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Hi! I'm 29/m. About 3 months ago, I was playing a


Sent to Health Experts September 23, 2007 11:22 p.m.

Hi! I'm 29/m. About 3 months ago, I was playing a drunken game of Hot Hands with a friend of mine. It's where I put my hands together in a prayer position, and he tries to slap them with his hands before I dodge them. Anyways, the next day, I woke up and the back of my left hand was well bruised. The bruise was mostly around my index finger knuckle to my wrist...where he made the most contact. When I tried to type at work, I noticed my index finger felt pretty stiff, but I just blamed that on the bruising. It's been 3 months now, and the bruise itself has been gone for about 2 and a half months. My hand looks normal, but it doesn't feel normal. Although the stiffness has gotten better, it's still not as fluid as it used to be. And sometimes, I'll get this mild, deep throbbing in my knuckle joint. It's mild, but I can still feel it...like an aching feeling; not a sharp pain at all. My question is: how long will it be until it's back to normal? Should I be wearing a splint after 3 months

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Male, Age: 29, California

Already Tried:
nothing. I tried using heat for a few days...but it didn't change anything. I tried laying off lifting weights...but nothing changed. Other than that, I haven't splinted (I just think it's too late).
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Answer
September 23, 2007 11:46 p.m. (23 minutes and 30 seconds later)
ACCEPTED Check Mark

Mike,

Greetings.

You are right. Splints are of no use now. But at your age, this slight stiffness needs answer. Normally it should return back to normal within 7-10 days.

There are few thing which you can do. First thing is to start an anti-inflammatory analgesic. Basic idea is that thy reduce the tissue edema. Motrin 400 mg twice a day with main meals for 5-7 days would be ideal. You would say there is no pain. But the indication of prescribing here is to stimulate production of kallikreins in your body.

Second thing is to do some exercises. You have to very gentle and kids' moulding clay is the best thing for finger joint exercises. Although a help with a physical therapist would have been ideal.

Heat do help and a paraffin wax bath can do wonders, but it is only available in a physical therapy center. So you can keep warm compresses or put the hands in warm water twice a day.

All of these measures, if don't help you, you need to go to a rheumatologist. Ideal would be to get investigated for some arthralgias.

Hope this helps. Please feel free, if you have questions.



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Sent September 23, 2007 11:57 p.m. (11 minutes and 20 seconds later)

Okay. So, am I not allowed to do anymore weight lifting for now? And also, do I need to stay off the guitar and piano? How 'bout typing? And how long do I do this treatment before I'm sure it's not working? Also, am I allowed to follow up with you on this, or do I need to pay again?
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Sent September 24, 2007 12:48 a.m. (50 minutes and 31 seconds later)

Sorry, one more thing: How long should I put my hands in warm water. And how long should I do finger exercises?
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September 24, 2007 4:52 a.m. (4 hours and 4 minutes later)

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PictureDr. Arun Phophalia  -- Doctor (MD) -- 99% Positive Feedback on 2158 Health Accepts
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Sent October 03, 2007 12:20 p.m. (9 days and 7 hours later)

Would doing finger exercises that use the exercises on the back of my hand be beneficial as well? In other words, exercises that open my hand, instead of closing it. I think maybe my left hand is more vulnerable to injury since I've played guitar for half my life.
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October 04, 2007 7:54 a.m. (19 hours and 33 minutes later)

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PictureDr. Arun Phophalia  -- Doctor (MD) -- 99% Positive Feedback on 2158 Health Accepts
MBBS, MS (General Surgery), Post-doctoral Fellowship in Sports Medicine
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Sent October 08, 2007 4:55 p.m. (4 days and 9 hours later)

I'm pretty sure I'm getting better. The stiffness is much, much better (although not quite 100% yet), and I haven't felt the deep throbbing for quite awhile now.

I haven't really played my instruments, or lifted weights during this time. I'm hoping that the relief I feel in my hands isn't just because I'm not working them like I used to. I'm hoping that once I start lifting and playing my instruments again, it won't flair up and become stiff and throbbing again.

For now, I'm continuing to take the Motrin and do the hand exercises.
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October 08, 2007 11:41 p.m. (6 hours and 45 minutes later)

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PictureDr. Arun Phophalia  -- Doctor (MD) -- 99% Positive Feedback on 2158 Health Accepts
MBBS, MS (General Surgery), Post-doctoral Fellowship in Sports Medicine
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Sent October 09, 2007 11:40 a.m. (11 hours and 59 minutes later)

Do I still need to stay off of weight lifting? If not weights, how about a few simple exercises (i.e. pull-ups, push-ups, etc.)
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October 09, 2007 11:20 p.m. (11 hours and 39 minutes later)

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PictureDr. Arun Phophalia  -- Doctor (MD) -- 99% Positive Feedback on 2158 Health Accepts
MBBS, MS (General Surgery), Post-doctoral Fellowship in Sports Medicine

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