Will My Broken Pinky Heal After Smoking During Recovery?

The distal phalanx of the right little finger is fractured and has not healed?

On the evening of May 13, I sustained a fracture due to external force and did not seek medical attention until the evening of May 15.
The doctor used a splint for stabilization and advised me not to smoke, but at that time, I was unaware of the severity of the consequences.
During my follow-up appointment on June 16, which was the fifth week, the clinic doctor reviewed the X-ray of my finger and determined that it had not healed.
The doctor asked if I had been smoking, and I truthfully admitted that I had, which led to the doctor reprimanding me and shaking his head.
The clinic doctor decided to continue the splint stabilization until my next appointment on July 14 (the ninth week).
I would like to ask if there is still a possibility for my right pinky finger fracture to heal.
I apologize for my ignorance in smoking for five weeks; even if I start quitting smoking right now, will the bone still be able to heal?

Mr. Lai, 40~49 year old female. Ask Date: 2021/06/16

Dr. Wang Shouji reply Orthopedics

Hello, a fracture of the little finger typically requires at least three months of observation for healing.
Fractures in this area rarely do not heal.
Smoking can affect blood circulation, which in turn impacts fracture healing, so it is advisable to avoid smoking during this period.
There is no need to worry too much at this time.
Changhua Hospital cares about your health.
Sincerely, Dr.
Wang Shou-ji.

Reply Date: 2021/06/16

More Info

Smoking during the recovery period of a broken bone can significantly hinder the healing process. Nicotine and other harmful substances found in cigarettes can impair blood flow, reduce oxygen supply to the tissues, and interfere with the body's natural healing mechanisms. This is particularly critical for bone healing, as adequate blood supply is essential for the delivery of nutrients and the removal of waste products from the healing site.

In your case, you mentioned that you sustained a fracture in your pinky finger on May 13 and sought medical attention on May 15, where a splint was applied. By the time of your follow-up appointment on June 16, five weeks post-injury, the X-ray indicated that the bone had not yet healed. The doctor inquired about your smoking habits, and upon learning that you had been smoking during this period, expressed concern about the impact on your recovery.

The fact that your doctor has decided to continue with the splint until the next follow-up appointment on July 14 suggests that they are still hopeful for healing, but it is crucial to understand that smoking can delay this process. The healing of bones typically occurs in stages, and while some fractures may heal in as little as six weeks, others can take longer, especially if there are complications such as smoking involved.

Now, regarding your question about whether your pinky can still heal after smoking for five weeks: Yes, it is still possible for your bone to heal, even after this period of smoking. However, the timeline for healing may be extended, and the quality of the healing may be compromised. The good news is that you have recognized the need to quit smoking, which is a positive step toward improving your chances of recovery.
To enhance your healing process, consider the following recommendations:
1. Quit Smoking: Since you are planning to stop smoking, it is essential to stick to this decision. The sooner you quit, the better your body can begin to heal.
2. Nutrition: Focus on a balanced diet rich in calcium and vitamin D, which are crucial for bone health. Foods such as dairy products, leafy greens, nuts, and fish can help provide the necessary nutrients for bone healing.

3. Hydration: Staying well-hydrated is important for overall health and can aid in the healing process.

4. Follow Medical Advice: Continue to follow your doctor's recommendations regarding the splint and any follow-up appointments. Regular monitoring through X-rays will help assess the healing progress.

5. Physical Therapy: Once your doctor gives you the green light, engaging in physical therapy can help restore strength and mobility to your finger.

6. Avoid Alcohol and Other Substances: Just as smoking can impair healing, excessive alcohol consumption can also negatively affect bone recovery.

In conclusion, while smoking during the recovery period can complicate and delay the healing of your broken pinky, it is not too late to make positive changes that can support your recovery. By quitting smoking and following a healthy lifestyle, you can improve your chances of a successful healing process. Always keep an open line of communication with your healthcare provider regarding your recovery progress and any concerns you may have.

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