Is Your Thumb Pain from an Injury? When to Seek Medical Attention - Orthopedics

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Thumb pain


A week ago, I had a car accident, and my thumb felt like it was sprained at that time.
Since then, I've experienced numbness from my thumb down to my arm.
Now, when I press down on my thumb, it hurts.
Should I seek medical attention, or will applying topical ointment for external injuries be sufficient?

RURU, 20~29 year old female. Ask Date: 2015/07/21

Dr. Shi Guozheng reply Orthopedics


A sprained thumb typically presents with pain, and there may be limited range of motion in the joint.
The first joint of the thumb is the interphalangeal joint, and the joint between the metacarpal and the proximal phalanx is located more proximally.
If this joint is sprained, it can also be painful, and sometimes there may be significant swelling.
If there is numbness, it may indicate that nearby nerves are being compressed.
Pain and swelling are most pronounced during the first three days, after which they gradually improve.
If the pain remains severe, it is advisable to see a physician.

Reply Date: 2015/07/21

More Info


Thumb pain following an injury, such as a car accident, can be concerning and warrants careful evaluation. Given your description of the injury, where you experienced a twisting sensation in your thumb and subsequent numbness extending to your arm, it is essential to consider several factors before determining the appropriate course of action.

Firstly, the symptoms you are experiencing—pain when pressing down on your thumb and numbness radiating to your arm—could indicate a few potential issues. These may include a sprain or strain of the thumb ligaments, a fracture of the thumb bone (metacarpal or phalanx), or even nerve involvement, particularly if the numbness persists. The fact that you felt a twisting motion during the accident raises the possibility of a ligament injury, such as a gamekeeper's thumb (ulnar collateral ligament injury), which is common in thumb injuries resulting from trauma.

In general, if you have sustained an injury and are experiencing persistent pain, numbness, or difficulty using the affected thumb, it is advisable to seek medical attention. A healthcare professional can perform a physical examination and may recommend imaging studies, such as X-rays, to rule out fractures or other injuries. Early diagnosis and treatment are crucial, as untreated injuries can lead to long-term complications, including chronic pain or reduced function of the thumb.

Regarding your question about whether topical treatments, such as ointments for external injuries, would suffice, it is important to note that while these may provide temporary relief for minor surface injuries, they are unlikely to address underlying issues such as fractures or ligament tears. If the pain is severe or if you notice swelling, bruising, or difficulty moving your thumb, these are further indicators that medical evaluation is necessary.

In summary, while minor thumb injuries may improve with rest and topical treatments, your symptoms suggest that a more thorough evaluation is warranted. Seeking medical attention will help ensure that any serious injuries are identified and treated appropriately, allowing you to regain full function of your thumb and prevent potential complications. If you are unsure about the severity of your injury, it is always better to err on the side of caution and consult a healthcare provider.

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