Rehabilitation for Finger Injury: Managing Pain and Sensitivity After a Cut

Q: Rehabilitation for Finger Injury: Managing Pain and Sensitivity After a Cut

Hello： If the wound has healed, it is possible that the nerves in your finger have been affected. <br>The doctor has prescribed some medications for nerve repair (Methylcobalamin). <br>You may want to consult a rehabilitation physician to determine if rehabilitation is necessary

The index finger was cut with scissors?

Hello Doctor: On May 20th of this year, I accidentally cut the pad of my index finger with scissors.
Although it bled quite a bit, I applied an adhesive bandage once the bleeding decreased.
However, after a week, I began to feel something unusual in the first joint of my index finger; I can't quite describe it, but it feels somewhat numb and painful (I’m hesitant to touch it).
I later visited a hospital and saw a surgeon who said that once the wound healed, the numbness and pain would go away.
I received a tetanus shot, but it has now been over three months and the issue persists.
The joint of my index finger hurts, and there is some swelling and sensitivity.
I underwent an electromyography (EMG) test, which came back normal, but it was suggested that there might be some nerve damage.
I was prescribed Methycobalamin capsules.
Doctor, do you think I need rehabilitation, or should I just let my finger heal gradually? Thank you, Doctor.

qq, 60~69 year old female. Ask Date: 2017/08/15

Dr. Li Weiqiang reply Rehabilitation

Hello: If the wound has healed, it is possible that the nerves in your finger have been affected.
The doctor has prescribed some medications for nerve repair (Methylcobalamin).
You may want to consult a rehabilitation physician to determine if rehabilitation is necessary to accelerate recovery.
Thank you.
Wishing you peace and health! Sincerely, Dr.
Li Wei-Chiang, Attending Physician, Department of Rehabilitation, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/08/15

More Info

In managing pain and sensitivity after a finger injury, particularly one involving a cut, it is essential to understand the healing process and the potential complications that can arise. Based on your description, it seems that you have been experiencing persistent discomfort, swelling, and sensitivity in your finger for over three months after the initial injury. This situation warrants a closer examination and possibly a structured rehabilitation approach.

Firstly, it is important to recognize that after a cut, especially one that involved significant bleeding and potential nerve involvement, the healing process can be complex. The symptoms you are experiencing—pain, swelling, and sensitivity—may indicate that the injury has affected not only the skin but also the underlying structures, including nerves and possibly tendons. The fact that you have had a normal electromyography (EMG) suggests that there is no significant nerve damage, but it does not rule out minor nerve injuries or irritation that can lead to the symptoms you describe.

Rehabilitation can be highly beneficial in your case. Here are several reasons why pursuing rehabilitation might be a good option:
1. Pain Management: A rehabilitation program can include modalities such as ultrasound therapy, electrical stimulation, or manual therapy techniques that can help alleviate pain and reduce inflammation in the affected area.

2. Range of Motion Exercises: Gentle range of motion exercises can help prevent stiffness in the finger joint. Since you mentioned that the first joint of your finger is painful, a physical therapist can guide you through specific exercises that promote mobility without exacerbating your pain.

3. Desensitization Techniques: Given your sensitivity, desensitization techniques can be employed. These may include gradually exposing the finger to different textures and temperatures to help reduce sensitivity over time.

4. Strengthening Exercises: Once the pain subsides and you regain some range of motion, strengthening exercises can help restore function and prevent future injuries. This is particularly important if you use your hands for activities like playing the guitar, as you mentioned.

5. Education and Self-Management: A rehabilitation program can provide you with education on how to manage your symptoms at home, including the use of splints or protective gear during activities that may stress the finger.

6. Monitoring Progress: Regular follow-ups with a rehabilitation specialist can help monitor your progress and adjust your treatment plan as needed. This is crucial for ensuring that you are on the right track to recovery.

In conclusion, while some individuals may heal adequately without formal rehabilitation, your ongoing symptoms suggest that a structured rehabilitation program could significantly enhance your recovery. It is advisable to consult with a physical therapist or a rehabilitation specialist who can assess your specific situation and develop a tailored plan to address your pain and sensitivity. Additionally, maintaining communication with your primary care physician or orthopedic specialist is essential to ensure that any underlying issues are appropriately managed.

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