Finger Sprains: Treatment and Recovery Tips

Finger sprain?

Hello, Doctor.
A while ago, I sprained my pinky finger while playing basketball.
I didn't pay much attention to it and continued playing.
Although I used tape to stabilize my finger, I kept re-injuring it in the same spot every time I played, so my hand hasn't healed.
Both sides of my pinky are very painful, and even a slight touch causes pain! Previously, it was swollen to the same thickness as my ring finger.
I've been applying ice and using a rigid splint, but after doing those things, my finger has become even harder to bend.
Should I continue using the splint? When I visited the doctor, they kept telling me to ice it, saying that if I ice it for a month, it would heal.
However, I heard that for finger injuries, you should ice it within the first 48 hours and then use heat afterward.
Who is right? What should I do? I would greatly appreciate your advice.
Thank you!

mou, 10~19 year old female. Ask Date: 2003/02/05

Dr. Xie Tianjie reply Orthopedics

A sprained pinky finger from playing ball, if there is noticeable swelling and pain in the interphalangeal joint, may be associated with ligament or articular cartilage damage.
It is advisable to provide appropriate immobilization and apply ice to reduce the risk of future stiffness or arthritis as a complication.

Reply Date: 2003/02/05

More Info

When dealing with a finger sprain, especially one that has been aggravated by continued activity, it is crucial to understand the appropriate treatment and recovery strategies to ensure proper healing and prevent further injury.
Firstly, it's important to recognize that finger sprains occur when the ligaments that support the joints are stretched or torn. This can happen due to sudden movements, such as those experienced during sports like basketball. In your case, the repeated stress on your pinky finger from continued play has likely exacerbated the initial injury, leading to persistent pain and swelling.

Immediate Treatment
In the acute phase of an injury (the first 48 hours), the R.I.C.E. method is typically recommended:
1. Rest: Avoid using the injured finger as much as possible. Continuing to play basketball or engaging in activities that stress the finger can lead to further damage.

2. Ice: Applying ice to the injured area can help reduce swelling and numb the pain. Ice should be applied for 15-20 minutes every hour as needed. It’s important to wrap the ice in a cloth to avoid direct contact with the skin, which can cause frostbite.

3. Compression: Using a splint or tape to immobilize the finger can help stabilize it and prevent further injury. However, it’s essential to ensure that the compression is not too tight, as this can impede circulation.

4. Elevation: Keeping the hand elevated above heart level can help reduce swelling.

Post-Acute Phase Treatment
After the initial 48 hours, the approach may shift slightly:
- Heat Therapy: Once the swelling has decreased, applying heat can help improve blood flow and promote healing. However, this should only be done after the acute swelling has subsided. Heat can be applied through warm compresses or soaking the finger in warm water.

- Gentle Range of Motion Exercises: Once the pain begins to subside, gentle exercises to restore mobility can be beneficial. Start with simple movements, like bending and straightening the finger, to prevent stiffness. However, these should be done cautiously and should not cause pain.

Ongoing Care and Considerations
Given that you have experienced repeated injuries to the same area, it may be wise to take a break from activities that put stress on the finger until it has fully healed. Continuing to play basketball while the finger is still painful and swollen can lead to chronic issues, including long-term joint instability or arthritis.

If you find that the pain persists despite following these guidelines, or if the finger becomes increasingly difficult to move, it is advisable to consult with a healthcare professional. They may recommend imaging studies, such as an X-ray, to rule out fractures or other injuries that may not be apparent.

Conclusion
In summary, the management of a finger sprain involves a combination of rest, ice, compression, and elevation initially, followed by heat therapy and gentle exercises as healing progresses. It is crucial to listen to your body and avoid activities that cause pain. If symptoms do not improve, seeking medical advice is essential to ensure proper treatment and recovery. Remember, the goal is to return to your activities safely and without the risk of re-injury.

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