodes, may or may not be painful. Bouchard’s nodes are typically associated with limited motion of the affected joint. Mucous cysts are small, fluid-filled sacs that form between the DIP joint of the finger and the bottom of the fingernail. The best treatment is surgical excision of the cyst and removal of the underlying osteophyte to decrease the risk of recurrence. It is an anti-inflammatory form of arthritis, and it is sometimes mistaken for osteoarthritis. Dactylitis is also referred to as “sausage digit”. It is inflammation of the entire digit. Sausage fingers is a major finding of psoriatic arthritis. Nail pitting is small depressions in the finger nails, and it is most common in people who have psoriasis. Gout is a form of inflammatory arthritis that is sometimes called “gouty arthritis”. Gouty arthritis will mimic infection and may develop in people who have high levels of uric acid in the blood. The uric acid can form needle like crystals in the joint and cause pain, tenderness, swelling, and tenosynovitis. Periarticular erosions seen on x-ray may also be present with gout of the finger joints. Periarticular erosions are usually multiple and bilateral with sclerotic borders. In juvenile rheumatoid arthritis, it is ANA positive in 30% of the time. Rheumatoid factor is negative in a child and later on it may become positive, and there is shortened digits. Polyarticular rheumatoid arthritis (JRA) is a form of juvenile rheumatoid arthritis that affects five or more joints; it is polyarticular in about 30%. Pauciarticular juvenile idiopathic arthritis (JIA) is a form of juvenile rheumatoid arthritis that affects less than five joints; it is pauciarticular in about 50%. In pauciarticular onset juvenile idiopathic arthritis, check the iris of the eye for iridocyclitis. In polyarticular rheumatoid arthritis, check cervical spine for subaxial instability. Rheumatoid arthritis of the hand occurs more in females than in males. Rheumatoid arthritis has spontaneous remissions and exacerbations. The disease can have a systemic nature. Rheumatoid arthritis is typically poly-articular, bilateral and symmetrical, and most commonly affects the hands and feet. The patient complains of pain and stiffness of the joints, especially in the morning (morning stiffness). X-rays show periarticular erosions at the time of diagnosis. Osteopenia and minimal osteophyte formation favor the diagnosis of rheumatoid arthritis. Early (acute) rheumatoid arthritis has symptoms of hot, swollen, tender joints (synovitis). Complicated rheumatoid arthritis has symptoms of digital vasculitis, ecchymosis, skin atrophy, and nodules. Advanced rheumatoid arthritis has symptoms of swelling of the MCP joint, lateral slippage of extensor tendons and tendon ruptures, ulnar deviation of fingers, and x-ray shows destruction of the MCP joints with subluxation, ulnar deviation, and wrist destruction. Finger deformities include mallet finger, boutonniere, and swan neck. The thumb is also involved. These changes occur due to proliferation, inflammation and hypertrophy of the synovium. Involvement of the distal radioulnar joint is usually associated with rupture of the extensor digiti minimi.
0:00 Introduction
0:07 Arthritis of the Fingers
0:47 Osteoarthritis
2:03 Psoriatic Arthritis
2:44 Gouty Arthritis
3:33 Rheumatoid Arthritis
5:52 Rheumatoid Manifestations in the Hand
All Comments (21)
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Eliminate sugars and keep carbs low will stop all pain in joints. It did for me and when I went back and ate these foods again excruciating pain came back with a vengeance. Eliminated both sugars and low carb again and in 2 days pain was completely gone again. I’ve started the Ketogenic diet 3 years ago because all my doctor wanted to give me was pain medication and tell me the pain was because of my age. I also lost 40 pounds without really trying and I feel fantastic. I just turned 64. My hands used to hurt and were swollen so bad I could not play the piano because my joints were so swollen and could not sit long on the bench because my back would start hurting so bad. Now I can play and sit with complete ease. Do not take all those medications that do nothing. You HAVE to change what you eat.
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no fastfood - no sugar - raw veggies - less fruits - keto diet- fasting
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IM BATTLING BREAST CANCER AND NOW MY POOR JOINTS ARE SWOLLEN AND PAINFUL..😥 I CAN'T EVEN USE MY HANDS ANYMORE..I'M ONLY 57 YEARS OLD. 👱♀️ BUT I'M SO GRATEFUL TO HAVE ANOTHER GLORIOUS DAY. THANK YOU MY GREAT GOD. 😇💕
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Years and years of study then we have this brilliant doctor !!! He then gives to us the benefit of his knowledge free...I can only say THANK YOU like thousands of others will
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My body has rheumatoid arthritis. My fingers and hands are exactly as your pictures described them at the endow the video. My RA doctor says there is nothing anyone can do for my fingers and hands. I had 2 knee replacement surgeries this year. I have great new knees. But my left ankle hurts a lot and both feet have severe bunions. I am 67 yrs young and I don’t want to go through surgeries on my feet. I do water aerobics 3 xs a week for 2 hours at a time. I will just continue with my regimen. I have pretty much stopped eating processed sugar and follow a low carb diet. I eat eggs, some red meat, some poultry and some fish. I eat beans, veggies and fruit. I have cut back on potatoes which I love. Who doesn’t? I still eat them but just once a week. I drink water and Topo Chico mineral water. I pray and read / study my Bible. I trust in my Savior and Lord Jesus Christ to get me through this crappy disease. And pretty much in spite of the RA, I am a happy pappy. Blessings be upon all who read my long winded comment 👍🤠
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Amazingly well explained. I wish it would include some remedies. Thank you professor Ebraheim.
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Acidosis? I had severe Arthritis and was only able to take 6 inch long steps and was declared disabled by my Doctor. I had two vertebra's spontaneously fuse together and was facing a final destination of a Wheel Chair. Finally I did a 3 day PH test, three times a day (from my saliva and urine) My Ph was 4.6 and that is/was very acid, so my Doctor missed the Acidosis part. So then I started taking baths in about 2 pounds of Soda and the first time I did this my Ph went up (overnight) to a Ph of 8, so I backed off a bit and monitored and kept my Ph at about 7 Ph and after a few weeks I was ale to take full steps/strides. That was 20 years ago and I am still doing good at near 72 years of age. Now of course I eat plenty of fresh vegetables and my Ph is ever so stable.
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Thank you very much because it was so clear, slow and thorough. And it was in a way a lay person can understand.
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But what will be the preventive measures for all this????
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Dear Dr. Your narrative was very informative and easy to follow. We need one to follow this which tells us therapy and proactive measures so as to avoid, halt or cure? these conditions. Thank you very much.
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Thank you for easy explanation but I was looking forward to know how to prevent from the very initial stage.
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simple and easy explanation about arthritis of the fingers thanks sir! always
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Excellent video! Incredibly informative and well laid out graphic information. Sincere thanks for the work put interest and for sharing it.
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Many thanks for your efforts to educate the public. You are what a doctor should really be. Blessings to you.
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Great video about arthritis and the science behind it. Thanks for taking the time to share your knowledge!
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My body has definitely changed since having lupus and sjorgins. My rheumatologist recently tested me( blood work) for arthritis and it came back negative. What's weird is my fingers/hands are like this. I know it's not from my cerebral palsy
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Thank you all your videos are outstanding.
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Thank u dear respected Doctor for releasing this precious vedio clip.I m so greatfull.May God bless u Doc.🙏🏻🙏🏻🙏🏻👌👌👌👍👍
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Thank you for sharing this different types of arthritis of the fingers . This information is from someone who knows the pathology, & anatomy of the human body. Even some medical books in pathology mention the different types of arthritis. Unfortunately treatment is not available as many others autoimmune diseases that the body destroys itself. The solution is exercise, eat healthy drink water & live in a dry climate to diminish the symptoms. Thank you 😊 for helping us !
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Thank you the educating us, but steps to take to prevent it and what to do now when the joint are affected.
