Why Is My Finger Numb After Getting Pinched in a Closet? - Neurosurgery

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Caught hand in the closet door?


A few days ago, I accidentally caught my middle finger in the closet door.
It hurt so much that I couldn't breathe, and my entire middle finger became red and swollen.
Now, when I slightly touch the joint that got caught, my fingertip feels numb.
Why is that?

Ga Ga, 10~19 year old female. Ask Date: 2016/03/14

Dr. Lai Zhaokang reply Neurosurgery


Hello, your middle finger has a contusion and swelling, which may cause a tingling sensation in the fingertip.
If there are no abnormalities in finger movement and no open wounds, please apply ice for the first three days.
If there is no improvement, seek assistance from a physician nearby.
Wishing you a speedy recovery.
// Dr.
Lai Chao-Kang, Changhua Hospital

Reply Date: 2016/03/14

More Info


When you accidentally pinch your finger in a closet, as you described with your middle finger, several things can happen that may lead to numbness or tingling sensations. The immediate pain and swelling you experienced are typical responses to trauma, indicating that the tissues in your finger were injured.

Possible Reasons for Numbness
1. Soft Tissue Injury: Pinching can cause damage to the soft tissues, including muscles, tendons, and ligaments. This injury can lead to swelling and inflammation, which may compress nearby nerves, resulting in numbness or tingling sensations.

2. Nerve Compression: The most likely cause of your symptoms is nerve compression. When you pinched your finger, the swelling and inflammation could have put pressure on the nerves that run through your finger. The median nerve, which is responsible for sensation in the thumb, index, middle, and part of the ring finger, can be affected. This pressure can lead to sensations of numbness or tingling.

3. Bruising: If there was significant trauma, you might have bruised the area. Bruising can also lead to swelling, which can further compress nerves and lead to numbness.

4. Vascular Compromise: In some cases, trauma can affect blood flow to the area. If the blood vessels are compressed or damaged, it can lead to a lack of oxygen in the tissues, which can also cause numbness.


What to Do Next
1. Rest and Ice: Initially, it’s essential to rest the injured finger and apply ice to reduce swelling. Ice should be applied for 15-20 minutes every hour as needed, but make sure to wrap the ice in a cloth to avoid direct contact with the skin.

2. Elevation: Keeping your finger elevated can help reduce swelling. Try to keep it above the level of your heart when possible.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation.

4. Monitor Symptoms: Keep an eye on your symptoms. If the numbness persists, worsens, or if you experience additional symptoms such as severe pain, inability to move the finger, or changes in color, it’s essential to seek medical attention.

5. Consult a Healthcare Professional: If the numbness does not improve within a few days or if you have concerns about the injury, it’s advisable to see a healthcare professional. They may perform a physical examination and possibly imaging studies (like X-rays) to rule out fractures or more severe injuries.


Conclusion
In summary, the numbness in your finger after being pinched is likely due to soft tissue injury and nerve compression. While it can be concerning, many cases resolve with conservative treatment. However, if symptoms persist or worsen, seeking medical advice is crucial to ensure proper healing and to rule out any serious complications. Remember, taking care of your injury promptly can significantly impact your recovery time and overall finger function.

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