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Soreness on finger, popping of knuckles, bruises under finger joint. No improvement with painkillers. Remedy?

I play american football and caught a badly thrown pass, my finger was sore (not unsual for the sport) i was rubbing the first knukle on the middle finger and heard it pop. since then it has swollen with a red bruise down one side and a red/purple bruise under the finger joint . I have take ibuprofen and paracetamol for releif but my range of motion is quite low for the finger...
Asked On : Thu, 25 Oct 2012
Answers:  2 Views:  5616
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Orthopaedic Surgeon, Joint Replacement 's  Response
Feb 2014

Thanks for posting your query.

It might be soft tissue injury. ligament injury or fracture.

Without X-ray, it is difficult to differentiate a fracture from others. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance.

In the interim, ice the affected area and take anti-inflammatory drug to reduce pain and inflammation. Avoid lifting and rest well.

Answered: Thu, 25 Oct 2012
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Dentist Dr. Neha Gupta's  Response
Thanks for posting your query.

It takes awhile for a bruised bone to heal..weeks to heel.

Sprained fingers are extremely common in ball sports such as basketball or netball and frequently occur due to a specific incident such as a hyperextension force (backward bending of the finger) or a sideways force.

Knuckle swelling may occur when blood or lymphatic vessels are obstructed due to severe injury or infection. In the presence of extreme trauma, the vessels are damaged directly, or the swelling of surrounding tissues impedes circulation.

Most patients with a sprained finger make a good recovery with appropriate physiotherapy. One of the key components of treatment is that the patient rests sufficiently from ANY activity that increases their pain until they are symptom free.

Protective brace is often required for a period of time to stabilize the joint and protect it from further damage.

Treatment of a finger sprain in the first 48 – 72 hours is vital to reduce bleeding, swelling and inflammation. This should involve following the R.I.C.E regime which comprises of rest from aggravating activities, regular icing, the use of a compression bandage and elevation of the affected limb.

Anti-inflammatory medication may also be useful in this initial phase of injury and can hasten the healing process by reducing the pain and swelling associated with inflammation.

Hope I have answered your query.

Wishing you good health.
Answered: Fri, 26 Oct 2012
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