Wrist bone dislocation from a car accident; after reduction, the fingers are swollen and painful?
Hello, Doctor! I was in a car accident last week and sustained abrasions on my left hand and swelling from a wrist impact.
At the time, I thought everything was fine, but when I got home, I noticed my fingers started to swell and hurt.
After three days of unbearable pain, I visited a traditional Chinese medicine practitioner who informed me that there was a dislocation in my wrist bones and provided treatment.
However, three days later, while the frequency of swelling and pain decreased, the intensity of the pain remained the same.
I also had an X-ray done, which showed that the bone alignment was normal, but my fingers still hurt with any touch, and I have difficulty applying force.
The appearance is still red and swollen.
Should I continue applying topical analgesic ointment for sports injuries to see improvement? Thank you.
Zha Xia, 20~29 year old female. Ask Date: 2015/11/24
Dr. Wang Shouji reply Orthopedics
Hello: You should first visit the orthopedic outpatient clinic to confirm that there are no issues with the bone alignment and that there are no fractures.
A contusion of the joint may cause pain during general activities for one to two months, but if there are no structural problems, it should improve over time.
Thank you!
Reply Date: 2015/11/24
More Info
After a car accident, experiencing persistent pain and swelling in the wrist and fingers can be concerning, especially if there was an initial injury that seemed minor. In your case, it sounds like you sustained a wrist injury that may have involved a dislocation or sprain, which can lead to ongoing symptoms even after the initial injury appears to have healed.
When you mentioned that you had a wrist injury with subsequent finger pain and swelling, it is important to understand that the wrist and fingers are interconnected. The wrist is a complex joint made up of multiple bones, ligaments, and tendons, and any trauma to this area can lead to inflammation and pain that may radiate to the fingers. Even if X-rays show that the bones are in the correct position, there can still be soft tissue injuries, such as ligament sprains or tendon injuries, that may not be visible on an X-ray.
The fact that you are experiencing pain upon touch and difficulty applying pressure suggests that there may still be some underlying inflammation or injury that needs to be addressed. It is not uncommon for pain to persist for weeks after an injury, especially if there was significant trauma involved. The swelling you are experiencing could be due to inflammation, which is the body's natural response to injury, but it can also indicate that there is still some irritation in the area.
In terms of treatment, while topical medications such as pain relief ointments can provide some relief, they may not be sufficient on their own if there is an underlying issue that needs to be addressed. Here are some recommendations:
1. Rest and Immobilization: It is crucial to give your wrist and fingers time to heal. Consider using a wrist brace or splint to immobilize the area and prevent further strain.
2. Ice Therapy: Applying ice to the affected area can help reduce swelling and numb the pain. Make sure to wrap the ice in a cloth to avoid direct contact with the skin.
3. Elevation: Keeping your hand elevated can help reduce swelling. Try to keep your wrist above the level of your heart when resting.
4. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation. However, consult with your healthcare provider before starting any medication.
5. Physical Therapy: If your symptoms persist, consider consulting a physical therapist. They can provide exercises to improve strength and flexibility in your wrist and fingers, which may help alleviate pain and improve function.
6. Follow-Up Care: Since you have already seen a healthcare provider, it is important to follow up with them if your symptoms do not improve. They may recommend further imaging studies, such as an MRI, to assess for soft tissue injuries that may not have been visible on the X-ray.
In conclusion, while it is not uncommon to experience ongoing pain and swelling after a wrist injury from a car accident, it is essential to take appropriate steps to manage your symptoms and promote healing. If your condition does not improve with conservative measures, further evaluation by a healthcare professional is warranted to rule out any serious underlying issues.
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