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Pain Management

Causes of Hand Pain



I get severe pain in my right palm just below the 4th finger where the joint meets the palm. This pain comes without warning and sometimes wakes me from a sound sleep. It`s so severe that I have on occasion applied pressure/rubbed it or even bitten down on the area to try and get relief. Is this possibly neurological in nature. I`m a community nurse case manager and my work is not strenuous, so I doubt that it`s work related.


A number of factors could be the cause of pain, including nerve irritation (e.g. carpal tunnel or disc herniation) or rheumatologic condition. Seeing a hand specialist would be a good place to start.

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Response by:

Salim M Hayek, MD, PhD Salim M Hayek, MD, PhD
Associate Professor of Anesthesiology & Perioperative Medicine
School of Medicine
Case Western Reserve University