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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Thumb Pain Post An Accident

Hi Doctor, I fell on my wrist and over stretch it two weeks ago, I ve had it xray ,and they weren t sure if I broke a bone in my hand the one that has its on blood supplier I ve had it in a splint for a week but still having pain mainly around my thumb, going for another xray today what do you think .many thanks.
Tue, 4 Oct 2016
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General & Family Physician 's  Response
Hello,
Thank you for asking at HCM.

I carefully read your question and understand your concern.

If you have fallen on your wrist with an open hand than the bone that is more in danger to be broken is called scaphoid bone which close to the base of the thumb. Xrays are done when we suspect that trauma might have fractured this bone but sometimes Xray does not diagnose fractures the first few days. In these cases, if Xray is normal but still there is a high suspicion of scaphoid bone fracture than an Xray should be repeated in 2 weeks. it is obvious you are doing the correct things. I would recommend you to:
1. Take paracetamol and ibuprofen full dose for pain if you are not allergic to them.
2. elevate the arm and the hand as much as you can to help with edema and pain (you might keep your hand close to your chest to help with pain)
3. do the xray as you are planning, Xrays might show fractures of scaphoid bone late, almost 2 weeks after the fracture
4. try to understand the causes of the fall last time and how you should avoing them in the future so you do not have damages in the future.
5. According to the xray results will be decided on further plan and treatment.

Hope this is helpful to you and answers to your question

Best regards,

Dr Antoneta
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Suggest Treatment For Thumb Pain Post An Accident

Hello, Thank you for asking at HCM. I carefully read your question and understand your concern. If you have fallen on your wrist with an open hand than the bone that is more in danger to be broken is called scaphoid bone which close to the base of the thumb. Xrays are done when we suspect that trauma might have fractured this bone but sometimes Xray does not diagnose fractures the first few days. In these cases, if Xray is normal but still there is a high suspicion of scaphoid bone fracture than an Xray should be repeated in 2 weeks. it is obvious you are doing the correct things. I would recommend you to: 1. Take paracetamol and ibuprofen full dose for pain if you are not allergic to them. 2. elevate the arm and the hand as much as you can to help with edema and pain (you might keep your hand close to your chest to help with pain) 3. do the xray as you are planning, Xrays might show fractures of scaphoid bone late, almost 2 weeks after the fracture 4. try to understand the causes of the fall last time and how you should avoing them in the future so you do not have damages in the future. 5. According to the xray results will be decided on further plan and treatment. Hope this is helpful to you and answers to your question Best regards, Dr Antoneta