[23F] Experiencing hand pain after injury

Patient Description

A 23-year-old female reports pain in her hand extending from the pinky finger to the wrist, which began after pulling her pinky finger back. The pain has persisted for 3 days and is alleviated by not using the affected hand. The patient does not report any other symptoms and has no significant past medical history. She has an allergy to antibiotics and is currently taking birth control. No other medications or chronic illnesses were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Sprained Finger: This occurs when the ligaments that connect and support your bones are stretched or torn. This can happen when you pull or twist your finger in an awkward way, like you described.

    • Treatment typically involves rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers may also help with pain and swelling.
  • Tendonitis: This is inflammation or irritation of a tendon, the thick fibrous cords that attach muscle to bone. It can cause pain and tenderness near a joint.

    • Treatment typically involves rest, ice, and over-the-counter pain relievers. Physical therapy may also be recommended.
  • Fracture: A break or crack in a bone. It's possible to fracture a bone in your hand or fingers.

    • Treatment typically involves immobilization with a cast or splint, and sometimes surgery is necessary.

Please note that these are just possibilities and not a definitive diagnosis. You should seek care from a healthcare professional to receive a formal diagnosis and treatment if appropriate.

What you can do

  1. Rest your hand and avoid activities that cause pain.
  2. Apply ice to the painful area for 15-20 minutes every 2-3 hours for the first 24-72 hours.
  3. Elevate your hand to help reduce swelling.
  4. Take over-the-counter pain relievers like ibuprofen or acetaminophen, if you're not allergic, to help with pain and inflammation.

What you should look out for

You should seek immediate medical attention if:

  • The pain is severe or gets worse over time.
  • You can't move your hand or fingers.
  • Your hand or fingers are numb.
  • You see a deformity in your hand or fingers.
  • You have persistent swelling or redness.
  • You have signs of infection, such as warmth, redness, or pus.

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1 yr ago

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People Also Ask


What are the common symptoms of a sprained finger?

Common symptoms of a sprained finger include pain, swelling, bruising, and difficulty moving the finger. The pain usually occurs immediately after the injury.


How can I differentiate between tendonitis and a fracture in my hand?

Tendonitis typically presents with pain and tenderness near a joint, especially when moving the affected area. A fracture may cause severe pain, swelling, bruising, and sometimes a visible deformity. An X-ray is often needed to confirm a fracture.


What are the recommended home treatments for hand pain due to injury?

Home treatments for hand pain due to injury include resting the hand, applying ice to reduce swelling, elevating the hand, and taking over-the-counter pain relievers like ibuprofen or acetaminophen if not allergic.


When should I seek medical attention for hand pain?

You should seek medical attention if the pain is severe or worsening, if you cannot move your hand or fingers, if there is numbness, visible deformity, persistent swelling, redness, or signs of infection such as warmth or pus.


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