Finger Pain: Causes and Solutions for Delivery Workers

Finger pain and discomfort?

I recently changed jobs to become a delivery driver, working an average of about 11 hours a day for over a month.
I've been experiencing soreness in the middle joint of my right middle finger and the base of my little finger.
The pain is not too severe during work, but when I wake up, it is very painful for about 40 minutes before it starts to feel normal, although there is still a mild soreness.

1.
Could this be related to frequently using my right hand for braking?
2.
Why does it hurt so much upon waking, but then becomes mild after some time (my sleeping position does not put pressure on my fingers)?
3.
How can I improve the soreness in my fingers?
4.
Is this due to my fingers not yet adapting to this level of activity, or could it be an injury that requires medical diagnosis and treatment?

Mr. Hsieh, 20~29 year old female. Ask Date: 2022/07/11

Dr. Wang Zhaomin reply Rehabilitation

Using the right hand to brake or lift delivery items may lead to pain.
Prolonged inactivity during sleep can cause tightness and stiffness in the injured area.
Engaging in movement after waking can alleviate discomfort and prevent overuse.
Applying heat can also help relieve symptoms.
If these methods do not improve the condition, it is important to seek medical attention promptly to avoid worsening symptoms and to receive an accurate diagnosis and treatment.

Reply Date: 2022/07/11

More Info

Understanding finger pain, especially for delivery workers who often engage in repetitive tasks, is crucial for maintaining both comfort and productivity. The symptoms you describe—pain in the middle joint of the middle finger and the base of the little finger—are common among individuals who perform tasks that require gripping, lifting, or repetitive motions. Here’s a breakdown of your questions and some potential solutions.

1. Is the pain related to frequently using the right hand for braking?
Yes, frequent use of the right hand, particularly for actions like braking, can lead to overuse injuries. The repetitive motion of gripping the brake lever can strain the tendons and joints in your fingers, leading to inflammation and pain. This is especially true if you are not accustomed to such prolonged use of your hand in this manner.

2. Why is there significant pain upon waking, which lessens after some time?
The pain you experience upon waking could be attributed to a few factors. During sleep, your body remains relatively still, which can lead to stiffness in the joints and muscles. If your hand is in a position that does not allow for movement, it can exacerbate the feeling of tightness and discomfort. After you start moving around, blood flow increases to the affected areas, which can help alleviate some of the pain and stiffness. Additionally, the initial inflammation may settle down as you begin to use your hand again.

3. How can you improve the finger pain?
There are several strategies you can employ to alleviate finger pain:
- Rest: Ensure you take regular breaks during your shifts to give your hands a rest. Avoiding repetitive motions can help reduce strain.

- Ice Therapy: Applying ice to the affected areas for 15-20 minutes can help reduce inflammation and numb the pain.

- Stretching and Strengthening Exercises: Gentle stretching of the fingers and hand can improve flexibility and reduce stiffness. Strengthening exercises can also help build resilience in the muscles and tendons.

- Ergonomic Adjustments: If possible, adjust your work setup to minimize strain on your hands. This could include using tools that require less gripping force or adjusting the way you hold items.

- Heat Therapy: After the initial inflammation has subsided, applying heat can help relax and soothe stiff muscles and joints.

- Over-the-Counter Pain Relief: Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and inflammation.

4. Is this due to the fingers not adapting to the operational intensity, or is it an injury that requires medical diagnosis and treatment?
It could be a combination of both factors. If you have recently started this job and are not used to the physical demands, your fingers may simply need time to adapt. However, if the pain persists despite implementing the above strategies, or if it worsens, it is advisable to seek medical attention. A healthcare professional can conduct a thorough examination, possibly including imaging studies, to rule out any underlying conditions such as tendonitis, arthritis, or nerve compression syndromes.

In summary, finger pain in delivery workers can arise from repetitive strain and overuse. Implementing rest, ice, ergonomic adjustments, and exercises can significantly help alleviate symptoms. However, if the pain continues or worsens, consulting a healthcare professional is essential for proper diagnosis and treatment. Taking proactive measures now can help prevent more severe injuries in the future, allowing you to continue your work without discomfort.

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