Fracture of the left index finger and distal radius fracture of the left wrist?
Hello, I would like to ask about my situation.
I have recovered from a fracture and am currently undergoing rehabilitation.
However, I have noticed that my little finger experiences pain at the joint after rehabilitation, while the other fingers do not have this issue.
Could this be joint inflammation or is there another condition? I have been rehabilitating my fingers quite frequently on my own.
Cǎoméi, 10~19 year old female. Ask Date: 2021/11/20
Dr. Wang Shouji reply Orthopedics
Hello, there is no mention of any condition regarding the little finger.
If there is no fracture, it should not be a major issue.
It is recommended to have an orthopedic outpatient evaluation to assess for any soft tissue injuries.
Changhua Hospital cares about your health.
Sincerely, Dr.
Wang Shou-ji.
Reply Date: 2021/11/20
More Info
After a fracture, it is not uncommon to experience pain during the rehabilitation process, especially in the affected finger. In your case, the persistent pain in your little finger during rehabilitation could be attributed to several factors, including joint inflammation, overuse, or even improper healing of the fracture.
Firstly, it is essential to understand that after a fracture, the healing process involves not only the bone but also the surrounding soft tissues, including ligaments, tendons, and muscles. When you engage in frequent rehabilitation exercises, you may inadvertently stress these structures, leading to inflammation and pain. This is particularly true if the exercises are performed with excessive intensity or without adequate rest.
Joint inflammation, or arthritis, can also occur after a fracture. This condition can develop due to the trauma of the injury itself or as a result of altered mechanics in the joint following the fracture. If the joint surfaces are not perfectly aligned during healing, it can lead to abnormal wear and tear, resulting in pain and discomfort during movement.
Another possibility is that you may be experiencing pain due to the formation of scar tissue around the joint. Scar tissue can restrict movement and cause discomfort, particularly if it develops in a way that limits the normal range of motion of the joint.
To address your concerns, here are some recommendations:
1. Consult a Specialist: If you haven't already, it would be beneficial to consult with an orthopedic specialist or a physical therapist who can assess your condition. They may perform imaging studies, such as X-rays or MRIs, to evaluate the healing of the fracture and the condition of the surrounding soft tissues.
2. Modify Rehabilitation Exercises: While it is important to rehabilitate the finger, it is equally crucial to avoid overdoing it. Consider reducing the frequency or intensity of your exercises, especially if you notice increased pain. Focus on gentle range-of-motion exercises rather than strenuous activities that could exacerbate the pain.
3. Rest and Ice: Allow your little finger some time to rest and recover. Applying ice to the affected area can help reduce inflammation and alleviate pain. Make sure to ice the finger for about 15-20 minutes several times a day, especially after rehabilitation exercises.
4. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. However, consult with your healthcare provider before starting any medication.
5. Physical Therapy: Engaging in a structured physical therapy program can be beneficial. A physical therapist can provide tailored exercises that focus on strengthening the finger while minimizing pain and discomfort. They can also employ modalities such as ultrasound or electrical stimulation to promote healing.
6. Monitor Symptoms: Keep track of your symptoms. If the pain persists or worsens, or if you notice swelling, redness, or decreased range of motion, it is crucial to seek medical attention promptly. These could be signs of complications that may require further intervention.
In conclusion, while some pain during rehabilitation is expected, persistent or worsening pain should not be ignored. It is essential to take a balanced approach to rehabilitation, ensuring that you are not overexerting the injured finger while still promoting healing and regaining function. By consulting with a healthcare professional and adjusting your rehabilitation strategy, you can work towards a more comfortable recovery.
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