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Exercises to regain thumb movement post proximal phalanx fracture - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2009
Answered : 351 Questions
Doctor :   hi
Doctor :   how can i help you?
User :   hi
User :   i need help and your opinion regarding my thumb fracture
Doctor :   ok
Doctor :   yes XXXXXXXX you can go ahead
User :   i had a fracture in on November 1, 2007 on the thumb... right hand.. proximal phalynx
Doctor :   ok
User :   i had got myslf treated at xxxx
Doctor :   ok
User :   where dey had put two pins and a cast
User :   it was put for six weeks
Doctor :   ok
User :   and i got it removed off from d XXXXXXXX hospital here in bangalore
Doctor :   ok
User :   after dat d doctor had told me dat d fractured had healed completely
Doctor :   ok
User :   and had advised for physiotheraphy
User :   to regaini d movement of my thumb
User :   there was swelling in the upper joint of the thumb for some time but as d physiotherapy progressed
User :   all dat went off
User :   the thumb doesnt have any pain as such now...
User :   i can hold things with it and even drive my bike
User :   during physiotheraphy dey had given wax treatment
Doctor :   ok
User :   and manual movements
User :   d problem now is dat d movement of dat joint is still constricted
User :   i have consulted ayurvedic doctors as well
User :   and orthopaidicians as well
User :   dey had told me to immerse the thumb in hot water and do movements
User :   i have been regularly doing dat...
User :   but still d movement is not comming off
User :   i was told that calcification has happened which is blocking the movement
User :   i want to get your advice on this...
Doctor :   ok
Doctor :   what specifically you want us to answer?
User :   i want you to tell me what are the ways to regain the movement of my thumb....
User :   the injury had happend during playing cricket
Doctor :   ok
User :   and i hav stopped playing that as well
User :   i cant rite with the pen
User :   and since its a right hand thumb
User :   it bcums all d more imp fr me to get it right as soon as possible
Doctor :   For Administrative and health purposes, Please provide these details -Age: Gender: Occupation: Location: Marital Status: Dependants: Yes/No
User :   27yrs
User :   Single
User :xxxx
User :   xxxx
Doctor :   ok
Doctor :   from th history that you have provided
Doctor :   what is the movement that is affected?
User :   i cant bend the upper bone of the thumb toward the palm
User :   i cant hold a pen with that joint bending inside
User :   the thumb is most of the time dead straight
User :   i was told by one doctor dat the thumb was kept in the cast for a longer time
User :   and that has caused d restriction in d bonoe
User :   i m nt sure if dat was correct
Doctor :   did the doctor mention that it was malunion of the fracture?
User :   no he has nt mentioned dat
User :   he said dat d fracture was healed properly
Doctor :   this may be malunion of the fracture
Doctor :   yes that is what it means
User :   but no body has been able to explain me correctly wat is blocking the movement
User :   are u sure about dat
User :   bcoz none of the doctors whom i hav consulted has told me dat
Doctor :   the doctor by saying that it is not heald properly
Doctor :   means to say that the thumb after the fracturing healing has not come to the natural alignment
Doctor :   and this disturbance in the alignment has resulted in the restriction of your movement
Doctor :   did you get that?
Doctor :   are you there?
User :   yaa
User :   i m dere
Doctor :   ok
User :   d fracture was not in d joint
User :   it was toward d side
User :   y should d fracture affect d movement
User :   hellooo
Doctor :   there would be some restrictions in the movement because
Doctor :   there may be some projection that would come in the way of movement
User :   ok
Doctor :   Please fill this form I send, While I type the necessary information, and do inform me when done.
Doctor :   is there any thing that i can hel;p you with?
User :   i dint get any form
Doctor :   did you get that?
User :   yaa i got
User :   i hav filled
Doctor :   ok
User :   i would want to now know from you, how to proceed from here
Doctor :   if that is not causing any signiificant restriction in the movement
Doctor :   then if it is only for cosmetic purpose
Doctor :   then there is some thing called corrective osteotomy
User :   wat do we do dat
User :   i mean wat happens in dat process
Doctor :   in the way?
Doctor :   ok
Doctor :   there is trimming of the extra projection of the bone
Doctor :   did you get that?
User :   OK
Doctor :   are you there?
User :   yaa i m dere :)
Doctor :   have i answered youe query?
User :   now whom do u suggest to get this done
Doctor :   orthopeadician
User :   will the operation correct the movement
User :   how much chances of a succesful operation on this
Doctor :   it depends on how is the condition of the bones,
Doctor :   if there are under lying inportant that could be damaged then the procedore has to be stopped
User :   can u suggest me any good doctor
Doctor :   and there is always skill of the surgeon
User :   i understand
Doctor :   ok
Doctor :   in which part of Bangalore you stay?
User :   i work at xxxx.
User :   i stay in XXXXXXXX xxxx
Doctor :   ok
Doctor :   Please confirm your details and One of our doctors will get back to you soon with all the relevant details and you can take the healthiest decision
Doctor :   YYYY@YYYY
Mobile : 91-0000
User :   yaa
Doctor :   ok
Doctor :   on which day you probably want appointment
User :   on a saturday
Doctor :   ok
Doctor :   one of oyur doctors will get back to you with all the relevant details
Doctor :   are you there?
User :   yaa
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice. We are available from 9AM to 9PM IST everyday.
Doctor :   ok
User :   i m dere
Doctor :   is there any trhing alse?
User :   no nthg else
User :   i would be waiting fr a call from your side
Doctor :   you will get that sooner
User :   ok
User :   thanks a lot for your help
Doctor :   thank you , bye

User :   it was very nice of you
User :   bye
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