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Medical Forum / Diseases and Disorders / Arthritis / March 2007

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Is this an early sign of arthritis or is it RSI?

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Drafter.Girl@gmail.com - 20 Mar 2007 05:09 GMT
Hey all,

I'm on the computer for 10+ hours a day, every day (work and play) and
over the last week I've begun to notice a new sensation in my
fingers.  It feels more centred around the knuckles and the...
knuckles above the knuckles (lol I have no idea what they're called,
the next bony joint above your knuckles).  It doesn't feel like pins
and needles, but more like an tightness / unwillingness to move.

Basically whenever I'm typing a way, I feel this "tightness" around my
joints.  It doesn't seem to affect my wrists, so I don't think it's
carpal tunnel.

Any ideas?
BlackHawk96 - 20 Mar 2007 11:05 GMT
>Hey all,
>
[quoted text clipped - 10 lines]
>
>Any ideas?
Technically, I don't think that what you are describing would fit the
definition of RSI as found on Wikipedia: "Repetitive strain injury
(RSI), also called repetitive stress injury, is a loose group of
conditions from overuse of the computer, guitar, knife or similar
motion or tool. It is an occupational overuse syndrome affecting
muscles, tendons and nerves in the arms and upper back; hence it is
also known as work related upper limb disorder or WRULD".

I suspect that what you have is the very earliest symptom of
rheumatoid arthritis. I have, as near as I can tell, the exact same
syndrome you are describing, as I type. The way I verify that the
tightness is indeed returning, is, while keeping my fingers extended
straight, to curl the fingertips as much as possible. When I do that I
can feel the tightness more between the first and second finger joints
(counting from the finger tips), and more stiffness in the first
finger joints, with  a little stiffness coming in the second finger
joints. The usual progression (without treatment) would then move on
to twinges in the 3rd thumb joint, progressing to stabbing pain in the
third thumb joint, progressing to twinges in my shoulder joints,
progressing to stabbing pain in my shoulder joints. I don't know what
comes after that because at that point in the past I began the Zone
regimen, and the pains disappeared. The finger pain is as far as I let
it get now.

If you want to nip your problem in the bud, which I highly  recommend,
my advice is to get "The Anti-Inflammation Zone" by Dr. Barry Sears
(it's on Amazon.com, with reviews). In it you will learn how to
control visable and invisable inflammation. If you try the regimen,
PLEASE report your results here. And, uh, don't forget to tell your
doctor what you're up to.

Sincerely,  BlackHawk
Harvey R. Stone - 20 Mar 2007 12:26 GMT
Sorry,,,,,  I can not go along with the reply to this post.   Even for an
experienced RD,,,,, RA would not be declared after a person having one
problem in one declared area or a complaint.
     Having said that,  I have to suggest that you see a Rheumatologist to
find out for sure.   If you have pressure on nerves, you could feel this
way.  As much as you are using your fingers during your 10 hour day, it
could very well be a type of fatigue mixed with poor diet or a need for a
specific vitamin.   A wrist rest infront of your keyboard might help.
    Please do not think you have an immune system problem without more
facts.

Harv

>>Hey all,
>>
[quoted text clipped - 42 lines]
>
> Sincerely,  BlackHawk
RoseB - 20 Mar 2007 22:40 GMT
Although your intentions are sincere, please remember that Wikipedia
is not necessarily a credible source. No specific criteria is required
for information to be posted there, and anyone can make a submission
that can be posted. While some of the information you have quoted
sounds OK, the best bet is for someone to check with a reputable
source. Wikipedia is not allowed as a source for information in any
scholarly writing.
    Rose   @}>->--
    Being educated means that rather than fearing the unknown, one seeks to understand it. RB

    Please remove "Ima" to reply.
Health Solutions - 21 Mar 2007 06:05 GMT
Hi Drafter,

I think BlackHawk is right. You are suffering from Arthritis.
Arthritis generally involves inflammation of one or more joints and
the breakdown of cartilage. There are many forms of arthritis, each of
which has a different cause. Rheumatoid arthritis and psoriatic
arthritis are autoimmune diseases in which the body is attacking
itself. Septic arthritis is caused by joint infection. Gouty arthritis
is caused by deposition of uric acid crystals in the joint that
results in subsequent inflammation. Additionally, there is a less
common form of gout that is caused by the formation of needle shaped
crystals of calcium pyrophosphate.

I read an article which shows describes the various tips to prevent
and control Arthritis. I read article at
http://www.medical-health-care-information.com/articles/tips_to_control_arthritis.htm

Regards
Monica

> >Hey all,
>
[quoted text clipped - 43 lines]
>
> Sincerely,  BlackHawk
Nann Bell - 20 Mar 2007 13:25 GMT
> Hey all,
>
[quoted text clipped - 10 lines]
>
> Any ideas?

doesn't sound like carpal tunnel to me, but it could be a different type of
RSI.  How continuously are you working on the computer?  I mean, do you take
breaks and move your fingers around and such or are you continually holding
them in computing positions?  My very first thought is to make sure you are
FREQUENTLY pausing to wriggle your fingers around and bend and straighten
them several times.  That will help keep the muscles and tendons loosened up.
If that alone doesn't do the trick, see a doctor for evaluation and
referral.  It sounds to me more like something that might be helped a lot
with physical therapy.

Signature

Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

BlackHawk96 - 20 Mar 2007 14:51 GMT
>Hey all,
>
[quoted text clipped - 10 lines]
>
>Any ideas?

Time for a little history. How long have you been doing the 10
hours/day computer thing?  While it is still fresh in your mind,
please try to recall any CHANGES you have made to your diet,
medications, or lifestyle in the recent past.  If it's there, it
probably would be within the last 90 days. New Years Resolutions,
perhaps? If you're like me, trying to remember accurately what you've
eaten 90 days ago is a REALLY long shot. But hey, you have to play the
hand you're dealt. The foods most likely to cause inflammation are:
    1) trans fats
    2) eggs (very high in Arachidonic Acid, Yikes)
    3) sugary (sweet) foods
    4)  root veggies, especially potatoes
    5) red meat & saturated fats
    6) any high glycemic load food
It wouldn't hurt to start keeping a diary, noting any changes. I
suspect that your symptoms will start waning and waxing. Having the
diary to correlate everything may prove very beneficial, as the
changes at this point are likely to be small ones.
So, now you have your homework assignment. If your report is not
handed in within two days, you will be penalized a full grade, and
fined $600! Hehehe

Sincerely,  BlackHawk
Drafter.Girl@gmail.com - 20 Mar 2007 21:39 GMT
Thanks all for your input so far.  I'll try to address all the
questions so I can find out how to help ease the pain before my
doctor's appointment at the end of the week.

I'm 24 years old and have been working on the computer 12+ hours a day
since I was 8 or 9.  I've always enjoyed computers & video games, so
it was a natural career path for me as well.

I do take regular breaks from typing, at least once an hour for 5
minutes or so.  I'll get up, walk around, get a glass of water, etc.
Although I'm at the computer, I'm not always using the keyboard.  I do
scribble things on paper, answer the phone, etc.  So it's not 12+
hours straight of nonstop keyboard usage.  I'm not a journalist or
something like that.

I haven't changed my diet in years.  I eat a fairly balanced diet,
though I do enjoy some junk food as well.  Nothing has changed
recently, however.  Same old, same old.

Hope that helps.
Thumper - 21 Mar 2007 05:15 GMT
>Thanks all for your input so far.  I'll try to address all the
>questions so I can find out how to help ease the pain before my
[quoted text clipped - 16 lines]
>
>Hope that helps.

Do you get a vacation?  Take one and don't type at all.  Perhaps you
are just overworking your hands.
Thumper
BlackHawk96 - 21 Mar 2007 09:47 GMT
A few more questions. Are you taking any medications? Are you taking a
multi-vitamin? Do you get a lot of sunshine on your skin (vitamin D
deficiency is common)? What are your favorite foods?

As an experiment, you can try to cut back on the foods listed:
    1) trans fats
    2) eggs (very high in Arachidonic Acid, Yikes)
    3) sugary (sweet) foods
    4)  root veggies, especially potatoes
    5) red meat & saturated fats
    6) any high glycemic load food

I took 1 tsp refined fish oil, 1 tsp turmeric, and 1tsp cinnamon as
therapy for the tightness in my fingers that I was having yesterday,
and the tightness is now gone.

Maybe your library has "The Anti-Inflammation Zone" by Barry Sears.
I'm sure you will find many good ideas in it. It is a very good place
to start.

Sincerely,  BlackHawk

>Thanks all for your input so far.  I'll try to address all the
>questions so I can find out how to help ease the pain before my
[quoted text clipped - 16 lines]
>
>Hope that helps.
RoseB - 20 Mar 2007 22:37 GMT
I have cut/pasted some symptoms or RA so that you could compare that
to what you are feeling. This is all from the website:
http://www.reutershealth.com/wellconnected/doc48.html

Please note what this article says about the finger joints, especially
the furthermost joint. That joint typically is not affected by RA
contrary to what another poster mentioned.

WHAT ARE THE SYMPTOMS OF RHEUMATOID ARTHRITIS?

Morning Stiffness in the Joints

The hallmark symptom of rheumatoid arthritis is morning stiffness that
lasts for at least an hour. (Stiffness from osteoarthritis, for
instance, usually clears up within half an hour.) Even after remaining
motionless for a few moments, the body can stiffen. Movement becomes
easier again after loosening up.
Swelling and Pain

Swelling and pain in the joints must occur for at least six weeks
before a diagnosis of rheumatoid arthritis is considered. The inflamed
joints are usually swollen and often feel warm and "boggy" when
touched. The pain often occurs symmetrically but may be more severe on
one side of the body, depending on which hand the person uses more
often.
Specific Joints Affected

Although rheumatoid arthritis almost always develops in the wrists and
knuckles, the knees and joints of the ball of the foot are often
affected as well. Indeed, many joints may be involved, even causing
the spine to become misaligned. It does not usually show up in the
fingertips, where osteoarthritis is common, but joints at the base of
the fingers are often painful.
Nodules

In about 20% of people with RA, inflammation of small blood vessels
can cause nodules, or lumps, under the skin. They are about the size
of a pea or slightly larger, and are often located near the elbow,
although they can show up anywhere. Nodules can occur throughout the
course of the disease. Rarely, nodules may become sore and infected,
particularly if they are in locations where stress occurs, such as the
ankles. On rare occasions, nodules can reflect the presence of
rheumatoid vasculitis, a condition that can affect blood vessels in
the lungs, kidneys, or other organs.
Fluid Build-up

Fluid may accumulate, particularly in the ankles. In rare cases, the
joint sac behind the knee accumulates fluid and forms what is known as
a Baker cyst. This cyst feels like a tumor and sometimes extends down
the back of the calf causing pain.
Flu-Like Symptoms

Symptoms such as fatigue, weight loss, and fever may accompany early
rheumatoid arthritis. Some people describe them as being similar to
those of a cold or flu, except, of course, RA symptoms can last for
years
    Rose   @}>->--
    Being educated means that rather than fearing the unknown, one seeks to understand it. RB

    Please remove "Ima" to reply.
 
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