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I am new to this board.  I have been reading for a few days it has been enlightening.  It is nice to know I am not alone.  I have pa, ra, tendonitis, spondylarthropy, degenerative disc disease.  I was on enbrel and have just changed to humira.  I have a question, does anyone have fingertips that split?  I have psoraisis and the enbrel worked for a couple of years then stopped.  I have not seen anything posted about this condition.Welcome aboard.  I haven't had split fingertips, but now that I am being treated, after about a year my fingertip pads are all wrinkled at times, like they have been in water too long.  I have finally decided its from the expansion and contraction of my fingers when I flare.  Once the inflammation goes down, the wrinkling is from the skin that was stretched out of shape.  Perhaps eventually as my disease progresses, I will get splitting too because of the wear and tear of inflammation.  Good question and good luck ~~  CathyI get inflamed finger tips and inflamed cuticles. My knuckles split on the skin. I get the wrinkeled pads like you have been in the bath sometimes also. One lady said a cappillary in her finger tip busted last week when she was brushing her teeth. Seemed to me culterelle probiotic and vitamin c 500 mg helped my skin the most but i never know if things are just a fluke. . I ran out of v c. Just today have too get some more. Lotions of course and doc prescibed something cortisone cream. Anyway my whole hands turn red sometimes really wrinkeled and red. And dry thick skin. But my skin gets inflamed as well as my finger tips. milly39452.9144907407Actually strangly all of my redness and and most swelling has gone away. But my skin on my hands is tight and knuckles are split. Like the skin on my arms is now stretchy almost hypermoble. But the skin on my hands does not seem to fit. To tight. I do not know what it is exactly yet. I see RD in 10 days. Will ask him.The tips of my fingers always split, and its so painful. I have the same problem with my heels also and I heard to help a large split ,seal it with superglue . sounds strange but it does work. About a fortnight ago my thumb tip split so I tried the glue and it worked great.it was healed in less than a week. you just have to watch out for infection. i dip my fingers in peroxide and that gets rid of infection really quick. And Milly what you said about the skin being tight on your hands thats how mine are.when i bend the fingers there is no give in the skin.Its really weird.

[QUOTE=bgayleguy] I have a question, does anyone have fingertips that split?[/quote]
Hello and welcome! Fingertip fissures and a way to heal them is a constant source of irritation--pun intended.

I do not heave psoriasis do cannot say if the same conditions are responsible, however I find cold, low humidity, inadequate skin care, and not wearing protective gloves aggravates the problem.

I use an antibiotic ointment when the cracks and splits are tender and try to keep them covered with a plaster or a telfa pad. Dermadoctor makes a wonderful dry-oil fissure healing treatment, however it does contain hydrocortisone, which in some instances can be contraindicated. Use it sparingly: a little goes a long ways!

Be obsessive with using a passive barrier skin protective lotion or, better yet, a cream and use a gentle oil-based cleansing bar for hand washing.

Oh, yes: PLEASE do not succumb to the lore that recommends using superglue on your fingertips to prevent fissuring. It does not work and it can cause contact dermatitis or an allergic reaction.

Be sure to mention this to your physician, the loss of skin integrity is always a concern.

Con brio, Happ

Hi and welcome to the forum.  I also have RA and PA but I don't have the problems with split finger tips.  I soak my hands weekly in warm olive oil so that probably takes care of it.  I would think it's from dryness or meds and not PA.  But if you were better while on Enbrel, it stands to reason that it's caused by PA.  I went from Enbrel to Remicade and now on Humira and it's working better than the other two.  Hope that Humira works well for you.  LindyHi and welcome I have pa, ra and oa, besides a few other thngs. My psoriasis has been a pain latley too. Here is a trick for your hands.  You need to get a couple pair of coton glovees and a jar of palin old vaseline petroleum jelly. When you go to bed at night,  put a layer of the vaseline on your hands then put  the gloves on.  This will help with the problem.  During the day when you need to wash your hands, use Germx whenever possible, reason is this will not dry out your hands like soap and water.  During the day every so often use handcream to help soothe your hands or get a tube of aquaphor and use that.  My husband's job makes his hands dry out terribly and this helps keep they soft and I  do the same process when my hands are flaring from the psoriasis. Like you enbrel quit helping and humira isn't doing such a bang up job on the psriosis either.  Welcome to the board hope this helps you out.  meme

 

                                         WELCOME!!!

B....welcome to the board, and glad you found us.  I am so very glad the biologic is working for some things.  I wish it worked for all.  Do you think you might have osteoarthritis in your spinal column?  If it is true osteoarthritis...not caused by RA then the biologic will not touch it.  Parts of my back and other things get better with the biologic, but not all of it.  That is what the RD told me.  Think about it.  I do have some osteoarthritis.  I was diagnosed with ra first 11 years ago, about three years later I started having the hand problems after 5 dermatologists finally decided it was a form of psoriasis on my hands.  I had psoriasis on my scalp for years and did not realize there was a psoriatic arthritis.  So then I got the dx of pa.  My MRI showed I have spinal stenosis, degenerative disc disease and bulging disc in cervical lumbar and thoriasic spine.  I have a compression fracture in the thoriasic which causes a lot of pain.  So who knows.  I am on humira, sulfazine ES, oxycodone, ultram, zanaflex, ambien, plus I get the various injections done at the pain management clinic.  After all these years of feeling like I was alone with these problems it is nice to find other people understand.  Thanks
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