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Pain Management

Hand pain

08/13/2008 11:28AM

Question:

I get severe pain in my right palm just below the 4th finger where the joint meets the palm. This pain comes without warning and sometimes wakes me from a sound sleep. It`s so severe that I have on occasion applied pressure/rubbed it or even bitten down on the area to try and get relief. Is this possibly neurological in nature. I`m a community nurse case manager & my work is not strenuous, so I doubt that it`s work related.

Answer:

A number of factors could be the cause of pain, including nerve irritation (e.g. carpal tunnel or disc herniation) or rheumatologic condition. Seeing a hand specialist would be a good place to start.

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Response by:

Case Western Reserve University Salim M Hayek, MD, PhD
Division Chief, Associate Professor
Division of Pain Medicine
University Hospitals
School of Medicine
Case Western Reserve University
Salim M Hayek, MD, PhD