Post-Surgery Concerns: Inability to Move Fingers After Fracture - Orthopedics

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It sounds like you are experiencing significant concerns following your finger surgery due to a crush fracture. The inability to move your fingers and the discoloration (darkening) you are observing can be alarming and may indicate several potential issues that need to be addressed.

Firstly, after a crush fracture and subsequent surgery, it is not uncommon to experience stiffness and limited mobility in the fingers. This can be due to several factors, including swelling, pain, and the formation of scar tissue. However, the fact that all five fingers are turning dark is concerning. Discoloration can be a sign of compromised blood flow, which could be due to swelling, pressure from a cast or splint, or even nerve damage.
The inability to move your fingers could also be related to nerve injury, which is not uncommon in crush injuries. If the nerves that control finger movement were affected during the injury or surgery, this could lead to the symptoms you are experiencing. Additionally, if there is significant swelling or hematoma (a localized collection of blood outside of blood vessels), it can compress nerves and blood vessels, leading to further complications.

Given these symptoms, it is advisable to contact your surgeon or healthcare provider sooner than your scheduled follow-up appointment. They may want to assess your condition to rule out any serious complications, such as compartment syndrome, which is a medical emergency that occurs when there is increased pressure within a muscle compartment, leading to reduced blood flow and potential tissue damage.

In the meantime, here are some general recommendations to consider:
1. Elevation and Ice: Keep your hand elevated above heart level to help reduce swelling. Applying ice packs (wrapped in a cloth) for 15-20 minutes at a time can also help manage swelling and pain.

2. Gentle Movement: If you are not experiencing severe pain, try to gently move your fingers within a comfortable range. This can help prevent stiffness and promote circulation. However, avoid forcing any movements that cause pain.

3. Pain Management: Ensure you are managing your pain effectively with prescribed medications or over-the-counter options, as pain can inhibit movement.

4. Monitor Symptoms: Keep an eye on any changes in color, temperature, or sensation in your fingers. If you notice increased swelling, persistent pain, or any new symptoms, seek medical attention promptly.

5. Physical Therapy: Once your surgeon gives the green light, engaging in physical therapy can be beneficial. A physical therapist can provide tailored exercises to improve mobility and strength in your fingers.

In conclusion, while some degree of immobility and discoloration can be expected after a significant injury and surgery, the extent of your symptoms warrants a prompt evaluation by your healthcare provider. Early intervention can be crucial in preventing long-term complications and ensuring the best possible recovery for your hand function.