Body

  • Body: Pain Meds vs Sex
  • Appendectomy and Climbing Training
  • Body: Injury Truths
  • Body: BPA and Waterbottles
  • Body: Bouldering for Bone Density
  • Body: Chronic Injury
  • Body: Bouldering for the Bones
  • Body: Antibiotics and Tendon Damage
  • Back

  • Back: Spinal Fracture
  • Back: Preventing Hunchback
  • Back: Herniated Disc
  • Abdomen

  • Abdomen: Muscle Tear/Hernia
  • Arm

    No items found.

    Shoulder

  • Shoulder: Thoracic Outlet Syndrome
  • Shoulder: SLAP Lesion and Cortisone
  • Shoulder: Frozen Shoulder
  • Shoulder: Torn Labrum, SLAP Lesion
  • Shoulder: Separation
  • Shoulder: Pain and Virus
  • Biceps

    No items found.

    Elbow

  • Elbow: Tennis Elbow
  • Elbow: Medial Tendonosis
  • Elbow: DR. J's Dodgy Elbows
  • Elbow: Tendonosis
  • Elbow: Medial Epicondylosis and Taping
  • Elbow: Tingling and Numbness
  • Elbows: Minimizing Fingerboard Injuries
  • Elbow: Medial Epicondyle Tendonosis
  • Elbow: Stress Fracture
  • Elbow: Pain and Hangboarding
  • Wrist

  • Wrist: Klienbock's Disease
  • Wrist: Ruptured Tendon
  • Snap, Crackle, Wrist
  • Wrist: Fractured Scaphoid
  • Wrist: Instability
  • Hand

  • Stressed-Out Fingers
  • Hands: Dupuytren's Disease (lump in palm)
  • Hands: Numbness and Carpal Tunnel Syndrome
  • Fingers

  • Fingers: What To Do with a Ruptured Flexor Digitorum Superficialis
  • Stressed-Out Fingers
  • Fingers: Hyper-extended
  • Fingers: Cysts and Pain
  • Fingers: Cracked Fingertips
  • Fingers: De Quervain's Tenosynovitis
  • Fingers: NSAID Treatment
  • Fingers: Torn A2 Pulley
  • Fingers: Trigger Thumb Syndrome
  • Fingers: Stiffness, Soreness
  • Fingers: Grip Position and Injury
  • Fingers: Pinky Finger Pain
  • Fingers: Electrostimulation
  • Fingers: Cortisone for Tendon Injuries
  • Hands: Numbness and Carpal Tunnel Syndrome
  • Fingers: Taping Truths
  • Fingers: Flappers
  • Fingers: Trigger-Finger Syndrome
  • Fingers: Torn A3 and A4 Pulleys
  • Fingers: Cysts
  • Fingers: Arthritis
  • Fingers: Numbness
  • Fingers: Blown Tendons
  • Leg

  • Leg: Achilles Tendonitis
  • Leg and Knee: Broken Femur and Shattered Kneecap
  • Leg: Pulled Hamstring
  • Leg: Fracture
  • Knee

  • Knee: Rockfall Causes Lump
  • Knee: Chondral Injury of the Lateral Tibial Plateau
  • Leg and Knee: Broken Femur and Shattered Kneecap
  • Knee: Ruptured ACL
  • Knee: Ruptured Ligament and Meniscus
  • Knee: Synovial Cartilage Damage
  • Ankle

  • America's Best Climbing Area: Red River Gorge
  • Loud Pop Ankle Roll
  • Feet

  • Feet: Broken Foot
  • Feet: Gout and Pseudogout
  • Feet: Toe Fracture
  •  
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    Fingers: Cysts and Pain

    21-May-2010
    By

    My middle-finger knuckles have tender growths. It hurts to push on the side of the joint. I'm 36 and have been climbing 17 years. The doctor said my knuckle bumps are related to Dupuytren's disease but I don't have any visible contractures on my palms or feet. X-rays and blood tests are normal. I also have plantar fasciitis in both feet.

    Dennis Sander | Jackson, Wyoming

    Thanks for the Photos. Those nodules look more out of place than Dubya in a pink jumpsuit. As the Aussie ex-prime minister once said, "Be alert, not alarmed."

    The same applies to you, though I am not fear mongering! A biopsy of the cysts might be helpful. And see a rheumatologist.

    I can't tell you what they are, but I can say I'd want to know. Their appearance is certainly cyst-like, and could be related to an arthritic condition or a connective tissue disorder. I might be wrong. I hope I am. I assume the blood tests looked for rheumatoid factor (RF) and, given a sero-negative result, rheumatoid nodules as related to rheumatoid arthritis (RA) are unlikely, though RA is still quite possible.

    Given that the x-rays did not show joint degeneration, and that the blood tests were normal, the cysts are possibly related to a group of autoimmune arthritic disorders called seronegative polyarthropthies (no tell-tale RF in the blood). In many of these conditions other systems are often affected, for instance the skin (psoriasis), eyes (reactive arthritis) or bowel (inflammatory bowel disease).

    The Dupuytrens diagnosis could be a possibility. I have never heard of related cyst formations like yours but, absurd as it sounds, I'm not the repository of all medical knowledge. Certainly, plantar fasciitis correlates with seronegative arthridities, as it is a connective tissue disorder itself.
    Many cases of seronegative arthritis will go unclassified, as the genetics and their expression are peculiar to the affected person. If -- and when -- the condition evolves, it may subsequently be classed as a known autoimmune pathology such as rheumatoid or psoriatic arthritis, or more serious conditions such as systemic lupas erythematosus (SLE). Did I mention a rheumatologist?

    The side-bending pain is indicative that the joint, or the connective tissue holding it together, is under some duress (metabolic or climbing). Clearly it is seronegative (which is of limited diagnostic value), non-destructive to your joints (so far), and not too disabling (let's hope that continues!), but I think this is likely to be a very early or very mild expression of an autoimmune arthritis.

    Take this diagnosis with a full salt-shaker and, um, go see a rheumatologist. I mean, really, they could just be silly cysts on the backs of your knuckles!

    RULES FOR THICK SKIN

    Two words, one letter: Vitamin E oil.

    Fresh calluses are good; caveman-thick ones aren't. A few swipes of 1,000-grit sandpaper, as needed.

    Use lotion. Not moisturizer.

    Wash off chalk as soon as you are done climbing.

     

    HOW TO BUY CHALK

    The white stuff comes in ball, block or crushed form, the difference between gumball, gum stick and ABC gum.

    Some companies add drying agents that may be more expensive and wreak havoc on your epidermis.

     

    USING CHALK

    Crush chalk. It's just magnesium-carbonate, not Yellowcake.

    Placing tickmarks on desert cracks is like using crib notes.

    Always carry chalk in a Ziplock bag in your carry-on. The TSA agent who pulls out the suspicious bag will experience the happiest moment of his entire day ... until he realizes that it's not what he was hoping for.

     

    RELATED ARTICLES

    Arthritis

    Blown Tendons

    Cortisone and Tendon Injuries

    Cracked Fingertips

    Finger Cysts

    De Quervains Tenosynovitis

    Finger Electrostimulation

    Flappers

    Grip Position and Injury

    Hyper-Extended Finger

    NSAID Treatment

    Finger Numbness

    Pinky Finger Pain

    Finger Stiffness and Soreness

    Finger Taping Truths

    Torn A2 Finger Pulley

    Torn A3 and A4 Finger Pulleys

    Trigger Thumb Syndrome

    Trigger Finger Syndrome

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