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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Metacarpals After Punching Wall. No Swelling, Bruising. Any Home Treatments?

I punched a wall and have been having pain in the first 3 metacarpals. There is no swelling or bruising, but I think it might be a boxers fracture. I can make a fist and fully extend my fingers, but there is quite a bit of pain when trying to pick something up with the hand on the first 3 metacarpals closer to the wrist. Seeing a doctor is my last resort, are there any home tests and treatments I can do?
Wed, 18 Sep 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

Based on the description, I suspect that you could have suffered a soft tissue contusion.

An xray is mandatory to rule out any bony injury.

The general treatment guidelines are as follows

* Rest to the injured part and don’t involve in activities which puts additional strain on the injured tissues.
* Ice packing should be applied for about 20 minutes once in every 2 hours.
* Elevation of the limb with active finger movements
* Analgesic & anti inflammatory medications like Advil or Aleve as needed
* Local application of painkiller gel with Gentle massage is also helpful

If your symptoms are not improving, consult an orthopedic surgeon for further management.

Hope this information is helpful. Good day

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Rheumatologist Dr. Dr. Shruti Rijhwani's  Response
Dear sir,

I will advise you to see a doctor and get x ray of hand done to look for the presence of fractures. Dont ingnore otherwise malunion may occur.

Dr. Shruti
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Ayurveda Specialist Dr. Sharmila Bura's  Response
Hello, Thanks for posting to hcm, X-Ray is madantory to rule out of fracture in bone . Ice packing should be applied for about 20 minutes once in every 2 hours.
Elevation of the limb with active finger movements
Regards.
Dr.sharmila
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Pain In Metacarpals After Punching Wall. No Swelling, Bruising. Any Home Treatments?

Hi, thanks for writing to HCM. Based on the description, I suspect that you could have suffered a soft tissue contusion. An xray is mandatory to rule out any bony injury. The general treatment guidelines are as follows * Rest to the injured part and don’t involve in activities which puts additional strain on the injured tissues. * Ice packing should be applied for about 20 minutes once in every 2 hours. * Elevation of the limb with active finger movements * Analgesic & anti inflammatory medications like Advil or Aleve as needed * Local application of painkiller gel with Gentle massage is also helpful If your symptoms are not improving, consult an orthopedic surgeon for further management. Hope this information is helpful. Good day