Painful pads of fingers

Pain in the fingers of the hands. Causes of pain in the fingers

Article of Dr. Evdokimenko © for the book "Pain and numbness in the hands", published in 2004.Edited in 2011.All rights reserved.

Most often pain in the fingers of the hand cause:

  • polyosteoarthrosis of the fingers;
  • tenosynovite de Cervena;
  • rizartrose.

In addition, pain in the fingers( along with numbness) causes carpal tunnel syndrome and Reynaud syndrome .In total carpal tunnel syndrome and Raynaud's syndrome give about 30-35% of cases of pain in the fingers.

Perhaps, after reading the entire extensive list above, you now think with horror that it is very difficult to understand such a number of diseases and understand which of them causes pain in your fingers. But actually it is not. It will not be difficult to understand.

For example, two diseases immediately stand out from the general list - carpal tunnel syndrome and Raynaud's syndrome, they always flow with the numbness of the hands of

. Therefore, if the pain in the fingers is combined with your numbness, read the article on carpal tunnel syndrome and Raynaud's syndrome.

If you have pain in your fingers, but there is no obvious numbness in your hands, you can safely turn off carpal tunnel syndrome and Raynaud's syndrome from the list under consideration. The remaining diseases of the fingers are so characteristic that it is not difficult to distinguish one disease from another. And below I will tell you about these characteristic symptoms. You can only carefully read and compare your feelings with my descriptions. So:

Polyostoarthrosis of the fingers, "knobby fingers"

Polyostoarthrosis of the fingers gives about 40% of all cases of pain in the fingers. People who are not younger than 40-45 years old are sick( people younger than 40 years are ill with this disease in extremely rare cases), but especially people with polyostoarthrosis of the fingers are sick aged 50-55 years and older. Women are sick much more often than men.

For polyointearthrosis of the fingers is characteristic the emergence of special nodules( the so-called nodules Geberden ) on the back or side surfaces of those joints that are closer to the nails. Geberden's nodules most often develop symmetrically, that is, on the right and left hands simultaneously and in the same places. At the same time they can be formed on any fingers of the hands, from large to small fingers.

During the formation of Geberden's nodules in the joints, burning and pain may occur under them;sometimes these joints swell and blush. But in a third of patients the formation of Heberden's nodules is asymptomatic, without pain and burning.

In addition to Heberden's nodules, polyostoarthrosis produces painful nodules on those joints that are located approximately in the middle of the fingers( proximal interphalangeal joints).These are Bushar's knots. They are spindle-shaped, develop very slowly and with a rare exception they almost do not hurt.

Rheumatoid arthritis

Rheumatoid arthritis - approximately 5-7% of all cases of pain in the fingers of the hands. People of any age are ill, but more often those who are over thirty. Women are sick about 5 times more often than men. The disease develops, usually after severe stress or after a flu, severe colds, infections or hypothermia.

Rheumatoid arthritis usually begins with inflammation and swelling of the metacarpophalangeal joints of the index and middle fingers( ie, with inflammation of the joints located at the base of these fingers, in the region of the protruding bones of the compressed fist).Inflammation of metacarpophalangeal joints in most cases is combined with inflammation and swelling of the wrist joints.

Inflammation of the fingers and wrist joints with rheumatoid arthritis is symmetrical, ie, if the joints on the right arm are affected, then almost the same joints on the left hand are affected. The majority of those who suffer from the pain are often involved in other joints of the fingers and toes, as well as large joints - knee, elbow, ankle, etc.

For rheumatoid arthritis, the most typical inflammatory rhythm is pain: joint pains intensify in the second half of the night, in the morning. Day and night pains usually weaken somewhat.

Very often listed symptoms are accompanied in rheumatoid patients with a feeling of weakness, fever, slimming and chills, i.e., the disease often leads to a general deterioration in the person's well-being.

Psoriatic arthritis

Psoriatic arthritis - less than 5% of all cases of pain in the fingers of the hands. The disease affects people most often in the age of 20-50 years. In most cases( but not always) the disease develops in people who already have skin psoriasis manifestations - dry flaking reddish spots on the body or on the scalp( psoriatic plaques).

To defeat the fingers in psoriatic arthritis is characterized by the so-called "axial inflammation, when on any finger all of its joints swell at once. The finger at the same time turns red and looks like a sausage. A similar pathology is called - "sausage-like" finger.

In psoriatic arthritis, axial inflammation can occur in any finger. But notice that with this disease, the inflammation of the fingers on the right and left hands is often asymmetrical, that is, as a rule, the fingers on one hand are affected;and sometimes at once on two hands, but then on one hand are inflamed one fingers and joints, and on the second hand - absolutely others.

For more information on psoriatic arthritis, see Chapter 19.

Gout, or gouty arthritis

Gout , or gouty arthritis-less than 5% of all cases of pain in the fingers.

People call gout deformity of the big toe, which usually develops in women. But in fact it is not gout, but arthrosis of the big toe. But the "classic", a real gout( gouty arthritis) often happens in men. Women suffer from gout several times less often.

And although the real gout is really often( but not always) begins with long-suffering big toes, it can hit any joints, both on the hands and on the legs.

Gouty arthritis usually occurs at the age of 20-50 years. The first, as already mentioned, the joints of the toes or knee or ankle joints are more likely to become inflamed. On the hands of others, the joints of the thumbs are inflamed more often( but any other fingers, either on one hand or both) can become inflamed.

Inflammation of the joints with gout occurs in the form of attacks. In most cases, a gouty attack happens quite unexpectedly: it usually starts on a background of complete health, most often at night. Pain in the joints with a gouty attack is often very acute: according to the patients' stories, "she wants to climb against the wall".The affected joint blushes with such an attack, the skin above it becomes bright red or crimson and hot to the touch.

Although in some patients, especially in women, seizures flow milder, without redness of the joint and without such acute pain. But in any case, the attack with gout arises unexpectedly and lasts from 3 to 10 days;then he suddenly passes away, as if nothing had happened. However, after a while, the attack also repeats again suddenly.

Here is a paroxysmal course of the disease and is the hallmark of gouty arthritis.

Tenosynovite de Kervena

Tenosynovitis de Kervena - approximately 5% of all cases of pain in the fingers of the hands. It is an inflammation of ligaments and "small" muscles in the region of an exceptionally large finger. Other fingers with tenosynovitis de Kerven are not inflamed.

Tenosynovitis de Kerwena can occur at any age in both men and women. Characteristic symptoms: pain at the base of the thumb and under it, where the thumb touches the wrist joint.

Pains can arise spontaneously, "on level ground," but more often they appear when the thumb is loaded, when you try to press your thumb on something or when you try to grab something with your thumb and index finger. In addition, pain intensifies when the thumb is extended to itself, that is, toward the elbow.

For more information about tenosynovitis de Kerven, see chapter 6.

Risartrose - Thumbnail arthrosis

Risartrose - approximately 5% of all cases of pain in the fingers of the hands. Risartrose affects the joint located at the base of the thumb and connects the thumb of the thumb with the radiating joint.

Usually, rizartroz is one of the manifestations of polyostearthrosis of the fingers, and then the diagnosis is not difficult. But in about 20-30% of cases, rizartroz arises as an independent disease, usually in people who are constantly heavily loaded or once extremely overloaded the thumb. In this case, it may be difficult to distinguish between rizartroz and tenosynovitis de Kerven, since the symptoms of these diseases coincide by almost 90%.

In this situation, we will be helped to distinguish between rizartroz and tenosynovitis de Kerven deformity of the bones of the affected joint, which is clearly visible on examination and is clearly recorded on the x-ray( with tenosynovitis de Kerven on the x-ray, only soft tissue changes over the joint can be detected - and even then rarely).

More details about rizartroze - in the chapter devoted to the polyosteoarthrosis of the fingers.

* * *

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why does the finger pad hurt?


dawn in another dimension your double it pinned

Dear comrade



my firearms scar also often hurts - especially before the weather changes.

sore pointing finger cushion on the hand

Arina Kurakova

Probably a microcrack. ... Unscrew in a solution of sea salt.

Sergey Ivanov

Do not pay attention. Many people have more important things. Think about them.


I also have this. ..temporarily it. .

Huntsman Ignatievich

If he starts hurting and without pressing, and swells, then it's pus, and so xz you'll see. ..there basically can not be mistaken if pus, there pain will be hellish that you can not sleep, and it is necessary to go to the surgeon for the operation.

Frozen pads of fingers.

Vika Pankiv

ah yay yay


time heals
is no longer freezing

Vladislav Valchenko

And remember, if something else freezes, DO NOT rub this place! You only kill the blood vessels and capillaries! Simply gradually transfer to heat, and if the chill is freezing, urgently consult a doctor.

Alexey Bardin



It will pass, but it takes time!at me similar beat, has passed or has taken place itself.

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