Right thumb issues?
Hello, doctor.
I was in a car accident some time ago, and after a period of recovery, I noticed an issue with my right thumb.
There is a noticeable bump from my right thumb to my wrist.
When I bring my right fingers together with my palm facing me, I find that I cannot bring my right thumb in.
Upon closer examination, I noticed that the bone near my wrist on the right thumb has an unusual shape, appearing to be angled from the upper right to the lower left.
It does not move as freely as my left thumb, and when I need to apply force with my right thumb, it causes pain.
Could you please tell me what symptoms these might indicate and how I should treat them? If I need to see a doctor, which specialty should I consult?
Wu, 30~39 year old female. Ask Date: 2018/08/30
Dr. Wang Shouji reply Orthopedics
Hello: Please visit the orthopedic outpatient clinic for an X-ray to check for any issues with your bones.
Changhua Hospital cares about your health.
Wang Shou-ji.
Reply Date: 2018/08/30
More Info
Hello! I'm sorry to hear about your situation following the car accident. Based on your description, it sounds like you may be experiencing issues related to your right thumb, particularly involving the joint and surrounding structures.
The symptoms you are describing—such as the noticeable bump near the wrist, inability to bring your thumb in line with your fingers, and pain when using your thumb—could indicate a few potential issues. One possibility is a ligament injury, such as a sprain or tear, particularly of the ulnar collateral ligament (UCL) which is crucial for thumb stability. Another possibility is a fracture or dislocation of the bones in the thumb or wrist area, particularly if there was significant trauma during the accident. Additionally, the bump you feel could be a bone spur or a ganglion cyst, which can develop after an injury.
In terms of treatment, it is essential to get a proper diagnosis first. Here are some steps you can take:
1. Consult a Specialist: Given your symptoms, you should see an orthopedic specialist, preferably one who specializes in hand and wrist injuries. They will be able to assess your condition more thoroughly.
2. Imaging Studies: The doctor may recommend imaging studies such as X-rays or an MRI to evaluate the bones and soft tissues in your thumb and wrist. This will help determine if there are any fractures, ligament injuries, or other underlying issues.
3. Rest and Immobilization: In the meantime, it is crucial to rest your thumb and avoid activities that cause pain. You may benefit from using a splint or brace to immobilize the thumb and wrist, which can help reduce pain and prevent further injury.
4. Pain Management: Over-the-counter pain relievers such as acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs) can help manage pain and reduce inflammation.
5. Physical Therapy: Once the initial pain and swelling have subsided, your doctor may recommend physical therapy. A physical therapist can provide exercises to improve strength and flexibility in your thumb and wrist, which can aid in recovery.
6. Surgical Intervention: If there is a significant injury, such as a complete ligament tear or a fracture that is not healing properly, surgical intervention may be necessary. This would involve repairing the damaged structures to restore function.
In summary, it is vital to seek medical attention as soon as possible to get an accurate diagnosis and appropriate treatment plan. The sooner you address these issues, the better your chances of a full recovery. If you have any further questions or concerns, please feel free to ask. Take care!
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