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Suggest Treatment For Hematoma And Fracture

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Posted on Thu, 29 Jan 2015
Question: Hematoma on L ring finger knuckle from punching wall 12/23.
12/25 went to ER for xrays. No brake or fracture.
Went to work this week (nanny for 13mo twins).
Pain has gotten worse. Tingly feeling. Went back to ER yesterday 12/31. Xrays taken. Dr saw no sign of fracture/brake. I am left handed and very concerned. I can not close my L hand to make a fist. I've tried everything and I'm only seeing it getting worse pain wise. Should I be at work? My job is above table. What should I do? I need another opinion.
doctor
Answered by Dr. Dr. Erion Spaho (1 hour later)
Brief Answer:
Your hand needs rest.

Detailed Answer:
Hi, I had gone through your question and understand your concerns.

X-rays show only bone structures. If there is no fracture, then cause of your symptoms may be soft tissues damage ( hand muscles, tendons, nerves and blood vessels), or pressure by hematoma.

I agree with treatment given to you, in addition I suggest a period of rest for your hand, maybe a suitable hand brace or support.

You should wait for about another two weeks in order to blood being absorbed.

If your symptoms persist after hematoma is gone, then I suggest you to discuss with your treating Doctor possibility of hand MRI to assess any possible serious soft tissue damage.

Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Note: For further follow-up it is advisable to consult an emergency medicine specialist. Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4493 Questions

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Suggest Treatment For Hematoma And Fracture

Brief Answer: Your hand needs rest. Detailed Answer: Hi, I had gone through your question and understand your concerns. X-rays show only bone structures. If there is no fracture, then cause of your symptoms may be soft tissues damage ( hand muscles, tendons, nerves and blood vessels), or pressure by hematoma. I agree with treatment given to you, in addition I suggest a period of rest for your hand, maybe a suitable hand brace or support. You should wait for about another two weeks in order to blood being absorbed. If your symptoms persist after hematoma is gone, then I suggest you to discuss with your treating Doctor possibility of hand MRI to assess any possible serious soft tissue damage. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.