Medical Specialty >> Rheumatology

Doctors Lounge - Rheumatology Answers

Back to Rheumatology Answers List

If you think you may have a medical emergency, call your doctor or 911 immediately. Doctors Lounge (www.doctorslounge.com) does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Site.

DISCLAIMER: The information provided on www.doctorslounge.com is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician. Please read our 'Terms and Conditions of Use' carefully before using this site.

Date of last update: 8/21/2017.

Forum Name: Rheumatology Topics

Question: Hand Pain/Stiffness


 tempifern - Sun Nov 11, 2007 9:27 pm

Hi-

I am 33 years old and after having my 2nd child at the end of January I developed pain in both of my hands/wrists to the pint that I could barely hold a fork. It lasted maybe a week and went away, so I ignored it. The pain came back about 2 months later and was also in my feet/ankles. Went to my doc and they did bloodwork which showed a lyme positive titer--2 IGMs positive and 1 IGG. Tried Ceftin which was hard on my stomache and switched to amoxicillin (TID for 2 weeks) as I was breastfeeding. Symptoms went away and came back in late June and I was treated with the same regimen.
Hand pain/stiffness returned in late September as well as feet/ankles, but hands are the worst. My knees sometimes ache as well. I am stiff as a poker for a few hours when I wake up and heat seems to help the most. Went to my new doc as we moved and she was concerned about RA as she felt my knuckles look red/puffy. All of my bloodwork is normal now except for 2 positive IGM lyme bands. Went to a rheumatologist and he is unsure as well. I have lost some dexterity in my hands now and drop things, as well as have trouble opening things, turning door knobs , etc. Could this just be lyme arthritis?

Thanks--I feel like I am 90!
 Dr. Chan Lowe - Thu Nov 15, 2007 12:33 am

User avatar Hi Tempifern,

The usual treatment for lyme disease is an antibiotic called doxycycline although amoxicillin is considered an acceptable alternative.

Occasionally, in more severe cases some doctor would recommend 14-21 days of IV antibiotics to fully treat the infection. Lyme disease is well know to cause severe joint pain.

Rheumatoid arthritis also does fit your symptoms.

You may want to see an infectious disease specialist to get an expert opinion about the lyme disease issue and seeing a rheumatologist can help answer the RA question.

Best wishes.

| Check a doctor's response to similar questions

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

  • Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.

Doctors Lounge Membership Application

Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us