Sports Injuries: Recovery Tips for Thumb Injuries

Q: Sports Injuries: Recovery Tips for Thumb Injuries

Hello, netizen： Finger injuries from playing ball are common sports injuries. <br>Typically, an X-ray is performed to check for fractures or dislocations. <br>Sometimes, even in the absence of fractures, pain may persist for more than a month or two. <br>If the pain remains sever

Sports injuries

Hello doctor, my thumb was injured in May while I was playing volleyball.
I lost my balance and my thumb was subjected to significant inward pressure.
I went to an orthopedic clinic for an X-ray, but the orthopedic doctor said it was just a simple sprain and that it would heal in two to three weeks.
He prescribed me a topical ointment.
However, after a month, my hand is still very uncomfortable, and there is a noticeable difference between my left and right hands.
I then switched to traditional Chinese medicine for acupuncture and massage, which improved the pain, but I still cannot exert strength in the joint.
What should I do?

A Hua Hua, 10~19 year old female. Ask Date: 2016/09/01

Dr. Shen Boquan reply Orthopedics

Hello, netizen: Finger injuries from playing ball are common sports injuries.
Typically, an X-ray is performed to check for fractures or dislocations.
Sometimes, even in the absence of fractures, pain may persist for more than a month or two.
If the pain remains severe after a month of rest, it may be advisable to consult an orthopedic or plastic surgeon specializing in hand surgery to determine if there is any injury to tendons, ligaments, or other soft tissues such as the volar plate that may require further treatment.
Wishing you good health.

Reply Date: 2016/09/01

More Info

Injuries to the thumb, particularly from sports like volleyball, can be quite common and may lead to significant discomfort and functional limitations. Based on your description, it sounds like you experienced a sprain or strain in your thumb due to the impact and positioning during play. While the initial assessment by the orthopedic doctor suggested a minor injury, the ongoing discomfort and functional limitations you are experiencing indicate that further evaluation and treatment may be necessary.

Understanding Your Injury
When you injure your thumb, especially in a situation where it is bent or compressed, you may damage the ligaments, tendons, or even the joint itself. The fact that you have noticeable differences between your two hands suggests that there may be lingering issues that need to be addressed. Common symptoms of thumb injuries include pain, swelling, bruising, and reduced range of motion, which can significantly affect your ability to perform daily activities and sports.

Recovery Tips
1. Rest and Protection: Initially, it is crucial to rest the injured thumb and avoid activities that exacerbate the pain. Using a splint or buddy taping the injured thumb to the adjacent finger can help immobilize it and provide support during the healing process.

2. Ice Therapy: Continue to apply ice to the injured area for 15-20 minutes every few hours, especially during the first few days post-injury. This can help reduce swelling and alleviate pain.

3. Compression and Elevation: Using a compression bandage can help manage swelling. Elevating your hand above heart level when possible can also assist in reducing swelling.

4. Physical Therapy: Since you are still experiencing discomfort and functional limitations, consulting a physical therapist may be beneficial. They can provide a tailored rehabilitation program that includes exercises to improve strength, flexibility, and range of motion in your thumb. This may include:
- Gentle Range of Motion Exercises: Start with passive movements, gradually progressing to active movements as tolerated.

- Strengthening Exercises: Once pain decreases, your therapist may introduce resistance exercises to strengthen the muscles around the thumb.

- Manual Therapy: Techniques such as joint mobilizations may be employed to improve joint function.

5. Medication: If pain persists, over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and inflammation. Always consult with a healthcare provider before starting any medication.

6. Alternative Therapies: While acupuncture and traditional Chinese medicine can provide relief for some individuals, it is essential to ensure that these treatments are complementary to conventional rehabilitation strategies. Always inform your healthcare providers about all treatments you are receiving.

When to Seek Further Medical Attention
If after several weeks of conservative treatment you do not see significant improvement, or if you experience increased pain, swelling, or instability in the thumb, it may be necessary to seek further evaluation. This could involve imaging studies like an MRI to assess for any underlying ligament tears or other injuries that may not have been visible on the initial X-rays.

Psychological Aspect of Recovery
It's also important to address the psychological aspect of recovery. Injuries can be frustrating and may lead to anxiety about returning to sports or daily activities. Consider discussing these feelings with a mental health professional or a sports psychologist, who can help you develop coping strategies and a positive mindset towards your recovery.

Conclusion
In summary, while your thumb injury may have initially seemed minor, the ongoing symptoms you are experiencing warrant a more comprehensive approach to treatment. By following a structured rehabilitation program and seeking appropriate medical care, you can improve your chances of a full recovery and return to your normal activities, including volleyball. Remember, patience and consistency in your rehabilitation efforts are key to a successful recovery.

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