Hello,

Thank you for your query at DoctorSpring. I have read your query with diligence.

It looks that you were a manual worker in recent past.

Looking at your details, it looks that most probable cause for swelling at hand is due to presence of tenosynovitis & infection or inflammation of deep palmar spaces of hand -

http://www.netterimages.com/image/4585.htm

If you are not having fever or other symptoms except swelling then following conditions should be ruled out -

-Gout

-Calcium pyrophosphate disease

-Hydroxyapetite deposition disease

-Sarcoidosis

-Tenosynovitis

These conditions can be diagnosed by having blood test, prescribed from a Rheumatologist. You should consult to a rheumatologist.

Till then take a mild analgesic like advil or aleeve for relief.

Hope this all will help you. Please feel free to discuss further.

Dr Mukesh Tiwari
Consultant Orthopedic Surgeon