[24F] Experiencing hand pain and neurological symptoms following injury

Patient Description

A 24-year-old female presents with pain, swelling, and neurological symptoms in her right hand following an impact injury with a metal chair yesterday. The patient describes the pain as sharp, particularly around the knuckle of the index finger, with a severity rating of 7-9 out of 10. The affected area exhibits significant swelling, extending to more than half of the hand, and is blue and purple in color, indicative of deep bruising. The patient reports the pain is exacerbated by laying down and movement, and it is affecting her ability to sleep. Additionally, numbness and a tingling sensation akin to pins and needles are present in the index finger and thumb. The patient has no known pre-existing conditions, chronic illnesses, or family history of bone diseases or clotting disorders. She also reports allergies to Benadryl and Zithromax, which cause hives, and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, you likely have a hand contusion, which is a bruise that occurs when small blood vessels are damaged. This is consistent with your symptoms of pain, swelling, bruising, and limited motion in your hand, particularly around your index finger knuckle.

The numbness and tingling you're experiencing in your index finger and thumb could be due to the swelling putting pressure on the nerves in your hand.

What you can do

Here are some steps you can take to help manage your symptoms:

  1. Rest your hand and avoid activities that cause pain.
  2. Apply ice to your hand for 15-20 minutes every 2-3 hours for the first 24-48 hours. This can 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 relievers, such as acetaminophen (Tylenol), can help with pain. However, avoid nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil) and naproxen (Aleve) for the first 24 hours after the injury, as they can increase the risk of bleeding.
  5. Once the swelling has gone down, gentle exercises can help restore movement and strength in your hand.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Increased pain, swelling, or bruising
  • Numbness or tingling that gets worse
  • Difficulty moving your hand or fingers
  • Signs of infection, such as redness, warmth, or pus

Remember, I'm an AI and this advice is based on the information you've provided. It's always a good idea to consult with a healthcare professional for a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


What causes numbness and tingling in the fingers after an injury?

Numbness and tingling in the fingers after an injury can be caused by swelling that puts pressure on the nerves in the hand. This is often temporary and should improve as the swelling decreases.


How can I reduce swelling in my hand after an impact injury?

To reduce swelling in your hand after an impact injury, you can apply ice for 15-20 minutes every 2-3 hours, keep your hand elevated above heart level, and rest the hand to avoid further irritation.


When should I seek medical attention for a hand injury?

You should seek medical attention if you experience increased pain, swelling, or bruising, worsening numbness or tingling, difficulty moving your hand or fingers, or signs of infection such as redness, warmth, or pus.


Are there any medications I should avoid after a hand injury?

After a hand injury, it's advisable to avoid nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and naproxen for the first 24 hours, as they can increase the risk of bleeding. Instead, consider using acetaminophen for pain relief.


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