Ultimately, the diagnosis of plant thorn arthritis requires either detection of a piece of thorn within the joint by radiology testing or surgical removal of the thorn fragments and identification of the fragments microscopically in the laboratory. 1 Most of the injuries happen to workers in the plantation or to children. It seems more swollen the 2nd day, I am taking ibuprofen for pain and ice packs for the affected hand plus elevating it. home/arthritis center/ arthritis a-z list/plant thorn synovitis article/patient comments, What symptoms and signs did you experience with plant thorn synovitis? I was pricked by a thorn from a sago palm in Lowe’s. Gardening: Injury from palm thorn won't heal. These palms are not only unsafe to go blundering into, but can be risky pruning or planting. Learn effective ways to relieve stress and anxiety with these 16 simple tips. Plant-thorn synovitis is a rare cause of arthritis from a plant thorn penetrating a joint. 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Your browser will redirect to your requested content shortly. A gardener, she writes for California's Flowers by the Sea nursery. Plant palms with dangerous thorns away from areas where they're more likely to cause trouble, such as near walkways, patios, decks and driveways. The plants that commonly cause plant thorn arthritis are those that produce thorns. When joints are inflamed they can develop stiffness, warmth, swelling, redness and pain. Many palms, particularly the ones that grow well for me in California, are equipped with all sorts of sharp, annoying spines, thorns, teeth or simply very sharp leaves. Jim was industriously off at the store purchasing cement blocks, and I was in I accidentally made contact with the point of a large outside cactus plant branch and contracted plant thorn synovitis. Antibiotics can often effectively treat actinomycetoma. Q: I realize you are not a medical doctor, but was wondering if … This is the second time in a year I have had this plant thorn synovitis happen, both times with gloves on. The most common form, cutaneous sporotrichosis, is often found on the hand and arm of someone who has been handling contaminated plant materials. Background: Palm tree thorn injury is characterized by a painful and protracted inflammation. [])). It is not uncommon for the person affected by plant thorn arthritis to remove the thorn immediately after the puncture and then develop the arthritis many days or weeks later and not even recall that the joint had been punctured previously! Arthritis: 16 Bad Habits That Cause Joint Pain, Plant Thorn Arthritis (Plant Thorn Synovitis or Thorn Arthritis) Center, Patient Comments: Plant Thorn Synovitis - Symptoms & Signs, Patient Comments: Plant Thorn Synovitis - Treatments, Patient Comments: Plant Thorn Arthritis - Types of Plants, Read about Dr. Shiel's diagnosis and treatment of plant thorn arthritis, Waste Exposure Linked to Anti-CCP Antibodies in RA, Knee or Hip Replacements Cut Risk for Falls, An Unexpected Finding on What Might Drive Joint, 1 in 3 Americans With Arthritis Say Pain Persists, Newer Rheumatoid Arthritis Drug Ease Tough Cases. The symptoms of cutaneous sporotrichosis usually start to appear between 1 and 12 weeks after infection. home/arthritis health center/arthritis a-z list/plant thorn synovitis center /plant thorn synovitis article. There was local inflammation in all cases. This possibility can be excluded by removing joint fluid and culturing the fluid in the laboratory. Patients with palm-thorn problems may be unaware of the origin of their discomfort. The joint lining tissue is called the synovium. I had throbbing pain and swelling with stiffness of the joints affected. I shook my hand as a reaction to the stick and the tip of the thorn broke off in the Y below my thumb and pointer finger. Within that same week the arthritis spread to my left ankle as well. What treatment has been effective for your plant thorn synovitis? The intensity and duration of pain, the results of imaging procedures, and the outcome of treatment were monitored. That’s the connective tissue that lines a joint. If known, what is the name or type of plant that caused your plant thorn arthritis? An ultrasound examination revealed a foreign body in the posterior lateral aspect of the right knee. Rose thorns can deliver bacteria and fungi into your skin and cause infection. © Copyright 2020 Hearst Communications, Inc. An initial diagnosis of tenosynovitis was given before a fragment of the mesquite thorn was observed on ultrasound. This penetration causes inflammation of the synovial membrane. The microscopic thorn fragments are easily identified using a polarized light microscope as they appear brilliantly shiny (birefringent) to the examining pathologist. These plants include palm trees, roses, black-thorn shrubs, cacti, bougainvillea, yucca, pyracantha, plum trees, and mesquite trees. Once a synovectomy for plant thorn arthritis has been performed, the joint tends to heal well without residual problems. This is true even if the patient recalls removing the thorn, as described above, because the thorn can leave behind tiny fragments of thorn matter that leads to the chronic inflammation of plant thorn arthritis. Palm trees can be dangerous if you touch them in the wrong spot. The plant thorn fragments cause a localized inflammation reaction in the joint lining tissue that leads to swelling, stiffness, loss of range of motion, and pain. The top of hand is red and itching, concerned about synovitis. “It wasn’t an infection they discovered, it was a chemical reaction; a medical word for poisoning from the phoenix palm. Indomethacin and steroids controlled the inflammation, but did little to relieve the pain. MedicineNet.com notes that although puncture wounds usually bleed little, if at all, they become infected easily. Stiffness, swelling and pain near the point of entry are symptoms. Eight men were treated in a primary care setting. Shortly after the injury, the boy received antibiotics that temporarily relieved his pain and swelling. Therefore, it must be considered and suspected in "aseptic" cases of arthritis, when there is a history of a plant thorn injury. Findings: The mean age was 39.8 ± 17.2 years. Stevens, K.J., et al. Drinking enough water can help you burn fat and increase your energy levels. No matter what you call them, rose thorns are sharp enough to penetrate your skin and have the ability to pass infectious material into the wound, such as: These substances delivered into the skin by a thorn could result in a number of diseases, including: Read on to learn the symptoms to watch for and how to treat infections from rose thorns. In this surgery, the connective tissue of the joint is removed. I was cutting the palms out of a 25 ft. tall palm tree with a pole saw. Kindly provided by Xiaohui (Sheila) Zhao, MD, PhD, of Department of Pathology and Laboratory Medicine, University of California, Irvine Medical Center. If you have a severe form of sporotrichosis, you doctor might start your treatment with an intravenous dose of amphotericin B followed by an antifungal medication for at least a year. ©1996-2020 MedicineNet, Inc. All rights reserved. Nearly everyone will experience an…, Identifying the early warning signs of an infected cut can help you to reduce your risk for serious complications, such as sepsis. Day two pinky is still swollen and now red. Abstract We report the case of a 14 year old healthy boy, who was admitted six weeks after being injured by a palm tree thorn, with limping caused by pain and swelling in his right knee. Special to news-press.com. Is it possible to prevent plant thorn arthritis? Knuckle on index finger is swollen and red. Many people refer to these as thorns. It is important to recognize that puncturing a joint with a foreign material, such as a plant thorn, can lead to bacterial infection (septic arthritis) or fungal infection (fungal arthritis) of the joint. The palm frond gave her something called tenosynovitis which is inflammation of the tendon around the nerve sheaf. Removal of joint fluid (joint aspiration) is performed to rule out bacterial or fungal infection of the joint. Ultrasound (and ultrasonography) is imaging of the body used in the medical diagnosis and screening of diseases and conditions such as: Facts you should know about plant thorn arthritis. What is the prognosis of plant thorn arthritis? Yet when reported, Pantoea agglomearnsis the most common organism found. See additional information. See additional information. Initially the inflammation was limited to the affected finger, but after two weeks the inflammation and pain migrated to the hand and wrist with profuse edema and erythema. The symptoms of plant thorn arthritis may occur long after the thorn is removed from the affected joint. Before and after using pruning tools, disinfect the blades by wiping them with a clean cloth soaked with rubbing alcohol to help prevent the spread of diseases between plants. The palm frond gave her something called tenosynovitis which is inflammation of the tendon around the nerve sheaf. Sign Up for MedicineNet Newsletters! Inflammation of this tissue is medically referred to as synovitis. Background: Palm tree thorn injury is characterized by a painful and protracted inflammation. There is a painful knot on top of my hand now from plant thorn synovitis. Terms of Use. When swelling of a palm-thorn puncture wound occurs, arthrocentesis may be necessary to rule out bacterial or fungal infection. In a reasonable attempt to better the lives of my daughter, Cara, and MRI scanning is painless and does not involve X-ray radiation. Pain gradually escalated in the space of several hours to be barely tolerable. The 2002 article in the British Medical Journal also documented the case of an otherwise healthy 14-year-old boy who developed an arthritis-like injury of the knee from a date palm-thorn puncture. Pathology photo showing thorn material (blue and yellow birefringent material) visualized under polarized light microscopy. 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