My 76 year old dad had sudden on set of swelling and pain in both hands last night around his bed time. He experience excruciating pain all night long and his hands are so swollen and tender today he can hardly hold his coffee cup, or use the phone. I am an RN, b t have never heard of this happening before. He states cold really hurts them, warm water seems to make them feel a little better. He did not exercise a lot yesterday cannot think of any mechanical cause. I am concerned because this is a new thing for him. He thinks it may be gout, but he has no problem with his feet, or other joints. His fingers and joints are not swollen... has no pain or discomfort anywhere else? Any suggestions or advice?
This is indeed very strange. If it was only one hand I would say he was bitten by something. Which would give you localized swelling. But for it to be both hands, but not the fingers, is almost against what anatomy says would happen.
However, you can get swelling within the wrists (the intercarpal joints), that would involve what most people feel is the proximal hands. This could also cause some swelling in the tissues adjacent to the wrists (ie the hands), and not involve the fingers.
Gout can affect the wrists, without it affecting other joints. There are also a whole host of inflammatory arthropathies that affect the wrists.
If the symptoms do not abate soon, he should probably be seen by his physician (or a rheumatologist), while the hands/wrists are swollen. Aspiration of the edema/effusion can often give you a diagnosis.
My daughter is only 43 and experiencing severe pain in both hands. Pain is all day but worse at night when she lays down. All 5 fingers on both hands are very swollen and red. Sharp pains if pressure applied in middle of palm of fatty tissue at base of thumb. She has a housekeeping business and works with cleaning supplies, however she took 2 weeks of and was not in contact with any chemicals and absolute no change?