Doctor insights on:
Puncture Wound In Hand
Puncture wound in hand from knife. Index finger will not bend. Have hand in splint. What else should I do?
Medical Attention: Seek medical attention as soon as possible (do not delay). Based on your description, you may have a tendon injury. The wound will need to be cleaned; tetanus status checked… Best wishes. ...Read more
Need more info: Thorns, particularly rose thorns may transmit a rare form of infection, but what you are describing sounds like you may have had minor bleeding with secondary discoloration around the wound. If it does not swell up, become red and tender, or develop soft tissue nodules spreading upwards, do not worry. ...Read more
Depends on...: Lots of different things, most of which can only be defined when you are examined by a knowledgeable physician. You need to make sure your tetanus immunization status is up-to-date. It needs to be determined whether or not there is evidence of damage to tendons, nerves, blood vessels or joints. If you feel it is not healing normally, see a hand surgeon. ...Read more
I was bitten by a dog and sufferred some puncture wounds and a broken hand. The doctor prescribed amoxicillin. Its rwo days later and the swelling h?
Infection?: Even with antibiotics, infections can occur. If the swelling is increasing, especially if it is associated with increasing pain and redness, you should get checked again. ...Read more
Observation: Unfortunately, puncture wounds tend to close vary rapidly so soap, water and topical treatments are essentially worthless. The problem is that the puncture pushes foreign material deep into the tissues and so not much can be done unless the problem materializes additional trauma from cleansing may worsen things. Make sure tetanus is ok and then watch carefully. Get to a doc for increased pain. ...Read more
Seek med attention: This could be the type of wound that might be prone to infection. If your tetanus status is not up to date, this should also be considered. Seek medical attention to prevent problems. ...Read more
My mom has a bad puncture wound and she says she cut her self to the bone. She has had numbness in her whole hand and I don't know what to do?
Hand Injury: A puncture wound of the hand with numbness is an indication of a nerve injury. A nerve injury will not heal without proper treatment. Your mom needs to see a hand surgeon as soon as possible. ...Read more
Have it evaluated: Such injuries can potentially be dangerous as one may develop tetanus, or a number of other types of deep infections. If the wound was deep enough they may lead to bone infections. Have the wound properly evaluated and treated to avoid preventable complications. ...Read more
I got bit by my friends yorkie. One puncture wound on top of myhand near thumb. Can't move my thumb without it hurting. Did it hit something serious?
With animal bites on the hand, one always has to rule out an infection. While it is possible that you may have an injury to a tendon, the more worrisome thing would be if an infection was present. Pain, swelling and redness on the thumb would be concerning signs. If these are not present then you are likely only dealing with trauma to a tendon.
Hope this helps. ...Read more
I stepped on a nail and have a puncture wound. Tetanus is good and I cleaned it. Any way to speed healing? I am training for a physical event...
Punctured wound: Development of an infection is greatest concern and will depend on how deep the nail got. If shallow, rate of infection should be almost minimal. If deep, surface cleaning make not be enough to prevent bacterial infection. Close observation of the wound for redness, pain and tenderness is prudent and if present later, have your physician prescribe antibiotics. If there is pus, have md do a culture. ...Read more
Yes: Check up on your tetanus status. See your pmd. ...Read more
Did it cut the nerve: If so go see hand surgeon asap. ...Read more
I have a puncture wound from a rusty nail and can't remember when my last tetanus shot was. It has been very well cleaned. Advice?
Depends: Today it is common for OBGYNs to recommend the TdaP vaccine during pregnancy, but people remember it more for the pertussis part. If you had one with a pregnancy within the past 10 yrs you may be okay, if not the vaccine is a reasonable precaution and would give you protection now & for a while. ...Read more
Very darkly discolored finger nail from puncture wound between nail & cuticle. Will I lose nail? How to protect finger tip til nail regrows?
Nail bruising: After trauma to nail, it one can get a pooling of blood under the nail (subungual hematoma) which gives the nail a purple/maroon discoloration. If injury is recent and there is pain, please see dermatologist right away. It may be necessary to drain the blood from under nail. Whether nail will be lost depends on how much trauma and how much blood presses on junction between nail plate and bed. ...Read more
What is the best method (diet or therapy) to heal nerve damage from a puncture wound in my wrist?
Why didn't my nail puncture wound bleed? It was a rusty nail and went deep into the foot through my shoe - last tetanus 3 years ago?
Tried to dig out hang nail on big toe, made deep puncture wound : (2 days later, swollen, red, pus, PAINFUL, radiates, throbbing, can't walk. Go to ER?
Dr??: Better to see a Dr if you can. ER otherwise. ...Read more
Go to doctor!: Fever, pus from the puncture wound, swelling/redness that's worsening, pain that is unusual or out of proportion, bleeding, . ..If in doubt, call your doctor. These symptoms may mean your infection is getting worse, and may require surgical debrided net or IV antibiotics. ...Read more
Superfast healing: The good news is that area has fantastic blood supply and so healing will occur rapidly. Inflammation (red, hot, tender swelling) is the body increasing the blood flow to the injury to bring healing factors to the area and also the veins expand to carry bad stuff away. Dressings and ointments are of no value there. Avoid further trauma to the area and let nature take it's course. ...Read more
Depends on cause: Cause is important. Site must be examined carefully for foreign materials, cleaned very thoroughly, any dead tissue removed from the full depth of the wound. Best to see physician due to risks of infection and problems. Immediately do your best to clean, rinse, perhaps use peroxide (dilute to 1/2 strgth), cover with antibiotic ointment and dressing and see your doctor. ...Read more
Puncture wound foot: Wash the area with warm, soapy water; cover with bandage; go to doc/er for definitive treatment. If cause of puncture was dirty/rusty & you haven't had tetanus booster within 10 years, you will receive one (unless allergic to it) probably as a dapt (includes booster for diphtheria & pertussis). Probably will receive antibiotics since punctures prone to infection. ...Read more
Puncture wound arm: Tx similar for all puncture wounds: cleanse with soap & water; remove foreign bodies; apply sterile dressing. Provide antibiotics if appropriate. Update tetanus prophylaxis if indicated. Wound checks to monitor progress. If foreign body present, may need xray to determine extent of penetration/damage to vital structures. ...Read more
Puncture Wound Rx: As with all puncture wounds, immediate treatment with aggressive cleansing and disinfecting is the key. Any external dirt, particles, or objects must be removed. If bleeding is controlled, then a clean gauze dressing, changed every 2 days is sufficient. Watch for signs of bacterial infection with redness, more swelling, and drainage usually on the 2nd or 3rd day. This requires antibiotics. ...Read more
Barefeet: And improper shoe gear in an environment with objects that can puncture the foot and even the shoe gear puts someone at higher risk. ...Read more
Lip Puncture Wound: Get it evaluated in an er or urgent care. History and physical are required to assess for deep structure involvement, retention of foreign bodies, possible neurovascular damage, possible radiologic evaluation, updating tetanus status, etc. No other treatment may be required. ...Read more
Exactly: It means he has an injury that caused a hole in his lip. Usually caused by a sharp pointy object (like a tooth), or something that stabbed him, like a pin or knife. ...Read more
See a doctor: Make sure your tetanus booster is up to date, and seeing a doctor can make sure it can heal without having a deep infection develop. ...Read more
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