[20F] With hand pain, swelling, and bruising post injury

What might be happening

Based on the information you've provided, you may have:

• Boxer's Fracture: This is a fracture that occurs in the metacarpal bones of the hand (the bones that connect the wrist to the fingers), typically as a result of punching a hard object. The symptoms can include pain, swelling, and bruising, as well as difficulty moving the affected fingers.

  • Treatment typically involves immobilizing the hand with a cast or splint to allow the bones to heal. In some cases, surgery may be required.

• Hand Contusion or Bruise: This is caused by an impact to the hand that damages the blood vessels under the skin, leading to pain, swelling, and discoloration but does not break the skin or bones.

  • Treatment usually involves rest, ice, compression, and elevation (RICE). Over-the-counter pain medication may also be helpful.

• Sprain or Strain: These are injuries to the ligaments (sprain) or muscles/tendons (strain) in the hand, often caused by a sudden impact or twisting motion.

  • Treatment typically involves rest, ice, compression, and elevation (RICE), as well as over-the-counter pain medication.

What you can do

1. Rest your hand and avoid any activities that cause pain.
2. Apply ice to your hand for 15-20 minutes every 2-3 hours to help reduce swelling and pain.
3. Elevate your hand above the level of your heart as much as possible to help reduce swelling.
4. Over-the-counter pain medication, such as ibuprofen, can help reduce pain and inflammation.

What you should look out for

Please seek immediate medical attention if:

• Your pain or swelling significantly increases
• You develop a fever
• You notice a deformity in your hand or fingers
• You are unable to move your fingers

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.