Finger Injuries: When to Seek Medical Advice After Sports - Rehabilitation

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Finger root planting?


Hello Doctor,
About three weeks ago, I injured my finger while playing basketball when the ball hit my fingertip vertically.
My finger joint was slightly swollen, so I immediately went to the health room and applied ice for 10 minutes.
Afterwards, my classmates said it was a normal minor injury and advised me not to worry too much.

Three weeks have passed, and while the pain is not as severe as it was on the first day, I still feel discomfort when bending my finger.
The pain has not significantly decreased during this period, which is concerning to me.
I play the piano and practice quite frequently; could this be related? (The pain is most intense after playing, but it quickly subsides to the original level.) Will this affect my ability to play the piano in the future? Should I seek medical evaluation? Thank you for taking the time to respond.

Wenwen, 10~19 year old female. Ask Date: 2004/10/14

Dr. Pan Yingda reply Rehabilitation


I think I should see a doctor.
A sprain usually heals within about two weeks, and I suspect it might be related to the intensity of your practice, which could be why it hasn't improved.
Assuming there are no issues with the bones, I recommend doing some massage on the injured area and strengthening the flexion and extension exercises for the affected joint.

Reply Date: 2004/10/14

More Info


When it comes to finger injuries sustained during sports, understanding when to seek medical advice is crucial for effective recovery and to prevent long-term complications. Based on your description, it seems you experienced a common injury known as a "jammed finger," which occurs when the finger is forcefully compressed, often resulting in pain, swelling, and sometimes limited range of motion.

In your case, you mentioned that three weeks have passed since the injury, and while the initial pain has decreased, you are still experiencing discomfort, especially after playing the piano. This is a significant point of concern. Typically, minor sprains or strains should show considerable improvement within two weeks. If pain persists beyond this timeframe, it is advisable to seek medical attention. Persistent pain can indicate underlying issues such as ligament damage, joint instability, or even a fracture that may not have been visible on initial X-rays.

Given your situation, here are some recommendations:
1. Seek Medical Evaluation: Since your pain has not significantly improved after three weeks, it would be wise to consult a healthcare professional, preferably one specializing in sports medicine or orthopedics. They can perform a thorough examination, which may include physical assessments and possibly additional imaging studies (like an MRI) to evaluate the soft tissues and ligaments around the joint.

2. Rest and Ice: While you have already applied ice initially, continuing to rest the finger and applying ice can help reduce inflammation. Avoid activities that exacerbate the pain, such as playing the piano or engaging in sports until you receive a professional evaluation.

3. Physical Therapy: If a healthcare provider determines that your injury is not severe, they may recommend physical therapy. A physical therapist can guide you through exercises to strengthen the finger and improve flexibility. They may also use modalities like ultrasound or electrical stimulation to promote healing.

4. Gradual Return to Activity: Once you receive medical clearance, gradually reintroduce activities. Start with gentle movements and stretches, and pay attention to any pain signals. If playing the piano continues to cause pain, it may be necessary to modify your technique or take breaks during practice.

5. Long-term Considerations: If your injury involves ligament damage, there may be implications for your future piano playing. Ligament injuries can lead to joint instability, which might affect your ability to perform certain movements. Early intervention and proper rehabilitation are key to minimizing these risks.

In conclusion, while your peers may have downplayed the injury, your ongoing symptoms warrant a more thorough investigation. Ignoring persistent pain can lead to chronic issues that may affect your ability to play the piano or engage in sports in the future. Seeking medical advice is the best course of action to ensure a proper diagnosis and treatment plan, allowing you to recover fully and return to your activities without fear of re-injury.

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