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Bent fingers backwards. Hand swollen. Unable to make strong fist, clench hand. Palm black, blue. Suggestions?

last night i bent my index and middle finger backwards really bad. woke up the next morning and my hand is swollen. i iced it the night before but it hurts now. i cannot make a strong fist nor clench my hand. my palm is a little black and blue and swollen. it is sore when i poke my palm beneath my index and middle finger.
Asked On : Thu, 28 Mar 2013
Answers:  2 Views:  441
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Diseases and Conditions
Orthopaedic Surgeon, Joint Replacement 's  Response
Jul 2013
Hi, thanks for writing to HCM.

It looks from the description that you have soft tissue contusion along with hematoma (blood clot) formation.

An xray is necessary to ruleout a fracture.

The initial management of your problem is as follows -
* protection to the finger in the form of splintage
* Rest to the injured part and dont involve in activities which puts additional strain on the injured tissues.
* Ice packing should be applied for about 20 minutes once in every 2 hours.
* Elevation of the limb
* Analgesic & anti inflammatory medications

If your symptoms fail to resolve within few days, consult an orthosurgeon

Hope this information is helpful. Good day
Answered: Fri, 19 Jul 2013
I find this answer helpful
General & Family Physician Dr. Michelle Gibson James's  Response
Hi, thanks for using healthcare magic

The pain and swelling would be related to the soft tissue injury to the muscles and tendons in the hand.
Icing it would definitely be helpful.This should be done 3 to 4 times a day for 10 to 15 minutes

In addition you may want to consider the following: (1) resting the area as much as possible
(2) compression bandage to reduce the swelling, it may also help with the pain
(3)elevate the hand ,this would also help with the swelling that you are experiencing
(4)anti inflammatory pain killers such as aspirin, ibuprofen, diclofenac, meloxicam or celebrex .This would help with pain relief and also aid in reducing the swelling

If your symptoms do not improve in 24 to 48 hours or worsen , then you should consider visiting your doctor for an assessment.

I hope this helps
Answered: Fri, 19 Jul 2013
I find this answer helpful
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