Finger Dislocation: Pain and Recovery Insights - Orthopedics

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Finger dislocation


Hello, I previously injured my right pinky finger while playing basketball, causing a dislocation that bent it at a 90-degree angle.
After returning, there were no visible fractures in the bone.
I am currently in a stabilization period, but I experience pain when the finger joint is slightly bent during bandage changes.
Additionally, there is a tingling sensation in the joint area, and I have difficulty bending it.
Is it normal to experience pain during the realignment period? I am concerned that the bone may have shifted again.

Mr. Dong, 10~19 year old female. Ask Date: 2017/08/19

Dr. Li Yongheng reply Orthopedics


Hello Mr.
Dong: After the dislocation and reduction of the right little finger joint, it typically requires immobilization for two to three weeks, followed by rehabilitation at home or in a hospital for three to four weeks.
Generally, you should be able to return to normal function.
If you are concerned that the bone may have shifted again, although the likelihood is low, you can return for a follow-up appointment with your physician for confirmation.
Wishing you a speedy recovery.

Reply Date: 2017/08/19

More Info


Understanding finger dislocation, particularly in the context of sports injuries, is crucial for effective recovery and rehabilitation. Dislocations, such as the one you described in your right little finger, can lead to significant pain and functional limitations. When a finger is dislocated, the bones in the joint are forced out of their normal positions, which can cause immediate pain, swelling, and difficulty moving the finger.

In your case, it sounds like you experienced a significant dislocation that required reduction (the process of putting the bones back into place). After reduction, it is common to experience pain and discomfort during the healing process. This pain can be exacerbated by movement, especially if the joint is still healing or if there is any swelling or inflammation present.

The fact that you are still experiencing pain when the finger is slightly bent, as well as a sensation of tightness or stiffness in the joint, is not unusual during the recovery phase. The healing process can take time, and the surrounding soft tissues, including ligaments, tendons, and muscles, may also be affected by the injury. It is essential to follow your healthcare provider's recommendations regarding immobilization and rehabilitation to ensure proper healing.

Here are some key points to consider regarding your recovery:
1. Immobilization: Keeping the finger immobilized is crucial during the initial healing phase. This helps to stabilize the joint and allows the surrounding tissues to heal properly. Make sure to follow your doctor's instructions regarding how long to keep the finger in a splint or bandage.

2. Pain Management: It is normal to experience pain during the recovery process, especially when moving the finger. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. However, consult your doctor before taking any medication.

3. Physical Therapy: Once the initial healing phase is complete and your doctor gives you the go-ahead, physical therapy can be beneficial. A physical therapist can guide you through exercises to improve range of motion, strength, and function in the finger. This is crucial to prevent stiffness and ensure a full recovery.

4. Monitoring Symptoms: Keep an eye on your symptoms. If you notice increased swelling, severe pain, or any changes in the appearance of the finger, it is essential to contact your healthcare provider. These could be signs of complications, such as re-dislocation or issues with the healing process.

5. Gradual Return to Activity: As you recover, gradually return to activities that involve the use of your hand. Be mindful of any pain or discomfort, and avoid pushing through pain, as this can lead to further injury.

6. Long-term Outlook: Most individuals recover well from finger dislocations, but the timeline can vary. Full recovery may take several weeks to months, depending on the severity of the dislocation and the effectiveness of rehabilitation efforts.

In summary, while experiencing pain during the recovery from a finger dislocation is common, it is essential to follow your doctor's advice and engage in rehabilitation when appropriate. If you have concerns about your recovery or if the pain worsens, do not hesitate to seek further medical evaluation. Your proactive approach to understanding your injury and recovery will be beneficial in achieving the best possible outcome.

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