Left middle finger contusion?
Hello, doctor! On the last day of my summer job, my left middle finger got crushed by a machine, and it hurt so much that I thought the bone was broken.
I went to see an orthopedic doctor who confirmed that the bone was not broken, stitched up the wound, and put a splint on it.
However, the splint is very uncomfortable for me.
I heard that the rehabilitation department can help me with a brace; is that possible? Thank you!
berta, 10~19 year old female. Ask Date: 2008/09/06
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry.
Here are my responses and suggestions: 1.
The Rehabilitation Department has plastic splints that are more comfortable; you can visit the Rehabilitation Department for an appointment.
2.
You may also enhance recovery with laser therapy and ultrasound, which can accelerate healing, and receive guidance on strengthening exercises and joint movements.
Reply Date: 2008/09/06
More Info
I'm sorry to hear about your injury. A crush injury to the finger, especially one as significant as being compressed by a machine, can lead to various complications, including pain, swelling, and potential long-term functional limitations. Since your orthopedic doctor has confirmed that there are no fractures, it’s a positive sign, but it’s essential to follow up with appropriate rehabilitation to ensure optimal recovery.
Rehabilitation options for a crush injury to the left middle finger typically involve several key components:
1. Initial Care and Protection: After the injury, it’s crucial to protect the injured area. The iron plate you mentioned is likely a splint or brace designed to immobilize the finger and allow for proper healing. While it may feel uncomfortable, it serves to prevent further injury and stabilize the area.
2. Pain Management: Managing pain is an essential part of recovery. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help reduce pain and inflammation. Always consult your healthcare provider before starting any medication.
3. Physical Therapy: Once the initial healing phase has passed (usually a few weeks), physical therapy can be beneficial. A physical therapist can guide you through exercises designed to restore range of motion, strength, and function to your finger. They may also provide modalities such as ultrasound or electrical stimulation to help with pain and swelling.
4. Splinting and Orthotic Devices: If the iron plate is uncomfortable, a rehabilitation specialist can create a custom orthotic device or splint that better fits your finger. This can provide support while allowing for some movement, which is essential for recovery.
5. Gradual Return to Activity: As you progress in your rehabilitation, it’s important to gradually reintroduce activities that involve the use of your finger. Start with gentle movements and increase intensity as tolerated. Avoid any activities that cause pain or discomfort until you have fully healed.
6. Monitoring for Complications: Keep an eye out for any signs of complications, such as increased swelling, redness, or persistent pain. If you notice any of these symptoms, it’s important to contact your healthcare provider.
7. Follow-Up Appointments: Regular follow-ups with your orthopedic doctor and physical therapist are crucial to monitor your recovery and make any necessary adjustments to your rehabilitation plan.
In summary, rehabilitation for your left middle finger crush injury will likely involve a combination of protection, pain management, physical therapy, and possibly custom orthotic devices. It’s essential to work closely with your healthcare providers to develop a tailored rehabilitation plan that meets your specific needs and goals. With proper care and rehabilitation, many individuals can regain full function of their fingers after such injuries, but it requires patience and commitment to the rehabilitation process.
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