What causes pain and swelling in the knuckle joints?
Patient: Son has swollen knuckles middle joint, seems to. Ache a lot. Nothing terribly serious but after an activity, he wears out quicker than most and complains of minor joint pain in his ankles a arms. Tonight he said he has some shaking in his hands. He has Aspergers so I know he gets anxious but don t want to miss something. Also he has stretch marks from rapid growth spurts. Any direction I should look into? Thank you Doctor: Dear Patient, Welcome, and thanks for sharing your concern I went through your query, and I feel, the most important thing that you need to rule out, is inflammatory arthritis, and for that you need to get his investigations done, get his CBC, ESR, CRP, ACCP RF done and see if any one is abnormal and indicative of pathology, if not than stay cautious and repeat these after a period of 1 year.I hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back.Thanks