What causes knuckle puffiness with stinging?
Patient: Dominant hand center knuckle is puffy and stings. Is painful when touched. No open wound. Began a year ago. Have taken naproxin for a month with little change. Feels warm to the touch in the center. Any ideas of what to do next? Have been tested for gout and that was ruled out. Also, hand has been x-rayed and arthritis has been ruled out as well. Doctor: hiI think local infilteration with injection hydrocortisone or depomedrol may be tried.this may helpsubside non-specific inflammatory swelling of the knucklebest wishes