Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
139 Doctors are Online

Hyper-extended wrist, bruised and swollen. Been wearing splint on thumb and using heat. Why is it still bruised?

User rating for this question
Very Good
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3637 Questions
I fell on a hyperextended wrist 5 weeks ago. Bruised and swelled immediately, with significant pain. Scaphoid fracture negative.The ER PA xrayed and splinted. Xray 2 weeks later negative. Have been wearing thumb spika splint, icing and using heat. It is still bruised, swollen and tender--and I can't extend/flex more than 15-20 degrees without pain. I am one of those hyperlimber people; normal flexion/extension at least 90 degrees. Have excruciating pain with certain movements but nothing with other movements. E.g., placing stress on fingernails when wrist is minimally flexed is extremely painful on distal surface of wrist. Had sharp, burning, regular, throbbing pain last night unrelated to movement XXXXXXX in mid wrist (1.5 inches below palmar crease) that lasted a minute or so. OKAY, my question--can't get in to see a specialist for 6 weeks. Should I immobilize or try for more ROM?
Tue, 17 Jul 2012 in Bones, Muscles and Joints
Answered by Dr. Raju A.T 5 hours later

Welcome to XXXXXXX Forum ,

The symptoms you described suggest that there could be ligament injury ( interconnecting fibrous bands between bones ) .

The restriction in the movements with excruciating is due to pain and the swelling caused by the inflammation of the torn ligaments . NSAID's such as Ibuprofen have antiinflammatory action and they can be used for treatment of the pain. You may use Ibuprofen 400mg tablets twice a day after a meal for few days.

Do not force the movements as stretching the ligaments further can lead to more damage and thereby more pain. On the contrary strict immobilization is essential till there is improvement from swelling and pain. Continue with splinting as advised by your doctor. It may take about 6 to 8 weeks for complete recovery and even more if the injury was a severe one.

ROM can be started once the swelling and pain comes down.

Thanks for visiting XXXXXXX com,

I will be available to answer your follow up query if you have any other query.

Take care , bye
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask an Orthopaedic Surgeon

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor