A member asked:

Gout or infection from laceration sitting in the wrist and finger joints? hi. i am 41 years old and i have pain in my left wrist joint, thumb joints and pointer finger joints. the other 3 fingers do not hurt. the pain came on all of a sudden approx. 8 d

11 doctors weighed in across 3 answers
Dr. Jeffrey Wint answered

Specializes in Hand Surgery

Both : Both gout and infection can cause these symptoms. Cuts in the skin can be a path for infection, accompanied by swelling and redness gouty deposits in the joints can give severe pain swelling and redness infection doesn't usually resolve with antiinflammatories alone. Gouty pain can, but these medicines treat only the symptoms and not the underlying issue, the uric acid deposits that can be linked to excess uric acid in the blood.(although gouty attacks can occur with normal uric acid) pain and internal "stiffness or tightness" in joints can also occur from any slight swelling in a joint, from arthritis, trauma and may not be due to gout at all. Pain in the thenar eminence or what is the meaty part of the thumb very often is referred from the thumb basilar or cmc joint ( at the base of the thumb where the thumb meets the wrist) an evaluation that includes x-rays and bloodwork can tell you more.

Answered 12/29/2022

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Tendinitis: Tendinitis, arthritis are more probable causes. Infections have additional symptoms of reddness , fever, etc... Gout likes to affect the large toe before thumbs and tends to hit older people more.

Answered 10/8/2013

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Dr. Payam Rafat answered

Specializes in Podiatry

Many possibilities: Your pain could be as a result of many different things. Causes of pain may include: trauma (fracture, sprain, arthritis), infection (ingrown nail), metabolic conditions (gout), musculoskeletal or biomechanical abnormality and neurologic conditions (neuropathy). A thorough history and physical exam and possibly some laboratory and radiology exams are needed to determine the exact cause.

Answered 3/22/2014

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