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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Swollen Knuckles On The Hands

Ok so, dont judge, but i punched a wall. Multiple times. I was having a fit of rage. I didn t break the wall but i have this thing where i linger over something for sometimes hours at a time. That happened today. I was in a fight w/ my sister and everytime i played the argument through in my head, id punch the wall at the end. But anyways, my hand is SERIOUSLY swolen. The knuckle on my ring finger on my right hand is where it s really at. The pinky, middle, and ring finger s knuckles on my right hand look like one giant knuckle with slight indents where they should be separated when my hand is in a fist. When my hand is flat, the knuckle on my ring finger is about 2 1/2 times its normal size (judging by my left hand which is perfectly fine) and the sweelling goes down my hand in a pill shape for about one inch after the bottom part of my knuckle. When i touch it it hurts really bad. The knuckle is kinda numb along with part of my middle finger. Their is only really bruising directly on my muscle but it still hurts when i press anywhere near the swelling. I already iced it for a while but the swelling didn t go down much if at all. Is my knuckle broken or just deeply bruised? You re input would be great, thanks!
Thu, 25 Jun 2020
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General Surgeon 's  Response
Hello,

As per my clinical experience, the history of multiple punch over the wall with fist and the narrated symptoms of severe swelling with pain over the knuckles do indicate possible fracture involving one of the digit of the hand.

Though ice and analgesic are primary therapy to be done at home on initial basis, pertaining to the severity of the condition, it is greatly recommended to visit an ER for emergency X-ray hand and further management in accordance to that.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suggest Treatment For Swollen Knuckles On The Hands

Hello, As per my clinical experience, the history of multiple punch over the wall with fist and the narrated symptoms of severe swelling with pain over the knuckles do indicate possible fracture involving one of the digit of the hand. Though ice and analgesic are primary therapy to be done at home on initial basis, pertaining to the severity of the condition, it is greatly recommended to visit an ER for emergency X-ray hand and further management in accordance to that. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon