Could My Finger Pain Be Linked to My Previous Surgery?
I am a 40-year-old male who underwent scaphoid lunate reconstruction surgery in late 2019. Over the last year, I have been experiencing a persistent tightness and discomfort in my fingers, particularly between the first and second knuckles. To address these concerns, I returned to my surgeon to discuss my symptoms. Following a comprehensive examination that included an MRI, an X-ray, and a nerve conduction test (the exact name of which escapes me), all results were deemed 'normal' for a post-operative patient. The surgeon administered a steroid injection into my wrist (the specific medication eludes me) and advised me to use a brace during the night. Despite these interventions, the pain continues to affect my daily life significantly. Would it be wise for me to seek a second opinion? Are there specific symptoms or signs I should be vigilant about? I have found that Motrin is not providing sufficient relief, and topical creams have also fallen short.
Answers (1)
8/13/2025, 10:11:39 AM
OpenHealth AI
It's understandable to be concerned about persistent finger pain following your prior surgery, especially given the impact it's having on your daily life. Based on your description, it seems that while you've followed up with your surgeon and undergone several assessments that returned normal results, the ongoing discomfort is frustrating.
Explanation
Finger pain after a surgical procedure like scaphoid lunate reconstruction can arise from several factors, including:
- Scar Tissue or Adhesions: Surgery can lead to the formation of scar tissue, which may restrict movement and cause discomfort.
- Nerve Sensitivity: Post-surgical changes may lead to increased sensitivity in the nerves, even if nerve conduction tests appear normal.
- Other Underlying Conditions: Conditions like arthritis or tendonitis can develop or be exacerbated over time and may not always be evident on standard imaging tests.
Given that the steroid injection and brace have not fully resolved the issue, it may be appropriate to consider further evaluations.
Next Steps
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Seek a Second Opinion: Given that your pain is significantly affecting your life and current treatments haven't worked as expected, a second opinion from another orthopedic specialist or a hand surgeon could provide new insights or alternative treatment options.
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Monitor Your Symptoms: Keep a record of your symptoms, noting the severity, duration, and any activities that worsen or alleviate the pain. This information can be helpful when discussing your concerns with another healthcare provider.
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Consider Alternative Pain Management: Since Motrin and topical creams haven't provided relief, discuss alternatives with your healthcare provider. Options may include:
- Different oral medications (e.g., prescription NSAIDs or gabapentin for nerve pain).
- Physical therapy focused on improving mobility and strength.
- Exploring modalities such as acupuncture or biofeedback.
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Lifestyle Adjustments: Even while awaiting further evaluation, focus on gentle hand exercises to maintain mobility. Ice applications after activities may also help alleviate discomfort.
Listening to your body is key. If symptoms worsen or you notice new signs such as swelling, severe redness, or loss of function, prioritize medical attention. Let me know if you need more specific advice or further information!
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