Hand Injuries from Basketball: When to Seek Treatment - Surgery

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Injury while playing sports?


Hello doctor, after playing basketball, I often notice small red patches on my palms that look like bruises, but the skin is not broken.
Is this considered an injury? Do I need to wrap it up or take any precautions to prevent infection?

RYAN, 10~19 year old female. Ask Date: 2019/03/26

Dr. Chen Jiaming reply Surgery


Based on your brief description of the situation, it does not appear to be a typical injury, so there is no need for bandaging.

Reply Date: 2019/03/26

More Info


When it comes to hand injuries sustained during basketball, it's essential to understand the nature of the injury and when to seek medical treatment. The symptoms you describe—red spots on your palm that resemble bruises but without broken skin—can indeed indicate a form of injury, often related to soft tissue trauma. This type of injury is common in sports like basketball, where the hands frequently come into contact with the ball, the floor, or other players.


Understanding the Injury
The red spots you see may be a result of minor contusions or bruising of the soft tissues in your hand. This can occur from a direct impact, such as catching a ball awkwardly or falling on your hand. Even if the skin is intact, the underlying tissues can still be damaged, leading to discoloration and swelling. In many cases, these injuries are not severe and can heal on their own with proper care.


When to Seek Treatment
While minor bruises typically do not require extensive medical intervention, there are certain signs that indicate you should seek treatment:
1. Persistent Pain: If the pain in your hand continues or worsens over time, it may suggest a more serious injury, such as a fracture or ligament damage.


2. Swelling: Significant swelling that does not subside after a few days can be a sign of a more severe injury.

3. Limited Range of Motion: If you find it difficult to move your fingers or hand normally, this could indicate a more serious issue.

4. Numbness or Tingling: These sensations can suggest nerve involvement and warrant immediate medical evaluation.

5. Visible Deformity: Any visible changes in the shape of your hand or fingers should be assessed by a healthcare professional.


Treatment and Care
For minor injuries like the one you described, here are some general care tips:
- Rest: Avoid using the injured hand for activities that may exacerbate the injury. Give your hand time to heal.

- Ice: Applying ice to the affected area can help reduce swelling and alleviate pain. Use an ice pack wrapped in a cloth for 15-20 minutes several times a day.

- Compression: If there is swelling, consider using a compression bandage to help manage it. Ensure it is snug but not too tight to restrict blood flow.

- Elevation: Keeping your hand elevated can also help reduce swelling.

- Pain Relief: Over-the-counter pain medications, such as ibuprofen or acetaminophen, can help manage pain and inflammation.


Prevention of Infection
Since your skin is intact, the risk of infection is low. However, if you notice any signs of infection, such as increased redness, warmth, swelling, or discharge, it is crucial to seek medical attention promptly. Keeping the area clean and dry is essential, and if you feel the need to cover the area, use a breathable bandage.


Conclusion
In summary, while the red spots on your palm may indicate a minor injury, it is essential to monitor your symptoms closely. If you experience any concerning signs, do not hesitate to consult a healthcare professional. Early intervention can prevent complications and ensure a quicker recovery, allowing you to return to the basketball court safely. Remember, taking care of your hands is vital, as they are crucial for both your athletic performance and daily activities.

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