Finger Fractures: Healing, Pain, and Aftercare Tips - Orthopedics

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Fracture of the proximal phalanx of the finger?


Originally, there was a misalignment, so a steel pin was inserted.
After a month of stabilization, I returned to the doctor last Friday, who said it looked like it had healed, so the pin was removed.
However, I still feel like my finger is drooping.
Currently, the appearance of my finger is slightly swollen, and it only hurts when I press on the area where the fracture was.
I'm a bit anxious about whether the bone has truly healed.
Is it normal to experience pain? Should I continue to dress the wound from the steel pin daily?

Mr. He, 30~39 year old female. Ask Date: 2024/03/02

Dr. Chen Yongxue reply Orthopedics


Typically, swelling can subside within 2-3 weeks.
Alternating between hot and cold compresses can help improve blood circulation to reduce swelling.
For rehabilitation and maintenance related inquiries, please consult a physical therapist.
Thank you.

Reply Date: 2024/03/02

More Info


Understanding finger fractures, particularly after a surgical intervention like pinning, is crucial for ensuring proper healing and recovery. When you experience a finger fracture, the healing process can be complex and varies from person to person. Here’s a comprehensive overview of what to expect during recovery, how to manage pain, and aftercare tips.


Healing Process
After a finger fracture, especially one that required surgical intervention with pins, the healing process typically involves several stages. Initially, the bone will begin to heal within a few weeks, but complete healing can take several weeks to months, depending on the severity of the fracture and the individual’s overall health.
In your case, since the doctor indicated that the bone appears to have healed after the removal of the pins, this is a positive sign. However, it’s not uncommon to still experience some swelling and discomfort in the area where the fracture occurred. The pain you feel when pressing on the fracture site can be attributed to several factors, including:
1. Soft Tissue Healing: Surrounding muscles, tendons, and ligaments may still be healing, which can cause discomfort.

2. Bone Remodeling: Even after the bone has healed, it may take time for the bone to remodel and regain its full strength.

3. Nerve Sensitivity: The area around the fracture may still be sensitive, and nerves can take time to recover fully.


Pain Management
Experiencing pain after the removal of pins is not unusual. It’s essential to manage this pain effectively. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate discomfort. However, always consult with your healthcare provider before taking any medication, especially if you have other health conditions or are taking other medications.


Aftercare Tips
1. Wound Care: If the pin insertion site is still healing, it’s important to keep the area clean and dry. If there are no signs of infection (such as increased redness, swelling, or discharge), you may not need to keep it bandaged continuously. However, if the doctor advised you to keep it covered, follow their instructions until the wound is fully healed.

2. Mobility Exercises: Once your doctor gives you the green light, begin gentle range-of-motion exercises to prevent stiffness. Start with simple movements, such as bending and straightening your finger, and gradually increase the intensity as tolerated.

3. Swelling Management: To reduce swelling, elevate your hand above heart level when resting. Applying ice wrapped in a cloth for 15-20 minutes several times a day can also help.

4. Follow-Up Appointments: Regular follow-ups with your healthcare provider are crucial. They can monitor your healing progress through physical examinations and imaging studies if necessary.

5. Physical Therapy: If you continue to experience pain or limited mobility, consider consulting a physical therapist. They can provide tailored exercises and treatments to enhance recovery.


When to Seek Help
If you notice any of the following, contact your healthcare provider immediately:
- Increased pain or swelling that does not improve with rest and pain management.

- Signs of infection at the pin site, such as redness, warmth, or discharge.

- Any new symptoms, such as numbness or tingling in the finger or hand.


Conclusion
In summary, while it’s normal to experience some pain and swelling after a finger fracture and pin removal, it’s essential to monitor your symptoms and follow your healthcare provider’s advice. Engaging in proper aftercare, including wound management and mobility exercises, will facilitate a smoother recovery. Remember, patience is key, as healing takes time, and your body needs to adjust after such an injury. If you have any concerns about your recovery or the healing process, don’t hesitate to reach out to your healthcare provider for guidance.

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