Dactylitis Sausage Fingers Digit Swelling Fingers Toes Homeopathic Treatment

Dactylitis is a valuable clue in the differential diagnosis of arthritis. Compared with the wider spectrum in children, sausage-shaped digits have only a few known causes in adults: Reiter's syndrome, psoriatic arthritis, sarcoidosis, flexor tendon sheath infections, and gout.

Dactylitis is caused by uncontrolled inflammation that results from spondyloarthropathies, and can be associated with flaring of the underlying joint disease.

The swelling is diffuse and continuous throughout the tissue, affecting tendons, ligaments, synovium — the space that contains the joints and joint capsule — and adjacent soft tissue.

In terms of why there’s such a strong association between dactylitis and psoriatic arthritis, there’s still no definitive answer, It isn’t clear why dactylitis happens, but it is likely that its origin is related to the fact that patients with psoriatic arthritis have a tendency to develop inflammation of tendons and the surrounding tendon sheaths in addition to inflammation of the actual joints.

Viral infection: human parvovirus (especially B19), enterovirus, adenovirus, Epstein-Barr, coxsackievirus (A9, B2, B3, B4, B6), cytomegalovirus, rubella, mumps, hepatitis B, varicella-zoster virus (human herpes virus 3), human immunodeficiency virus

Indirect bacterial infection (reactive arthritis): Neisseria gonorrhoeae (gonorrhea), bacterial endocarditis, Campylobacter species, Chlamydia species, Salmonella species, Shigella species, Yersinia species, Tropheryma whippelii (Whipple's disease), group A streptococci (rheumatic fever)

Direct bacterial infection: N. gonorrhoeae, Staphylococcus aureus, gram-negative bacilli, bacterial endocarditis

Other infections: Borrelia burgdorferi (Lyme disease), Mycobacterium tuberculosis (tuberculosis), fungi

Crystal-induced synovitis: gout, pseudogout (calcium pyrophosphate deposition disease), hydroxyapatite

Systemic rheumatic disease: rheumatoid arthritis, systemic lupus erythematosus, polymyositis/dermatomyositis, juvenile rheumatoid arthritis, scleroderma, Sjögren's syndrome, Behçet's syndrome, polymyalgia rheumatica

Systemic vasculitis disease: Schönlein-Henoch purpura, hypersensitivity vasculitis, polyarteritis nodosa, Wegener's granulomatosis, giant cell arteritis

Spondyloarthropathies: ankylosing spondylitis, psoriatic arthritis, inflammatory bowel disease, reactive arthritis (Reiter's syndrome)

Endocrine disorders: hyperparathyroidism, hyperthyroidism, hypothyroidism

Malignancy: metastatic cancer, multiple myeloma

Others: osteoarthritis, hypermobility syndromes, sarcoidosis, fibromyalgia, osteomalacia, Sweet's syndrome, serum sickness

 Dactylitis the condition is often painful and can also severely limit functionality.The primary symptoms of dactylitis are swollen, painful digits, and difficulty moving the affected areas. The inflammation can also cause your joints to feel warm.The patients we heard from bore this out, describing incredible pain from their hands touching anything at all; a heavy, numbness,hot feeling; and not being able to bend or use their fingers.

When it happens it starts out as a tightness, and eventually gets to the point where the skin is stretched so tight that it becomes itchy.” 

Each movement of the affected finger is excruciating. It feels as though the nerves are being compressed by the swelling leads to numbness and if you move you will be tortured. You can’t get dressed or undressed due to weakened grip, eat, use the bathroom, or do much of anything unassisted when this happens to both hands at the same time.

There is no specific, conclusive diagnostic test for reactive arthritis. Several groups have published diagnostic guidelines for reactive arthritis. However, these guidelines are often in disagreement as to what specifically is required for a diagnosis. Specific, consistent diagnostic guidelines have yet to be established for reactive arthritis.

A diagnosis of reactive arthritis is made based upon identification of characteristic symptoms, a detailed patient history, a thorough clinical evaluation and a variety of specialized tests including blood tests, joint fluid tests, and specialized imaging tests. These tests can aid in a diagnosis of reactive arthritis or rule out the disorder. However, none of these tests is conclusive as to whether a person has the disorder or not. Blood tests can reveal certain findings associated with reactive arthritis, including:

The HLA-B27 genetic marker: This genetic marker is associated with spondyloarthropathies including reactive arthritis. It can aid in the diagnosis of reactive arthritis, but not every person who has this marker develops the disorder.

The presence of bacteria such as Chlamydia, which can cause reactive arthritis: However, because the symptoms of reactive arthritis often do not become apparent until after an individual has recovered from the infection, no signs of the infection may be present. If the patient had an acute diarrheal illness and tested positive for Salmonella, Shigella, Campylobacter, or Yersinia 1-6 weeks prior to the onset of symptoms, then this is a very good indicator the patient probably has post-enteric reactive arthritis.

An ESR elevated sedimentation rate: Sedimentation rate is the time it takes red blood cells to settle on the bottom of a test tube. An elevated sedimentation rate is indicative of inflammation somewhere in the body, but cannot distinguish between disorders that cause inflammation. This is most useful during the acute stage of reactive arthritis and is typically normal with the chronic form of this condition.

Rule out other conditions: Blood tests can reveal certain findings associated with other disorders that have similar symptoms to reactive arthritis such as rheumatoid arthritis, which is associated with a specific antibody called rheumatoid factor or an anti-cyclic citrullinate peptide CCP antibody, or lupus, which is associated with antinuclear antibodies.

Physicians may also test the fluid in the joints synovial fluid. Examining synovial fluid is done to rule out an infection in the joint, assess the amount of inflammation in the joint, and rule out other conditions such as gout or other types of crystal-related arthritis.

Physicians may also use specialized imaging techniques (x-rays) to aid in the diagnosis of reactive arthritis or to rule out other conditions. X-ray studies may reveal distinctive characteristics of spondyloarthropathies such as reactive arthritis including inflammation of the sacroiliac joints (sacroiliitis). X-ray examination can also rule out other conditions. It is important to note that the typical changes on x-rays can take months to develop so x-rays are less useful in the acute setting. Specialized imaging techniques that may be used include computed tomography (CT) scans, magnetic resonance imaging (MRIs), or ultrasound. These advanced imaging techniques are more useful at detecting early or acute changes.

Do aerobics One moderate exercise session has a cellular response that may help suppress inflammation in the body. It's well known that regular physical activity has health benefits, including weight control, strengthening the heart, bones and muscles and reducing the risk of certain diseases.

Use Biking it increase circulation helps in removing inflammatory factor .

Tai chi, a lifestyle intervention that targets stress that can lead to insomnia, was also found to reduce inflammation, and did so by reducing the expression of inflammation at the cellular level and by reversing activation of inflammatory signaling pathways.

Swimming Improves Circulation Efficient circulation also helps remove waste, which can also reduce inflammation and help your immune system do its important work.

Use cold packs or soak hands in cold water.

Wear compression gloves, or finger sleeves like volleyball and basketball players use.

Try warm paraffin wax, icy hot, or other warming treatments.

Keep fingers moving with crochet or knitting, a stress ball, or even just flex and release.

Do regular range-of-motion exercises for fingers and toes.

Homeopathic approach is different from conventional mode of treatment. Here the totality of the symptoms is considered and some peculiar, strange, rare symptoms which are present only in that individual are given importance.

After administering homeopathic medicines gradually the pain will reduce considerably. The person will feel comfortable in numbness,pain,tingling, writing, tremors will be less. As homeopathic medicines act on the mental level the patient will start feeling fresh. His anxiety, stress will reduce and the patient will over all feel better.

There are many homeopathic remedies which are very effective in relieving the numbness ,tingling,spasms, pain and cramps occurring in patients suffering from Dactylitis. Homeopathic approach is different from conventional mode of treatment. Here the totality of the symptoms is considered and some peculiar, strange, rare symptoms which are present only in that individual are given importance.

Homeopathy treats the person as a whole on wholistic concept. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition based on symptoms.Symptoms are sign of internal turbulance or loss of equilibrium. The homeopathic medicines are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution, family history, presenting symptoms, underlying pathology, possible causative factors etc.  A homeopathy doctor tries to treat more than just the presenting symptoms. The focus is usually on what caused the disease condition especially. Why this patient is sick in this way while others not in same house or condition. The disease diagnosis is important but in homeopathy, the cause of disease is not just probed to the level of bacteria and viruses. Other factors like mental, emotional and physical stress that could predispose a person to illness are also looked for. No a days, even modern medicine also considers a large number of diseases as psychosomatic. The correct homeopathy remedy tries to correct this disease predisposition. The focus is not on curing the disease but to cure the person who is sick, to restore the health. If a disease pathology is not very advanced, homeopathy remedies do give a hope for cure but even in incurable cases, the quality of life can be greatly improved with homeopathic medicines.