Injury to Right Index Finger: Treatment and Recovery Insights

Injury to the metacarpophalangeal joint of the right index finger while playing ball?

I injured my index finger while playing basketball on May 11.
There is noticeable swelling near the metacarpophalangeal joint on the thumb side.
Later, because I couldn't fully bend my index finger, I went to a martial arts clinic for a week without any improvement, so I went to a large hospital for an examination.
After taking an X-ray, the doctor said it was a ligament injury and prescribed a topical ointment, advised me to apply heat, and to gradually bend my index finger to increase its range of motion, with a follow-up appointment in two weeks.

Doctor, do I need to see a rehabilitation specialist for an ultrasound? Will stretching my finger affect the healing of the injured area? How can I reduce the swelling?

Xiao Ming, 10~19 year old female. Ask Date: 2018/06/13

Dr. Wang Shouji reply Orthopedics

Hello, generally speaking, if the joint position appears normal on an X-ray, there should be no significant issues with ligament injuries, and they will heal over time.
It is important to keep the injured joint active to prevent stiffness.
Whether or not to perform an ultrasound does not have much impact; it typically takes at least two months for soft tissue to heal.

Reply Date: 2018/06/13

More Info

Injuries to the fingers, particularly to the ligaments and joints, can be quite common, especially in activities that involve significant hand use, such as sports. Based on your description of the injury to your right index finger, it sounds like you are dealing with a ligament injury, which can lead to swelling, pain, and limited range of motion. Here’s a comprehensive overview of treatment and recovery insights for your situation.

Initial Treatment
1. Rest and Protection: After an injury, the first step is to rest the affected finger. Avoid activities that could exacerbate the injury. Using a splint or buddy taping the injured finger to an adjacent finger can help stabilize it and prevent further injury.

2. Ice Therapy: Applying ice to the swollen area can help reduce inflammation and numb the pain. Ice should be applied for 15-20 minutes every hour as needed during the first 48 hours post-injury.

3. Compression and Elevation: Using a compression bandage can help control swelling. Elevating the hand above the level of the heart can also assist in reducing swelling.

4. Medication: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and reduce inflammation.

Rehabilitation
After the acute phase (usually the first 48-72 hours), rehabilitation becomes crucial for recovery. Here are some steps you can take:
1. Gentle Range of Motion Exercises: Once the swelling starts to decrease, gentle range of motion exercises can help restore mobility. It's important to follow your doctor's advice regarding the timing and type of exercises. You should avoid forcing the finger into painful positions, as this can hinder recovery.

2. Heat Therapy: After the initial swelling has gone down, applying heat can help relax and loosen tissues and stimulate blood flow to the area. This can be done through warm water soaks or heating pads.

3. Physical Therapy: If your doctor recommends it, seeing a physical therapist can be beneficial. They can provide tailored exercises and modalities such as ultrasound therapy, which can promote healing and improve function.

Follow-Up Care
1. Regular Check-Ups: It’s important to follow up with your healthcare provider to monitor the healing process. They may recommend imaging studies like ultrasound or MRI if there are concerns about the extent of the ligament injury or if there is no improvement.

2. Gradual Return to Activity: As your finger heals, gradually reintroduce activities that involve the finger. Pay attention to any pain or discomfort, and adjust your activities accordingly.

Addressing Swelling
To address the swelling in your finger, consider the following:
- Continued Ice Application: Continue to apply ice intermittently to manage swelling.

- Elevation: Keep the finger elevated as much as possible.

- Compression: Use a compression bandage to help control swelling.

- Hydration and Diet: Staying hydrated and consuming a balanced diet can support the healing process.

Conclusion
In summary, recovery from a ligament injury in the finger involves a combination of rest, rehabilitation exercises, and possibly physical therapy. It’s essential to follow your doctor's recommendations closely and not rush the healing process. If you notice persistent swelling or pain, or if your range of motion does not improve, it’s crucial to seek further evaluation. Remember, patience is key in the recovery process, and with appropriate care, you can expect to regain function in your index finger.

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