Recovering from a Volleyball Injury: When to Start Rehabilitation - Rehabilitation

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Sprained ankle while playing basketball?


Hello, Director! I sprained my finger while playing volleyball the day before yesterday.
The injured area is very painful, and even slight touch increases the pain.
I applied ice, followed by heat, and used topical ointment, but it is still red and swollen.
Can I start rehabilitation? Thank you!

Fang, 20~29 year old female. Ask Date: 2006/11/16

Dr. Chen Xianchang reply Rehabilitation


1.
If there is still redness and swelling, continue applying ice until the swelling subsides.
2.
You may apply ointment to reduce inflammation.
3.
After the acute phase, you can visit the rehabilitation department for heat therapy and electrical therapy to accelerate recovery.

Reply Date: 2006/11/16

More Info


Recovering from a volleyball injury, particularly a sprained finger, requires a careful approach to rehabilitation. Based on your description, it sounds like you are experiencing significant pain and swelling, which are common symptoms following a sprain. Here’s a comprehensive guide on when and how to start rehabilitation for your injury.


Immediate Care and Assessment
Initially, it’s crucial to follow the R.I.C.E. protocol (Rest, Ice, Compression, Elevation) for the first 48-72 hours after the injury. This helps to reduce swelling and manage pain. Since you mentioned that you have already been applying ice and heat, it’s important to note that ice should be used primarily in the first few days post-injury to minimize swelling. Heat can be applied later to promote blood flow and healing once the initial swelling has subsided.

Given that your finger is still red and swollen, it might be wise to avoid any rehabilitation exercises until the inflammation decreases. Continuing to apply ice and keeping the finger elevated can help with this. If the pain persists or worsens, it would be advisable to seek medical attention to rule out any fractures or more severe injuries.


When to Start Rehabilitation
Once the swelling and pain have significantly reduced, you can begin rehabilitation. This typically occurs within a few days to a week after the injury, depending on the severity of the sprain. Here are some signs that indicate you can start rehabilitation:
1. Reduced Pain: You should be able to touch the injured area without severe pain.

2. Decreased Swelling: The swelling should be minimal, allowing for normal movement.

3. Improved Range of Motion: You should be able to move the finger without significant discomfort.


Rehabilitation Exercises
Once you are cleared to start rehabilitation, begin with gentle range-of-motion exercises. Here are some steps to follow:
1. Finger Flexion and Extension: Slowly bend and straighten your finger. Do this gently to avoid pain.

2. Grip Strengthening: Use a soft ball or putty to gently squeeze and strengthen your grip.

3. Tendon Gliding Exercises: These involve moving your fingers through various positions to promote flexibility and reduce stiffness.

Start with 5-10 repetitions of each exercise, and gradually increase as tolerated. It’s essential to listen to your body; if you experience pain, stop the exercise and consult a healthcare professional.


Professional Rehabilitation
If your symptoms do not improve or if you have difficulty performing daily activities, consider seeking help from a physical therapist. They can provide a tailored rehabilitation program that may include manual therapy, ultrasound, or other modalities to facilitate healing.


Long-Term Considerations
As you recover, it’s important to gradually return to volleyball and other activities. Avoid jumping back into intense play until you have regained full strength and range of motion in your finger. This will help prevent re-injury.
In summary, while you may be eager to start rehabilitation, it’s crucial to ensure that your finger is ready for it. Focus on managing pain and swelling first, and once those symptoms improve, you can begin a structured rehabilitation program. Always consult with a healthcare professional if you have any concerns about your recovery process.

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