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Hello from JAWhat stands out in your post is....no assessment or professional intervention apparently.No MRI scan of the neck?Structural assessment by PM&R [physical medicine and rehabilitation}/Any of these problems are liable to become chronic and more severe without the correct full body structural assessment and the correct manual therapies.The finger for example could be a developing trigger finger in the long run.Yes the little finger could represents an ulnar nerve problem, you are correct, and both can become surgical problems if not receptive of prompt manual intervention.See an MD of physical medicine and rehabilitation for the correct assessment and manual therapies first, which might span from physical therapy to home therapies to electronic therapies, splinting and traction. It depends.If ulnar involvement is suspected and MRI of the neck is needed.Possibly of the elbow as well, this might be tendinosis at this point and x ray will not show this, but knowing it will dictate therapy....a period of immobilization followed by physical therapy, as one example.
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Your answer is pretty clear but as it is "go see a doctor" I feel that a charge of $75 for this is excessive and I would like at least a fee reduction.
I'm not happy with the answer on this part of the question so I've tried to be more specific:
During the night the metacarpophalangeal joint of the little finger of the left hand seems to sort of dislocate from the other three metacarpophalangeal joints, moving slightly in front of the ring finger joint. No curling or other issues in the finger itself. This is fixed by flexing the hand but it is painful to do. Would seem to suggest an ulnar nerve issue.
No symptoms at all during the day.
No issues in spreading or pulling together fingers against resistance.
No problem straightening fingers.
No loss of feeling in the fingers.
No loss of grip strength.
No signs of clawhand.
No signs of Trigger Finger. No signs of any abnormality at all in any other finger joints.
I am left handed.
The hand has a tendency to be cold.
I have signs of golfers elbow in the left elbow.