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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Swollen And Painful Knuckle

I hit my knuckle about 3 weeks ago on a metal bin that I was hammering at full force. It was immediately swollen, which I assume is normal after an injury like that. My problem is, that 3 weeks later its still just as swollen and, almost at random it will flare up and hurt again at what I would say is a 5 or 6 in pain for a couple of hours. When I lay it flat it is almost as if its just the skin flap has gotten bigger or something, and its my pointer finger, right hand , middle knuckle. What could be the cause of this?
Thu, 23 Jul 2015
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General & Family Physician 's  Response
Hello,
I understand the pain you have been facing.
Usually pain and swelling subsides within two to three weeks after an injury.
I would suggest an xray hand AP and oblique views to rule out any fractures.
Slightly elevate your hand so that gravity doesnt act ,you can keep your hand on chest during sleep.
I would suggest anti inflammatory drugs like aceclofenac and paracetamol( tab hyfenac P) and tab chymoral forte for five days to be taken with food. This should be helpful to you.
Local painkiller patches of diclofenac can also be applied at the site of pain.
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Suggest Treatment For Swollen And Painful Knuckle

Hello, I understand the pain you have been facing. Usually pain and swelling subsides within two to three weeks after an injury. I would suggest an xray hand AP and oblique views to rule out any fractures. Slightly elevate your hand so that gravity doesnt act ,you can keep your hand on chest during sleep. I would suggest anti inflammatory drugs like aceclofenac and paracetamol( tab hyfenac P) and tab chymoral forte for five days to be taken with food. This should be helpful to you. Local painkiller patches of diclofenac can also be applied at the site of pain.