instruction: hi doctor I am having trigger problem in the middle finger of my left hand over a year but the same finger of my right hand has now developed the same problem they are especially bad in the morning and it is difficult to straighten them I can feel a very heavy click when I do it I had blood tests to test for arthritis and they came back clear I was diagnosed with breast cancer last year and treated with chemotherapy mastectomy and radiotherapy I have mentioned the problem about my fingers to each of these specialists and none of them had an answer everyone said that it is not a side effect of any of the treatments currently I am taking aromasin inhibitors and triptorelin I am very much worried and confused at the moment I cannot seem to find any answer as to know what it is please help
output: hi rheumatoid arthritis could be of positive or negative psoriatic arthritis may occur before the rash gout pseudogout form of arthritis swelling of joints last for some days or weeks osteopenia or osteoporosis causing atypical fractures less likely metastatic disease ray of hands vitamin levels ana anti cop anti cyclic citrullinated peptide antibody rheumatoid factor and abc complete blood count rheumatoid arthritis and psoriatic arthritis it will depend upon the results I would suggest using 200 iu of vitamin and calcium 800 1200 my per day take ibuprofen 400 600 my twice daily for pain with food if possible get a splint to minimize active movement revert back after a month or sooner once the information available to an internal medicine physician online