Middle finger joints and ligaments
Hello Dr.
Chen, about a month ago, I accidentally poked my finger on the ground, resulting in an injury to the second joint of my middle finger.
At that time, I was diagnosed with some ligament laxity.
Since then, I have kept it immobilized except for showering.
Now, after a month, my finger is still quite swollen.
I visited the doctor, who noted that the ligament is still somewhat loose (it can be observed when I move my finger side to side).
However, the doctor advised that I need to frequently bend my finger to prevent stiffness, but bending it causes significant pain.
The doctor mentioned that I no longer need to keep it immobilized.
I would like to ask if regularly bending it will affect the ligament (since it seems like it hasn't fully healed yet)? Is it truly no longer necessary to keep it immobilized? Thank you, Dr.
Chen.
Bei Kun Rao De Ren, 10~19 year old female. Ask Date: 2021/06/05
Dr. Chen Bochen reply Orthopedics
It is recommended that you soak in hot water more often and practice bending and straightening exercises.
If you remain fixed in one position for over a month, stiffness can develop, and it will become even more difficult to move afterward.
Reply Date: 2021/06/05
More Info
Injuries to the finger joints and ligaments can be quite complex, especially when they result from trauma such as a fall or impact. Based on your description, it sounds like you are dealing with a ligament injury that has not fully healed, which is common in such cases. Here are some recovery tips and insights into your situation.
Firstly, it's important to understand that ligaments are the connective tissues that stabilize joints by connecting bones to one another. When a ligament is injured, it can lead to instability in the joint, as you have experienced with your middle finger. The fact that your doctor noted some looseness in the ligament indicates that it may not have healed completely, which can lead to ongoing pain and swelling.
Recovery Tips:
1. Gentle Range of Motion Exercises: While it may be painful, gentle range of motion exercises are crucial for preventing stiffness. Start with small movements, such as bending and straightening your finger without forcing it. You can do this several times a day, but be sure to stop if the pain becomes severe. Gradually increase the range of motion as tolerated.
2. Heat and Cold Therapy: Applying heat can help relax the muscles and improve blood flow to the area, which may aid in healing. Cold therapy can reduce swelling and numb pain. You can alternate between heat and cold treatments, but ensure that you do not apply either for too long to avoid skin damage.
3. Splinting: Although your doctor mentioned that you no longer need to keep your finger fixed, consider using a splint or buddy taping your injured finger to an adjacent finger during activities that might stress it. This can provide additional support while you regain strength and stability.
4. Physical Therapy: If your pain and swelling persist, consider consulting a physical therapist. They can provide tailored exercises and treatments, such as ultrasound therapy or manual therapy, to promote healing and improve function.
5. Gradual Return to Activities: As your finger begins to feel better, gradually reintroduce activities that require finger use. Start with light tasks and avoid heavy lifting or gripping until you feel confident in your finger's stability.
6. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation. However, consult your doctor before starting any medication, especially if you have other health conditions.
7. Monitor Symptoms: Keep an eye on your symptoms. If you notice increased swelling, pain, or any changes in the color of your finger, seek medical attention. These could be signs of complications.
Addressing Your Concerns:
Regarding your concern about bending your finger and its effect on the ligament, it is essential to strike a balance. While you should not force the finger into painful positions, gentle bending is necessary to prevent stiffness and promote healing. If you feel significant pain while bending, you may be pushing too hard, and it might be wise to ease off and consult your doctor for further guidance.
Finally, healing from ligament injuries can take time, often several weeks to months, depending on the severity of the injury. Patience and consistent, gentle rehabilitation are key to a successful recovery. If you have any doubts or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation and advice.
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