Differential Diagnosis for Abbasid's Bilateral Scaphoid Metacarpal Causing Tooth Pain Like Pain

• Single Most Likely Diagnosis
  • Repetitive Strain Injury or Overuse Syndrome: This condition could lead to pain in the scaphoid and metacarpal areas due to repetitive strain, potentially radiating or referring pain that might feel similar to tooth pain due to the complex innervation of the hand and face.
• Other Likely Diagnoses
  • Carpal Tunnel Syndrome: Compression of the median nerve can cause pain, numbness, and other symptoms in the hand, potentially leading to pain that might be described as similar to tooth pain due to the nerve's distribution.
  • Scaphoid Fracture or Stress Fracture: A fracture in the scaphoid bone, which is a common injury, could cause significant pain, potentially radiating or feeling similar to tooth pain due to the bone's location and the body's referred pain patterns.
  • Osteoarthritis or Rheumatoid Arthritis: Inflammatory conditions affecting the joints of the hand could lead to pain that might be described in various ways, including a comparison to tooth pain, due to the chronic nature of the conditions and the involvement of multiple joints.
• Do Not Miss Diagnoses
  • Complex Regional Pain Syndrome (CRPS): A condition characterized by intense burning or aching pain in the hands or feet after an injury or trauma, which could be described as feeling like tooth pain due to its severity and the body's response to injury.
  • Neoplastic Conditions (e.g., Bone Tumors): Although rare, tumors in the bones of the hand could cause persistent, severe pain that might be likened to tooth pain, making them crucial not to miss due to their potential impact on prognosis and treatment.
• Rare Diagnoses
  • Ganglion Cysts: These are noncancerous lumps that can develop on the wrist or hand, potentially causing pain if they press on nerves, which might be described in a manner similar to tooth pain due to the pressure and location.
  • Kienböck's Disease (Avascular Necrosis of the Lunate): A rare condition where the blood supply to the lunate bone in the wrist is disrupted, leading to the bone's death and potentially causing severe, unexplained wrist pain that could be likened to tooth pain in its intensity and character.