I use the computer a lot for work. the last few weeks ive had pain my palms at the base of all fingers & wrist pain. no lumps there, just some mild tenderness. tried ice/heat/nsaids. cant see ortho yet. what is the most likely differential?

Repetitive motion injury. You need to take frequent, small breaks from use of computer. Visit this site for information on this topic: https://www.ninds.nih.gov/Disorders/All-Disorders/Repetitive-Motion-Disorders-Information-Page

Flexor tendonitis with early tenovaginitis or trigger finger . Wrist pain from tenosynovitis in carpal tunnel ice , wrist splinting and behavioral modification prior to ortho eval.