Suggest treatment for wrist pain inspite of having Sjogren s Syndrome, hypothyroidism and osteoarthritis in my fingers
Patient: I am a 57 year old female with Sjogren s Syndrome, hypothyroidism, osteoarthritis in my fingers. My wrist on the thumb side of my dominant right hand started bothering me about 8-12 months ago. I work with a computer and phone and write a lot. I use a wrist foam pad in front of my keyboard and tried using a device with the mouse for keeping the hand in the right position, but that didn t seem to make a difference. So, I trained myself to use the mouse with my left hand and write with my right hand. It seemed to help for awhile. But the pain gradually returned and worsened. Writing and using the keyboard with my right hand was causing some pain, swelling and partial numbness in the right wrist an inch or so below the thumb. My forearm would ache. Then I noticed the right shoulder aching. I could not move my elbow out away from my body without a lot of pain. I could not sleep on it at night. Then my right arm began aching also. I went to my primary care physician and she put me on Mobic. Later, while driving, I started noticing tingling in my LEFT hand on and off. Both shoulders were bothering me and tightness in my neck. Then I worked late for a couple of times. In the middle of the night, my left hand was burning ON FIRE. It was tight and somewhat swollen. It started with the little and ring finger and gradually moved to the middle finger, then index finder. I held it in cold water and the pain was tolerable. I slept a couple of hours and woke up with it burning again. The left hand has improved in the same order, finishing with the index finger., but it is a little weaker, but getting better. Both hands tire easily and sometimes tingle, like if I text for awhile, though the pain is better. Doctor: Hi,Do hot and cold therapy (do take a bowl of lukewarm water and another of cold water, dip your hand  in hot water for three mins then dip in cold water for one mins. Do it 7-10 times). Do some active and light resistance exercises for your upper extremities, along with do finger, wrist  stretching exercises.Hope you will find the answer useful. Let me know if I can assist you further.Regards,Dr. Harsh Swarup