Ligament Injuries: Recovery and Symptoms in Finger Injuries - Orthopedics

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Ligament issues


Hello Dr.
Chen, about the beginning of May, I sustained a contusion to my right middle finger.
Later, a doctor mentioned that there was partial tearing of the ligaments on both sides of the second joint.
After a month of immobilization, I gradually started to attempt bending and straightening it for recovery.
Throughout this process, I have consistently followed up with my doctor.
During my last visit, the doctor said it has improved significantly.
However, I have noticed that while bending does not cause pain, if I grip something and bend it forcefully, I experience some pain on the palmar side of the second joint of my right middle finger, and it feels somewhat weak.
It also seems like the blood circulation is not very good.
I would like to ask, Dr.
Chen, is this situation normal after a ligament injury? How long might it take to recover? Or is it possible that the tendons in my finger are also slightly injured? Thank you, Dr.
Chen.

Bei kun rao de ren, 10~19 year old female. Ask Date: 2021/09/18

Dr. Chen Bochen reply Orthopedics


Hello: The symptoms you described (pain, swelling, stiffness, weakness) are quite common after a ligament injury and generally improve over time with rehabilitation.
As for the tendons, if there is no external trauma (such as lacerations or tears), the risk of rupture is relatively low; most issues are due to contusions causing inflammation, which typically improves over time.
With appropriate rehabilitation, recovery can be expedited.
Wishing you a speedy recovery.

Reply Date: 2021/09/18

More Info


Ligament injuries in the fingers, particularly those resulting from trauma such as a sprain or strain, can lead to a range of symptoms and recovery challenges. In your case, it sounds like you experienced a significant injury to the ligaments surrounding the second joint of your middle finger, which can indeed affect both function and sensation.

First, it’s important to understand the role of ligaments. Ligaments are tough bands of connective tissue that connect bones to other bones at joints. They provide stability and support to the joints, allowing for controlled movement. When ligaments are injured, it can lead to pain, swelling, and reduced range of motion. In your situation, the partial tearing of the ligaments has likely resulted in the symptoms you are experiencing, such as pain during gripping and a feeling of weakness.

The recovery process for ligament injuries can vary significantly depending on the severity of the injury. Generally, mild sprains may heal within a few weeks, while more severe injuries, such as partial tears, can take several weeks to months to fully recover. The fact that you are experiencing pain when gripping or applying force suggests that the ligaments may still be healing, and it is not uncommon for residual pain and weakness to persist for some time after the initial injury.

In terms of your symptoms, it is quite normal to experience some discomfort and a feeling of weakness in the affected finger during the recovery phase. This can be attributed to several factors:
1. Inflammation and Swelling: Even after the initial injury has healed, residual swelling can cause discomfort and limit your ability to apply force.

2. Muscle Weakness: After a period of immobilization, the muscles surrounding the injured joint may weaken due to disuse. This can lead to a feeling of instability or weakness when trying to grip or lift objects.

3. Nerve Sensitivity: Sometimes, the nerves in the area can become sensitive after an injury, leading to pain during certain movements or when pressure is applied.

4. Scar Tissue Formation: As the ligament heals, scar tissue may form, which can restrict movement and cause discomfort.

To aid in your recovery, consider the following recommendations:
- Physical Therapy: Engaging in a structured rehabilitation program with a physical therapist can be highly beneficial. They can provide exercises tailored to your specific injury, focusing on improving strength, flexibility, and range of motion.

- Gradual Strengthening: Start with gentle range-of-motion exercises and gradually progress to strengthening exercises as tolerated. This can help restore function and reduce pain.

- Ice and Heat Therapy: Applying ice can help reduce inflammation, while heat can promote blood flow and healing. Alternating between the two may provide relief.

- Activity Modification: Avoid activities that exacerbate your pain, and gradually reintroduce them as your strength and comfort improve.

- Follow-Up with Your Doctor: Regular check-ins with your healthcare provider are crucial. If your symptoms worsen or do not improve, further evaluation may be necessary to rule out additional injuries, such as tendon damage.

In conclusion, while your symptoms are not uncommon following a ligament injury, it is essential to remain proactive in your recovery. With appropriate rehabilitation and care, you should see gradual improvement over time. If you have concerns about your recovery or if your symptoms persist, do not hesitate to seek further medical advice.

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