Injury caused by frozen shrimp刺傷?
My mother was pricked on the joint of her right index finger by the head of a frozen shrimp while handling it.
There was bleeding at the time, but now, after 3 to 4 months, there is no noticeable discoloration on the joint, which appears to have normal skin color.
However, there is a noticeable swelling, and it is painful when pressed.
What should we do, doctor? Thank you.
Hank, 20~29 year old female. Ask Date: 2022/05/09
Dr. Chen Bingze reply Surgery
Hello, it sounds like there may have been some shrimp tissue present in your hand at that time, which could have resulted in the formation of a granuloma-like tissue.
It is recommended to undergo a minor surgical procedure to excise it and then suture the area.
Reply Date: 2022/05/09
More Info
Dealing with a painful swelling after an injury, such as the one your mother experienced from a frozen shrimp, can be quite distressing. It’s important to understand that even minor injuries can lead to complications if not properly addressed. In your mother’s case, the injury to her finger joint may have resulted in several possible issues, including soft tissue damage, inflammation, or even a potential joint injury that may not be immediately visible.
First and foremost, it’s crucial to ensure that the injury is properly evaluated by a healthcare professional. Since it has been several months since the injury occurred, and there is still noticeable swelling and pain, it would be wise to consult a doctor or a specialist, such as an orthopedic surgeon or a hand specialist. They may recommend imaging studies, such as an X-ray or MRI, to rule out any underlying fractures or joint damage that may not be apparent through physical examination alone.
In the meantime, there are several strategies that can help manage the pain and swelling:
1. Rest and Immobilization: Encourage your mother to rest the affected finger and avoid activities that may aggravate the pain. Using a splint or buddy taping the injured finger to an adjacent finger can help immobilize it and reduce movement, which may alleviate pain.
2. Ice Therapy: Applying ice to the swollen area can help reduce inflammation and numb the pain. It’s advisable to apply ice for 15-20 minutes every hour as needed, ensuring that there is a barrier (like a cloth) between the ice and the skin to prevent frostbite.
3. Elevation: Keeping the hand elevated above the level of the heart can help reduce swelling. This can be achieved by propping the hand up on pillows while resting or sleeping.
4. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen can help reduce pain and inflammation. However, it’s essential to ensure that your mother does not have any contraindications to these medications, such as allergies or gastrointestinal issues.
5. Gentle Range of Motion Exercises: Once the acute pain and swelling have subsided, gentle range of motion exercises may be beneficial to restore mobility to the joint. However, these should only be initiated after consulting with a healthcare provider to ensure they are safe and appropriate for her condition.
6. Physical Therapy: If the swelling and pain persist, a referral to a physical therapist may be beneficial. They can provide targeted exercises and modalities to help reduce pain and improve function.
7. Monitoring for Signs of Infection: Since the injury involved a puncture wound, it’s crucial to monitor for any signs of infection, such as increased redness, warmth, pus, or fever. If any of these symptoms occur, immediate medical attention is necessary.
In conclusion, while there are several home management strategies that can help alleviate pain and swelling, it is essential to seek professional medical advice to ensure that there are no underlying issues that require specific treatment. Early intervention can often lead to better outcomes and prevent long-term complications.
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