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Treatment for swelling and injury while training for a sport - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Environmental and Occupational Hazards
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2570 Questions
User :   I am a pro boxer. I fell backwards two nights ago when I tried to stand up on a pilates ball. I've done it before but the ball somehow got away from me and sent me soaring backward. I broke the fall with my hands, elbows and my rump. I think when I broke my fall I did not hyper extend my wrist since I was thrown back in such a way that my elbow got banged up. When I got up I was a little sore and bruised. I went over and did 10 pull ups and then 10 chin ups to see if I had any serious pain. I noticed the bottom of my right palm was swelling a little as well as my wrist. The swelling was off center to the left (distal side) My palm and wrist had minor pain when I pushed on it - but I could not tell if I merely suffered trauma or more seriously a sprained or broken wrist. I could move my wrist and fingers as well as grip without pain. I decided that I should take the night off. I went back home, took an anti-inflammatory, applied ice and proceeded to read all the horror stories on the internet about wrist injuries. The following morning both the tenderness and swelling subsided but now have black and blue marks on my wrist and forearm. I have not tried bending my wrist back 90 degrees to see if I feel pain - saving that for when I can see a doctor. I just dont want to end up with a chronic problem. I can still type without pain for hours. i have not used a splint. I do not feel pain but I am not really doing anything strenuous with the hand. Tomorrow I will be able to get an x-ray. However, ruling out a break or a fracture - what do i do if it is a sprain? Suppose I cannot get an MRI - at this stage what would you recommend? How long based on my symptoms should I wait to return to training?
Doctor :   Hi
User :   hi
Doctor :   I am Dr.
User :   hi
Doctor :   Let me read the query
User :   Poeple at the gym think it is just trauma -
Doctor :   Thanks for a good description
User :   sure
Doctor :   I have two things to say to you importantly
User :   ok
Doctor :   1) Since you are a pro boxer, any injury leading to chronicity shall hamper your progress, hence seeing a doctor for an examination and Xray shall rule out most of the things that can extend into chronic problem
User :   ok
User :   it seems to feel better everyday
Doctor :   2) Till the time you see a Doctor, I suggest you to splint the area, apply ice as frequently as possible ( 4 to 5 times a day) if swelling persists
User :   it happened friday night
Doctor :   I suggest you not to use the computer keyboard either
User :   ok
Doctor :   This shall absolutely minimise the time it takes to join back your boxing training
User :   given i do not feel pain and swelling is subsiding - what do you think rom description?
User :   tender when i press
User :   but that could be trauma too
Doctor :   Pain, swelling and tenderness constitute a fracture
User :   wow
User :   what about ligament?
Doctor :   However since you have put the icing, the pain and swelling disappered
User :   tendon?
Doctor :   Splinting is necessary for tendon injury and fracture
Doctor :   So since this is common, you have to do it
Doctor :   Tendon, Pain and tenderness features it
User :   based on symtoms is it mild?
Doctor :   I cannot comment on the severity though
Doctor :   The symptoms might mask the internal injury
Doctor :   or otherwise
Doctor :   I hope to be mild injury
User :   so you really cant say with out seeing
Doctor :   Yes
User :   I understand - well lets hope it is just mild then
Doctor :   yes
Doctor :   Since the pain is not coming back it should be mild
User :   quickly - is a splint really necesary?
Doctor :   and the swelling is not coming back, there is no inflammation
Doctor :   yes
User :   ok
Doctor :   You cannot join back atleast for a week or two
User :   ok
User :   thank you
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