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Burning pain at the tips of both thumbs and extreme ...
Sent to Health Experts September 30 07:05 PM

Burning pain at the tips of both thumbs and extreme sensitivity at the outer edges of all fingers (where the nail meets the skin) along with misshapen nails and growth under the nails have plagued me for 4 months now. A dermatologist has determined no nail fungus, but no answer as to the sudden onset and intense pain on the tips of my thumbs. Pressure sensitivity is high. What is going on?

Customer (name blocked for privacy)
Answer
September 30 7:42 PM (36 minutes and 39 seconds later)
         
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One of the first things I thought about was peripheral damage to the ends of fingers and toes that can be due to cigarrette smoking. This can result in unusual nail appearance, called 'clubbing'. The other was the neurpopathy that can accompany diabetes that has not been controlled as needed.

Knowing only what you have said above lessens my ability to narrow possible causes so here are several:


Symptom: Finger pain

Finger pain: Pain affecting the fingers
Introduction: Pain can arise from a variety of causes ranging from accidental trauma to nerve conditions. Pain-like sensations often described as pins-and-needles, prickling or burning sensations are called paresthesias; see finger paresthesias. All pain or pain-like sensations need prompt medical investigation.

Symptom: Finger paresthesia

Finger paresthesia: Finger tingling, prickling, numbness or burning sensations
Introduction: Abnormal nerve sensations such as pins-and-needles, tingling, burning, prickling or similar feelings are all known as "paresthesias". Some cases are severe enough to be considered painful. Paresthesias usually result from nerve damage due to pressure, entrapment, or nerve diseases. Continued nerve damage can lead to finger numbness and eventually permanent loss of feeling. Any abnormal sensation needs medical investigation.

Distinction as to which fingers are tingling is important to diagnosis. The main fingers are more likely to be affected by conditions such as carpal tunnel syndrome. The 4th and 5th fingers are affected by the ulnar nerve, which can be interrupted by pressure at the elbow or the chest area (e.g. thoracid outlet syndrome).

<>Parethesias in the hands and fingers can also be caused by broader diseases such as peripheral neuropathy (more common in the feet but hands can be affected) and various others. Correct diagnosis of the causes of finger paresthesias is important and treatment can often reverse the damage.

Possible causes of symptom: Finger paresthesia: The following medical conditions are some of the possible causes of Finger paresthesia as a symptom. There are likely to be other possible causes, so ask your doctor about your symptoms.


Conditions listing symptoms: Finger paresthesia: The following list of conditions have 'Finger paresthesia' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

C

· Carpal Tunnel Syndrome ... finger paresthesias, burning fingers

E

· Erythromelalgia ... burning fingers

H

· Hand neuropathy ... burning fingers

· Hypocalcemia ... finger paresthesias

· Hypoparathyroidism ... finger paresthesias

P

· Pernicious anemia ... finger paresthesias

T

· Tetany ... burning fingers

http://www.wrongdiagnosis.com/e/erythromelalgia/intro.htm



Edited by BarbaraTaylor on September 30 2005 at 7:49 PM



BarbaraTaylor, ARNP, CAP

My suggestions are not intended to replace consultation with your physician.

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September 30 9:15 PM (1 hour and 33 minutes and 11 seconds later)
         
Reply to BarbaraTaylor's Post: Thank you for getting back to me. Actually, I do have Type 1 Diabetes. I have had a very difficult time controlling my sugars until recently (the last month or so). I have been on an insulin pump for 7 years and the doctors have not been able to help me control it until recently. I found a new doctor that understands what is going on and we are exploring new regimes and protocols to get the sugars down consistently. What is so weird is that now that the sugar levels are lower, the pain has started. It is only in my thumbs, not my feet or other fingers. Being my thumbs, everything that we need to do with our thumbs is compromised at this time. The pain brings me to tears some days.

The other interesting thing is that you picked up on the fact that I am a smoker. I have cut way down but it is still not down to zero. I will research "clubbing" as I don't know what that is, but it looks like it really is time for me to completely quit.

I will talk with my endochronologist next week about possible treatment, if there is any, that is.

Thank you for enlightening me.

Kindest regards,
Tinacscs
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