
Suggest Treatment For Pain In The Index Finger Post An Accident

Conservative management with good physiotherapy
Detailed Answer:
Hi XXXXXXX
Thanks for the query
I have read your query and reviewed the Xray film.
Does she have any swelling over the finger?
Is she able to do any finger movements?
There appears to be a bony injury near the finger joint which is the reason for the finger deformity.
It would be helpful if you could tell me the nature of the surgery that her Doctor has planned for her.
This injury may not require surgery in my opinion although every Surgeon has different decisions making according to experience. I would go for conservative management with a finger extension splint followed by physiotherapy.
In my opinion, conservative or surgical treatment done should be followed by aggressive physiotherapy to prevent finger stiffness. This is the main point to be noted. Usually such injuries heal within 4 to 6 weeks but need good physiotherapy to bring back the joint range of motion.
I hope I have answered your query.
I will be available to answer your follow up queries.
Regards,
Dr. Aashish Raghu


Manipal Hospital. Physiotherapy during the day, splint at night
Detailed Answer:
Hi XXXXXXX
Thanks for the reply
Can you tell me when she sustained the injury?
The finger extension splint should be worn throughout the night and physiotherapy and associated exercises done during the day.
You can visit the Physiotherapy department in Manipal Hospital in Old Airport Road, Bengaluru. They have a dedicated team of Physiotherapists who will help in quick recovery.
She needs to apply the finger splint over the finger and put a snugly fitting tape around it to keep it in place around the finger at night.
It is natural for the finger to pain during flexion but that's the only hard part of physiotherapy. This is the only way to prevent finger joint stiffness so that she can echoey near normal finger function henceforth.


She met with an accident 2 months ago and is undergoing physiotherapy at Al ameen hospital daily.
Motivation required for recovery. Medication can be taken.
Detailed Answer:
She can apply it herself but if she isn't able to then she can ask her Physiotherapist or Doctor at HOSMAT.
The pain and swelling will be there because the joint has become tight. So physiotherapy helps to loosen out the joint so that she can straighten it nicely soon.
The more motivated she is at performing physiotherapy without bothering much about the pain, she will be able to gain near normal to normal function soon.
She can take Tablet Chymoral forte DS before meal, which is an over the counter medication, twice a day for 5 days to relieve the pain and swelling.


Avoid excessive attempt to correct the deformity
Detailed Answer:
Avoid excessive and aggressive physiotherapy. Even the finger extension splint can be avoided if it is painful to apply and maintain.
These can lead to excessive correction attempt of the deformity and can cause pain and swelling.
She can give it some rest and avoid and excessive movements or lifting any weight. A painkiller (eg. Paracetamol) can help.
Regards

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