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" Question My thumb and first finger on my right hand hurt all the time and click when I extend and contract them. The pain is worse in the morning when I wake up. What is causing this and what can be done?    Answer  It sounds as if you may have a ligament problem in these two fingers, rather than a problem such as arthritis.  What usually occurs here is that the ligaments &amp;amp;#8211; which act as the &amp;#039;pulleys&amp;#039; of the fingers, straightening and bending them &amp;amp;#8211; become inflamed.  As a result of this, they occasionally catch or click when being used rather than running smoothly and in a well-oiled manner.  There is often little reason for this although in some cases it is due to inflammatory conditions such as rheumatoid arthritis.  Your high blood pressure and diabetes should have little effect here and I think your doctor should check your hand out.  You may need to take more anti-inflammatory medication than you are doing and in very severe cases an injection into the affected joint is required, but I doubt very much this will be required in your case.  I do not think there should be too much trouble in remedying this particular problem, so tell your doctor about it the next time you see them. Yours sincerely The NetDoctor Medical Team   Other Qs &amp;amp; As Computers have given me RSI Constant knuckle cracking Double jointed query I had pins and needles while playing tuba I wake up with numb hands Injured hand and long flights My daughter has got shaky hands My finger hurts! My hand cracks constantly Numb white fingers Pain caused by computer mouse Pains in my fingers Pins and needles on my forearm and fingers Problem with the wrist Red spots under my nails RSI in the wrist Sciatica Swollen and stiff joints Tingling and numbness in my fingertips What is causing my numb, cold fingers? What&amp;amp;#8217;s causing the bones in my wrist to hurt? Why do I get painful muscles? Why have I got pins and needles in my hands &amp;amp;#8211; is it RSI? Wrist pain   Last updated 29.09.2014 "^^<http://www.w3.org/2001/XMLSchema#string>
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