What To Do When You Have Swollen Finger Joints
Each finger of the hand has three joints. If these joints become swollen it can cause discomfort. This swelling is an inflammation of the surrounding tissues and can be caused either by injury to the joint itself or, more commonly, by arthritis. Symptoms are pain, stiffness and loss of motion. The pain and swelling can be alleviated and prevented through the use of home remedies, over-the-counter medications and physical therapy.
Swelling can have several different causes. All finger joints are coated with a viscous membrane called synovium that lines the joint so it can work properly. In the case of rheumatoid arthritis, this synovium can swell. This causes blood to rush to the joint to heal the inflammation, and it can become warm and swollen. The second cause is an overproduction of synovial fluid, which coats and protects the joint, causing inflammation.
Rheumatoid arthritis can be one cause of the swelling, which is due to a weakened immune system transferred genetically, however, having the gene present does not guarantee one will have rheumatoid arthritis. Though anyone can experience rheumatoid arthritis, it is most common in adults and begins in young to middle age, with a three-to-one ratio of women to men experiencing symptoms. Another type of arthritis, called osteoarthritis, occurs most commonly with age, but it can also be caused by injury to the joint.
- Swelling can have several different causes.
- Rheumatoid arthritis can be one cause of the swelling, which is due to a weakened immune system transferred genetically, however, having the gene present does not guarantee one will have rheumatoid arthritis.
Signs and Symptoms
What Are the Causes of Migratory Arthritis?
The first signs of swollen joints are pain, stiffness and warmth. This warmth is due to the circulation working overtime to heal the cause of the swelling and fight any infection. This pain is greater upon waking (because circulation decreases during sleep) and can improve with motion. It can also affect sleep due to discomfort and result in loss of activity, which may cause fatigue. To differentiate arthritis from swelling due to injury, arthritis may also cause fever, weight loss, difficulty breathing and/or a skin rash. This is a case in which it is important to seek medical help if swelling does not improve after a few days — it could be a symptom of a more complicated disease.
- The first signs of swollen joints are pain, stiffness and warmth.
- To differentiate arthritis from swelling due to injury, arthritis may also cause fever, weight loss, difficulty breathing and/or a skin rash.
Treatment for joint swelling in the fingers is to reduce swelling, thus decreasing pain. Under the supervision of a physician, physical therapy, medications, exercise and home treatments may be recommended, depending on the pain and severity of the swelling. It is important to eat a balanced diet to help the body’s immune system, as certain types of arthritis may cause a loss of appetite and nutrition. Applying either heat or cold to the joints may decrease pain. Try both and see which alleviates symptoms, but not for longer than intervals of 20 minutes each. Heat can help increase circulation, while ice can help to decrease swelling.
Exercise can help with range of motion and increase the production of synovial fluid moving around the joint, increasing circulation. The over-the-counter medication acetaminophen may help with pain, but it will not decrease inflammation. Medications, such as nonsteroidal anti-inflammatories (NSAIDs) like ibuprofen, naproxen sodium or aspirin, may help to bring down swelling.
- Treatment for joint swelling in the fingers is to reduce swelling, thus decreasing pain.
- It is important to eat a balanced diet to help the body’s immune system, as certain types of arthritis may cause a loss of appetite and nutrition.
What to Do if Swelling Continues
Signs & Symptoms of Shoulder Injuries
If swelling continues even after home remedies or with medication provided by your doctor, seek medical attention. Medication may need to be adjusted or increased. Corticosteroids may need to be prescribed to further decrease swelling, and surgery may be required.
What Are the Causes of Migratory Arthritis?
Signs & Symptoms of Shoulder Injuries
Early Signs of Arthritis in Fingers
What Causes Fluid in the Hip Joint?
Knuckle Pain & Stiffness
Signs of a Bone Spur in Elbow
What Are the Treatments for Bone Spurs in Hands?
Fractured Ankle & Numbness
What Are the Differences Between Tendinitis & Arthritis?
Pain and Swelling in the Shoulders, Arms and Hands
- Inflammation and Stiffness: The Hallmarks of Arthritis
- Rheumatoid Arthritis
- Living With Arthritis: Health Information Basics for You and Your Family
- Centers for Disease Control and Prevention. Osteoarthritis (OA). Updated January 10, 2019.
- MedlinePlus. Osteoarthritis. Updated January 6, 2020.
- Banks SE. Erosive osteoarthritis: a current review of a clinical challenge. Clin Rheumatol. 2010;29(7):697-706. doi:10.1007/s10067-009-1369-7
- Engel B, Just J, Bleckwenn M, Weckbecker K. Treatment options for gout. Dtsch Arztebl Int. 2017;114(13):215-222. doi:10.3238/arztebl.2017.0215
- MacMullan P, McCarthy G. Treatment and management of pseudogout: insights for the clinician. Ther Adv Musculoskelet Dis. 2011;4(2):121-131. doi:10.1177/1759720x11432559
- Arthritis Foundation. Infectious arthritis.
- Marks M, Marks JL. Viral arthritis. Clin Med (Lond). 2016;16(2):129-134. doi:10.7861/clinmedicine.16-2-129
- Sierakowski S, Cutolo M. Morning symptoms in rheumatoid arthritis: a defining characteristic and marker of active disease. Scand J Rheumatol. 2011;40(sup125):1-5. doi:10.3109/03009742.2011.566433
- Spondylitis Association of America. Overview of types of spondylitis.
- National Psoriasis Foundation. Psoriatic arthritis. Updated December 28, 2018.
- Gladman DD, Ritchlin C. Patient education: Psoriatic arthritis (Beyond the basics). UpToDate. Updated February 5, 2018.
- National Organization for Rare Disorders. Reactive Arthritis.
- Arvikar SL, Fisher MC. Inflammatory bowel disease associated arthropathy. Curr Rev Musculoskelet Med. 2011;4(3):123-131. doi:10.1007/s12178-011-9085-8
- Lam NC, Ghetu MV, Bieniek ML. Systemic lupus erythematosus: Primary care approach to diagnosis and management. Am Fam Physician. 2016;94(4):284-94.
- Docken WP. Clinical manifestations and diagnosis of polymyalgia rheumatica. UpToDate. Updated October 8, 2019.
- Goldenberg DL. Patient education: Fibromyalgia (Beyond the basics). UpToDate. Updated June 21, 2018.
- National Institute of Diabetes and Digestive and Kidney Diseases. Hashimoto's disease. Updated September 2017.
- Jaracz J, Gattner K, Jaracz K, Górna K. Unexplained painful physical symptoms in patients with major depressive disorder: Prevalence, pathophysiology and management. CNS Drugs. 2016;30(4):293-304. doi:10.1007/s40263-016-0328-5
- Solmaz D, Bakirci S, Kimyon G, et al. The impact of having family history of psoriasis or psoriatic arthritis on psoriatic disease. Arthritis Care Res (Hoboken). 2020;72(1):63-68. doi:10.1002/acr.23836
- Fouladbakhsh J. Complementary and alternative modalities to relieve osteoarthritis symptoms: A review of the evidence on several therapies often used for osteoarthritis management. Orthop Nurs. 2012;31(2):115-121. doi:10.1097/nor.0b013e31824fce6e
- Wandel S, Jüni P, Tendal B, et al. Effects of glucosamine, chondroitin, or placebo in patients with osteoarthritis of hip or knee: network meta-analysis. BMJ. 2010;341:c4675. doi:10.1136/bmj.c4675
- American Academy of Orthopaedic Surgeons. Osteotomy of the knee. Updated June 2017.
- Marks M, Marks JL. Viral arthritis. Clin Med (Lond). 2016 Apr;16(2):129-34. doi:10.7861/clinmedicine.16-2-129
- Pujalte G, Albano-Aluquin SA. Differential Diagnosis of Polyarticular Arthritis. Am Fam Physician. 2015 Jul 1;92(1):35-41.
- Shmerling RH. (2017). Evaluation of the adult with polyarticular pain. Maini RN, ed. UpToDate. Waltham, MA: UpToDate Inc.
- Skou ST, Roos EM, Laursen MB, et al. A Randomized, Controlled Trial of Total Knee Replacement. N Engl J Med. 2015;373(17):1597-1606. doi:10.1056/NEJMoa1505467
- Van der linden MP, Le cessie S, Raza K, et al. Long-term impact of delay in assessment of patients with early arthritis. Arthritis Rheum. 2010;62(12):3537-46. doi:10.1002/art.27692
- Guo R, Cao L, Kong X, et al. Fever as an initial manifestation of enthesitis-related arthritis subtype of juvenile idiopathic arthritis: retrospective study. PLoS ONE. 2015;10(6):e0128979. doi:10.1371/journal.pone.0128979
- Krajewska-włodarczyk M, Owczarczyk-saczonek A, Placek W. Fatigue - an underestimated symptom in psoriatic arthritis. Reumatologia. 2017;55(3):125-130. doi:10.5114/reum.2017.68911
- Hunter DJ, Mcdougall JJ, Keefe FJ. The symptoms of osteoarthritis and the genesis of pain. Rheum Dis Clin North Am. 2008;34(3):623-43. doi:10.1016/j.rdc.2008.05.004
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