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Last updated: August 1, 2025View editorial policy

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Differential Diagnosis for Left Middle Finger Stiffness

Single Most Likely Diagnosis

  • Trauma or Injury: The most common cause of finger stiffness is a previous injury, such as a sprain, strain, or fracture, which can lead to stiffness due to inflammation, scarring, or improper healing.

Other Likely Diagnoses

  • Osteoarthritis: A common condition that can cause stiffness in the fingers, especially in older adults, due to wear and tear of the joints.
  • Rheumatoid Arthritis: An autoimmune disease that can cause inflammation and stiffness in the fingers, often affecting multiple joints.
  • Tendinitis: Inflammation of the tendons, which can cause stiffness and pain in the affected finger.
  • Trigger Finger: A condition where the tendon sheath becomes inflamed, causing the finger to catch or lock, leading to stiffness.

Do Not Miss Diagnoses

  • Infection (e.g., Osteomyelitis or Septic Arthritis): Although less common, infections can cause severe stiffness and pain in the finger, and prompt treatment is essential to prevent long-term damage.
  • Ganglion Cyst: A non-cancerous lump that can cause stiffness and pain in the finger, especially if it compresses a nerve or tendon.
  • Nerve Compression (e.g., Cubital Tunnel Syndrome): Compression of the ulnar nerve can cause stiffness, numbness, and tingling in the ring and little fingers, but can also affect the middle finger.

Rare Diagnoses

  • Scleroderma: A rare autoimmune disease that can cause thickening of the skin and stiffness in the fingers.
  • Ehlers-Danlos Syndrome: A genetic disorder that can cause hypermobile joints, including finger stiffness.
  • Psoriatic Arthritis: A type of arthritis that occurs in people with psoriasis, which can cause stiffness and pain in the fingers.
  • Gout: A type of arthritis that can cause sudden, severe stiffness and pain in the fingers, often accompanied by redness and swelling.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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