I have not been diagnosed with PsA but have had tendonitis and joint pain for over 20 years. Last summer my right hand fingers suddenly became extremely painful and swollen…however, the swelling was not extreme like pictures I’ve seen of dactylitis. I couldn’t bend my fingers at all and getting dressed was very difficult. A week later the left hand fingers followed. The flare eventually calmed down after lots of Advil, ice and Voltaren gel. During the flare, my fingers were throbbing especially behind my fingernails but I have had no nail changes. It felt like my hand had been slammed in a car door. Now my fingers have what look like Herbeden’s nodes on them. I was referred to a rheumatologist who basically said he’s not sure what this is but that the bumps on my DIP joints are Herbeden’s nodes which are harmless, genetic and part of osteoarthritis. I’m confused – the bumps came after what seemed like a very inflammatory flare. I’ve read that it takes years to develop Herbeden’s nodes. I didn’t have any rashes at the time but mentioned that my mom has psoriasis and I had had what I thought was psoriasis on my elbows. A couple months later a dermatologist confirmed psoriasis on my knee and scalp.
Basically, I’m confused about the bumps on my fingers. They are tender especially during a flare – shaking hands is painful or if something brushes against those fingers they are painful. I feel like my doctor wrote them off as osteoarthritis but I’m positive they weren’t there before the bad flare up last summer.