Arthritis Q&A by Dr. Shiel

Answer:

Heberden's nodes are bony prominences that occur at the smallest joint at the end of the fingers. They develop as a result of inflammation that occurs in the bone under adjacent cartilage that has wear from degenerative arthritis (osteoarthritis). They can become inflamed at times and be painful. Sometimes a tiny fluid-filled cyst, called a ganglion, forms adjacent to the involved joint.

To reduce inflammation, sometimes antiinflammatory medications can be of help. If a cyst has formed at the joint, it can require an evaluation by a hand surgeon to consider surgical removal. You should discuss the best options for you with your doctor.

Thank you for your question.