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gout arthritis can it keep hand from healing

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Im a 45 year old women that has been told for years that i have artritis, rhuemitoid, osteo, and gout. In the last year ive had several attacks of flare ups in hands and feet and have nodules on finger joints and ankle. Since then recently I banged my baby pinky in a car door 5 weeks ago and my life became hell, The finger dislocated at first joint and they put slint until i could see hand specialist. he put a fiberglass cast on finger to hold bone to joint but it was completely uncomfortable ( take that back very painful) went to emerg several times and family doc and was told pretty much suck it up princess it just a finger its going to hurt. so i stay for 10 days like this until my finger started leaking puss it was like it exploded. i went back to emerg and they finally cut cast off and my finger was a mess, hard to describe except it exploded and was severily infected, was put on antibiotic and have had to go for dressing change everyday for the last 8 days. finger was about 4 times it size and has gone down to about twice the size and infection is clearing. now they want to put metal pin in middle of finger to fix the problem but if they say that this happened because of underlined conditions of my arthritis what makes them think it will be ok to put pin in it.
so my question is can arthritis stop you from healing properly
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replied April 15th, 2011

Hello and thank you for your post on e health forum.

The answer to your question is YES.

Most diseases such as Arthritis follow a certain path or stages of deterioration and degradation.

In severe arthritis, changes in the affected tissues due to long term inflammation like reduced perceptible sensations , extremely low blood circulation, and tissue damage can reduce the regenerative ability.

Any acute procedures done on joints affected by arthritis can hence have low healing ability.

I hope this helps.




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replied April 17th, 2011
Especially eHealthy
shannon65,

I would be very careful about having internal fixation put in, in the face of an infection. Drilling the pin into the bone, may allow the infection to get into the inside of the bone, and the last thing you want is osteomyelitis (bone infection). Even in these days of antibiotics, osteomyelitis can be a nightmare to treat. There is still a small, but significant number of people who end up with an amputation, after osteomyelitis.

With your compromised healing and poor local tissues, be very careful with internal fixation. Good luck.
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