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How to treat painful knuckle fingers after punching a wall?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

A couple of days ago, I punched a brick wall. After the punch, I felt a very sharp pain in my entire hand, like a throbbing pain. About 30 minutes after, my hand was still hurting and when I would try to make a fist, my pinky and ring finger would not go all the way. My pinky also felt very numb. I could not feel it. Now my pinky and ring finger knuckles are badly bruised and swollen. I can make a fist and move my hand but it hurts. Every time I try to make a fist, it feels like a huge amount of pressure is being put on my pinky and ring finger knuckles. It also hurts a lot when I touch them to the point where I cannot touch them. Finally, I have pierced skin around and on the bruise. I am simply not sure if I have bruised the knuckle or if it is something else. So would it be worth going to see a doctor?
Answered by Dr. Gaurav Pandey

Education:

MBBS

Professional Bio:

Dr. Gaurav Pandey is an Emergency and Critical Care Physician with expertise in managing acute medical emergencies and critically ill patients. His skills include advanced life support, trauma care, resuscitation, ventilator management, sepsis management, and stabilization of patients in emergency and intensive care settings. He is also proficient in coordinating multidisciplinary care, performing emergency procedures, and making rapid, evidence-based clinical decisions to improve patient outcomes in critical situations.

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Hello,

Welcome to icliniq.com.

Sorry to hear about your hand. I think the bruise you mentioned could be because of any bony injury or just soft tissue injury. But it would be worth to get an x-ray of the hand to rule out a fracture. The mechanism of injury you mentioned might cause something called boxers fracture (fifth metacarpal fracture). If x-ray comes out clear then you would just need to ice your hand and keep it elevated when you go to sleep by using a pillow. Also, use regular pain killers. If it is broken then it needs to be looked at by a hand surgeon.

Medically reviewed by Dr. Vinodhini J.
Published At April 3, 2020
Reviewed At April 18, 2024

Education:

MBBS

Professional Bio:

Dr. Gaurav Pandey is an Emergency and Critical Care Physician with expertise in managing acute medical emergencies and critically ill patients. His skills include advanced life support, trauma care, resuscitation, ventilator management, sepsis management, and stabilization of patients in emergency and intensive care settings. He is also proficient in coordinating multidisciplinary care, performing emergency procedures, and making rapid, evidence-based clinical decisions to improve patient outcomes in critical situations.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Dr. Gaurav Pandey

Internal Medicine

Education:

MBBS

Professional Bio:

Dr. Gaurav Pandey is an Emergency and Critical Care Physician with expertise in managing acute medical emergencies and critically ill patients. His skills include advanced life support, trauma care, resuscitation, ventilator management, sepsis management, and stabilization of patients in emergency and intensive care settings. He is also proficient in coordinating multidisciplinary care, performing emergency procedures, and making rapid, evidence-based clinical decisions to improve patient outcomes in critical situations.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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