The little finger cannot bend at all?
Hello, doctor.
I had a car accident on November 29 of last year, which resulted in my little finger being unable to bend, and my ring finger can only bend a little, not fully.
I went to a traditional Chinese medicine clinic and an orthopedic doctor, and they both said it has already hardened and cannot be stretched.
Is there still hope for recovery? My knee was also injured; I used a cast at the time, but it wasn't reinforced with metal.
The doctor said the tendon was pulled to the bone, and I couldn't walk for 40 days.
Now my leg cannot bend, and my ankle is also injured.
The sole of my foot is swollen, and sometimes I use a walker to move around, but I need to rest afterward before I can continue walking.
What should I do in this situation? Thank you.
Wei, 50~59 year old female. Ask Date: 2016/02/11
Dr. Shi Guozheng reply Orthopedics
Rehabilitation should be initiated as soon as possible, as joints can become stiff within six to twelve weeks.
Engaging in rehabilitation before this timeframe can be effective.
You can start by applying heat to the joint or soaking it in warm water, and then gradually attempt to bend it.
Reply Date: 2016/02/11
More Info
I'm sorry to hear about your injuries from the accident. It sounds like you've been through a lot, and it's understandable to be concerned about your recovery. Let's address your questions regarding the stiffness in your pinky and knee injuries.
1. Stiffness in the Pinky and Fingers: After an injury, especially if there has been significant trauma or immobilization, stiffness can occur due to a variety of reasons. If your pinky and ring fingers are stiff and unable to bend properly, it may be due to a condition known as joint contracture, which can happen when the surrounding tissues, including ligaments and tendons, become tight or scar tissue forms. In some cases, physical therapy can help improve range of motion, but if the fingers have "hardened," as you've mentioned, it may be more challenging.
Treatment options may include:
- Physical Therapy: A physical therapist can provide specific exercises to help regain flexibility and strength in your fingers. They may also use modalities such as ultrasound or electrical stimulation to promote healing.
- Splinting: Sometimes, using a splint can help maintain the fingers in a more functional position while you work on regaining movement.
- Surgery: In severe cases where conservative treatments fail, surgical intervention may be necessary to release tight structures or repair damaged tendons.
2. Knee Injuries: Regarding your knee, it sounds like you have experienced significant trauma, and the fact that you were in a cast for an extended period can lead to stiffness in the joint. The knee joint is complex, and injuries to ligaments, cartilage, or even the joint capsule can lead to long-term issues if not addressed properly.
For knee rehabilitation, consider the following:
- Physical Therapy: Engaging in a structured rehabilitation program is crucial. A physical therapist can guide you through exercises designed to improve range of motion, strengthen the muscles around the knee, and enhance stability.
- Gradual Weight Bearing: As you mentioned using a walker, it's important to gradually increase your weight-bearing activities as tolerated. This helps in regaining strength and function.
- Pain Management: If you're experiencing pain or swelling, managing these symptoms with ice, elevation, and possibly anti-inflammatory medications can be beneficial.
- Surgical Evaluation: If conservative measures do not lead to improvement, a consultation with an orthopedic surgeon may be warranted to evaluate the need for surgical intervention, especially if there are concerns about ligament injuries or joint stability.
3. Overall Recovery: Recovery from such injuries can take time, and it's essential to be patient with yourself. The body has a remarkable ability to heal, but it often requires appropriate interventions and time.
4. Mental Health Considerations: It's also important to address the emotional and psychological aspects of recovery. Injuries can lead to feelings of frustration and anxiety about future mobility and activity levels. Consider speaking with a mental health professional if you're feeling overwhelmed. Engaging in supportive communities or groups for individuals with similar experiences can also be beneficial.
In summary, while the stiffness in your pinky and knee injuries may present challenges, there are various treatment options available. It's crucial to work closely with healthcare professionals, including physical therapists and possibly orthopedic specialists, to develop a comprehensive rehabilitation plan tailored to your needs. With dedication and the right approach, many individuals can achieve significant improvements in function and quality of life after such injuries.
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