Post-Finger Fracture: Joint Stiffness and Pain - Rehabilitation Needed?

Q: Post-Finger Fracture: Joint Stiffness and Pain - Rehabilitation Needed?

Hello： The main objectives of rehabilitation treatment for fractures are to maintain joint range of motion, strengthen muscle strength, prevent muscle atrophy, reduce swelling, and restore limb function. <br>Therefore, if there are difficulties in finger movement, one should cons

After a finger fracture, the joint may be unable to move?

Hello, Doctor.
Recently, I fractured the second phalanx of my right little finger near the first phalanx (not at the joint).
After having a pin inserted, it was removed yesterday after a month and a half.
I noticed that the first joint is not moving well; it is very painful when I try to bend it or apply pressure, and it is a bit swollen.
Do I need rehabilitation for this? What kind of treatment should I pursue? Thank you, Doctor.

ji kou, 10~19 year old female. Ask Date: 2015/05/21

Dr. Su Hongci reply Rehabilitation

Hello: The main objectives of rehabilitation treatment for fractures are to maintain joint range of motion, strengthen muscle strength, prevent muscle atrophy, reduce swelling, and restore limb function.
Therefore, if there are difficulties in finger movement, one should consult a rehabilitation specialist and receive treatment as soon as possible.
Wishing you good health!

Reply Date: 2015/05/21

More Info

After a finger fracture, particularly in the area you described, it is common to experience joint stiffness and pain, especially after the removal of fixation devices like pins. The stiffness and discomfort you are experiencing in the proximal interphalangeal joint (the first joint of your little finger) can be attributed to several factors, including immobilization during the healing process, soft tissue swelling, and potential scar tissue formation.

Rehabilitation is indeed necessary in your case. The primary goals of rehabilitation after a finger fracture include restoring range of motion, reducing pain, and improving overall function of the hand. Here are some key points to consider regarding your rehabilitation process:
1. Assessment: Before starting any rehabilitation program, it is crucial to have a thorough assessment by a rehabilitation specialist or a physical therapist. They will evaluate the range of motion, strength, and any other functional limitations you may have. This assessment will guide the development of a personalized rehabilitation plan.

2. Gentle Range of Motion Exercises: Initially, you may start with gentle range of motion exercises. These exercises should be pain-free and can include flexion and extension of the finger joints. It is essential to perform these exercises regularly to prevent stiffness and promote mobility.
3. Gradual Progression: As your pain decreases and your range of motion improves, you can gradually progress to more active exercises. This may include strengthening exercises using putty or small weights, which can help improve the strength of the finger and hand.

4. Pain Management: If you are experiencing significant pain, it may be beneficial to use ice therapy to reduce swelling and discomfort. Over-the-counter pain medications, such as ibuprofen or acetaminophen, can also be used as needed, but it is advisable to consult with your healthcare provider before taking any medication.

5. Therapeutic Modalities: Depending on your specific situation, your therapist may incorporate modalities such as ultrasound or electrical stimulation to help reduce pain and promote healing.

6. Splinting: In some cases, a splint may be recommended to support the finger during the initial stages of rehabilitation, especially if there is significant swelling or if the joint is unstable.

7. Education: Understanding the healing process and the importance of rehabilitation is crucial. Your therapist will educate you on how to perform exercises correctly and how to avoid activities that may exacerbate your symptoms.

8. Follow-Up: Regular follow-up appointments with your healthcare provider or therapist are essential to monitor your progress and make any necessary adjustments to your rehabilitation plan.

In summary, rehabilitation is a critical component of recovery following a finger fracture. It is essential to start with gentle exercises and gradually progress as tolerated. If you have concerns about your pain or the stiffness in your finger, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Early intervention can significantly improve your recovery outcomes and help you regain full function of your hand.

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