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Doctor insights on: Thumb Spica

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In thumb spica splint for suspected scaphoid fracture. Pain in entire thumb area while in splint normal?

In thumb spica splint for suspected scaphoid fracture. Pain in entire thumb area while in splint normal?

Yes and no: If the thumb is swollen then the cast may become too tight, yes, if there is no swelling have the cast rechecked, it may need to be redone. In the meantime elevate your hand above your heart for 15-20 minutes to see if that reduces the pain/swelling and call your dr. ...Read more

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Metacarpal spiral fracture -- cast or splint?

Metacarpal spiral fracture -- cast or splint?

Either one ma y be: Used. If the fracture is felt to be potentially unstable a cast may be more likley selected if it is felt that the full time presence of that cast vs. The tendency to remove a splint make a difference . The issue with spiral fractures is to check rotation by genty making a fist to make sure the finger is not rotated and needing of a reduction or surgery ( internal fixation ). ...Read more

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Will thumb/wrist fractures always casted?

Will thumb/wrist fractures always casted?

Usually: Casts can't be removed. A reliable patient can sometimes be treated with a removable brace. ...Read more

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Stiff jammed finger avulsion fracture 2 months?

Stiff jammed finger avulsion fracture 2 months?

Follow up: While an avulsion fracture usually heals well on its own with time, if you are still having stiffness two months out, you need to follow up with a hand specialist or orthopedic surgeon for evaluation. Waiting too much longer may prevent anything more from being done to increase your motion. ...Read more

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Finger splint for deformation for fingers?

Finger splint for deformation for fingers?

Possibly: There are some deformities of the fingers that we do use splints for. I would not hesitate to see a hand specialist to discuss the specifics of your case. ...Read more

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Can your left pinky ulnar styloid fracture cause middle finger trigger digit?

Can your left pinky ulnar styloid fracture cause middle finger trigger digit?

No the ulnar styloid: Is not directly connected there but if the hand is very swollen froma fracture and the trigger finger was waiting for a reason to become more symptomatioc then the swelling in the hadn could be the tipping point. But a direct cause...Unlikley. Causlality is a tricky issue as we often attribute one problem to another temporally, but you might as well blame a trigger finger on a thunderstorm. ...Read more

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Numb thumb forearm and oainful shoulder?

Numb thumb forearm and oainful shoulder?

Nerve compression: My first concern would be a disk in your neck compressing nerve roots, specificantly c5-c6 but there are other things even carpal tunnel or a strain of the biceps tendon in the shoulder. Of course the shoulder and thumb could be completely unrelated. Check with a physical medicine and rehabilitation specialist. ...Read more

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Thumb pain after luna bone fracture?

Thumb pain after luna bone fracture?

possibly referred: The lunate bone is not far from the base of the thumb, and so it is possible that your pain is a referred pain from the lunate fracture. Another possibility is that in addition to the lunate fracture, you have also sustained a bone or ligamentous injury to the thumb itself. Thank you. ...Read more

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Broke wrist cast off play football?

Broke wrist cast off play football?

Fx's heal in 6-10 wk: Most fractures treated in a cast, whether fixed by surgery or not, take between 6 and 10 weeks to heal. After a brief period of rehabilitation out of the cast, normal activities can soon resume. Your treating orthopaedic surgeon will no best in your specific case when contact sports such as football can safely resume. ...Read more

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Jammed thumb some pain stiffness and swelling at joint between first metacarpal and bottom of thumb?

Jammed thumb some pain stiffness and swelling at joint between first metacarpal and bottom of thumb?

See below: Would recommend that an x-ray be done to rule out a fracture that might require more specific care than the riice mnemonic (rest, ice, ibuprofen, compression and elevation). ...Read more

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Tingling thumb, index, middle finger and hand. Due to tunnel?

Tingling thumb, index, middle finger and hand. Due to tunnel?

Possibly: The distribution of the sensation does match that seen in carpal tunnel- a neurologist can help confirm the diagnosis and recommend treatment, such as a wrist splint, to control your symptoms and prevent progression. ...Read more

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Golfer friend jammed thumb while playing golf, best treatment?

Golfer friend jammed thumb while playing golf, best treatment?

Thumb: This really depends on what the thumb looks like, if the skin is intact, was there contamination etc.. If there is marked swellig then please see someone. There are terminal arteries in the fingers and pressure on them can shut off blood supply resulting in possible gangrene.. ...Read more

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Fingers joint pain, tingling and grip got weaker. Carpal tunnel?

Fingers joint pain, tingling and grip got weaker. Carpal tunnel?

Possible: Certainly sounds like it could be carpal tunnel syndrome. See your doctor or a specialist, (neurologist, physiatrist, hand surgeon) to be examined. A nerve conduction test may be necessary. ...Read more

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Hairline fracture foot child no cast?

Yes and no.: It will depend where the broken bone is and the stability of the hairline fracture. If it is in an unstable region, a cast (and possibly nonweight-bearing) may be a good choice. ...Read more

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Swollen knuckle, cannot straighten fingers?

Swollen knuckle, cannot straighten fingers?

Swollen Knuckle: You may have osteoarthritis or gout. Please see your primary care physician for further evaluation and treatment. ...Read more

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About 3/4 months ago I was taken to A&E with a suspected scaphoid fracture I was seen by 2 doctors and was put in a thumb spica (not a cast) for 10 days because they suspected the scaphoid was broken. I later had another appointment for an X-ray to decid

About 3/4 months ago I was taken to A&E  with a suspected scaphoid fracture I was seen by 2 doctors and was put in a thumb spica (not a cast) for 10 days because they suspected the scaphoid was broken. I later had another appointment for an X-ray to decid

Varies: Scaphoid fractures are often difficult to fully assess with X-ray. Often a ct scan or MRI is used if someone has persistent pain and X-rays look ok. Sometimes rather than doing a lot of initial studies, we will treat a patient in a splint if they have an exam and X-rays could be consistent with a scaphoid fracture, but then dc their splint if their exam and X-ray normalize. ...Read more

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In thumb spica splint for suspected scaphoid fracture. Pain in entire thumb area while in splint normal?

Yes and no: If the thumb is swollen then the cast may become too tight, yes, if there is no swelling have the cast rechecked, it may need to be redone. In the meantime elevate your hand above your heart for 15-20 minutes to see if that reduces the pain/swelling and call your dr. ...Read more

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I have painful trigger thumb with thumb dislocation found on xray. Rheum wants me to wear splint/spica,but can this heal dislocation?

I have painful trigger thumb with thumb dislocation found on xray. Rheum wants me to wear splint/spica,but can this heal dislocation?

No! not unless the -: dislocation is reduced and held reduced in a stable position. Most of these require Pin Fixation and a cast to treat the dislocation. The trigger thumb can be treated with a steroid shot. If that doesn't help or if it comes back then surgery might be needed for it as well. ...Read more

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Got a spica splint,ice & nsaids for quervains tendonitis. Only feel pain when doing extensions with my thumb..When/how should i start rehab exercises?

Got a spica splint,ice & nsaids for quervains tendonitis. Only feel pain when doing extensions with my thumb..When/how should i start rehab exercises?

Now: You have to do this with your physicians guidance. This depends how long you have had and what type of trauma you have Early you use ice but after 2 days then heat.You may need injections or even surgery ...Read more

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What is gamers thumb?

What is gamers thumb?

R S I: Gamer’s thumb" refers to a repetitive stress injury (rsi) that causes swelling at the base of the thumb due to overuse of video games. Rsi is an umbrella term for a collection of disorders most commonly affecting the hands, wrists, forearms, and shoulders, notes miles. She adds that symptoms can range from fatigue and loss of strength to minor or acute aches and pains, burning, and tingling. ...Read more

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What is skier's thumb?

What is skier's thumb?

Ligament tear thumb: Skier's thumb or gamekeepers thumb are common terms for a tear in the thumb mp joint ulnar collateral ligament. The mechanism of injury is a radially-oriented force on the thumb, which can occur when gripping and planting a ski pole. (or, back in the day, ringing a rabbits neck.) best to see an orthopaedist or hand specialist for treatment options. ...Read more

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What is a trigger thumb?

Locking: In the a1 pulley at the base of the thumb on the palmar side of the mp joint the flexor policus longus tendon can get bound up and not glide properly. This causes clicking or locking on attempted thumb motion. The motion of the ip joint is primarily affected. This is usually an overuse syndrome. Treatment consists of steroid injection , splinting, or surgery to release pulley. ...Read more

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Does trigger thumb hurt?

Yes: The triggering or clicking is caused by some swelling of the tendon as it tries to slide through a fascial pulley or tube. If the swelling is severe enough, it can cause the finger to get stuck in a flexed position and this can be painful to straighten out. You can try a splint, anti-inflammatory medication or a cortisone injection to treat this. ...Read more

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How to stop thumb sucking?

How to stop thumb sucking?

Age of patient?: Infant: offer pacifier toddler: out of sight, out of mind child: peer pressure, thumb sucking splint (breaks the suction), painting nails with bitter substance specially designed for this teen/adult: habit replacement therapy, plus child treatments. ...Read more

Dr. Mark Wang Dr. Wang
2 doctors agreed:
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What is trigger thumb like?

Dr. Mark Wang Dr. Wang
2 doctors agreed:
What is trigger thumb like?

Painful triggering: Trigger thumb is a stenosing (constricting) tenosynovitis resulting in inflammation and pain, often worsened by movement. When the symptoms are severe, triggering or catching at the thumb may be noted. Non-operative modalities include anti-inflammatory medication, temporary splinting, and corticosteroid injection. Open trigger thumb release may be warranted for recalcitrant cases. ...Read more

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How do I fix a thumb injury?

How do I fix a thumb injury?

Depends on injury: If you injured your thumb you should be evaluated by a physician. Xrays should be ordered to rule out a fracture. If it is a dislocation then wearing a splint will be necessary. If it is a sprain it depends which ligament is sprained or torn because sometimes surgery is required. Better to get evaluated by an md for hand injuries rather than just wait to see if it heals on its own. ...Read more

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How can I stop thumb sucking?

How can I stop thumb sucking?

Yours or a child's?: If you're asking about you, just stop sucking your thumb. Try chewing gum. If you're talking about a child, it depends on the age. If it's a baby or a toddler, you can't, so stop worrying about it. A baby who needs to suck will suck, and almost all grow out of it. If it's an older child try a system of rewards for not sucking, like gold stars or a desirable toy. ...Read more

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Is thumb-sucking a bad habit?

Is thumb-sucking a bad habit?

Can be if it stays: Many children stop sucking their thumbs on their own sometime during the toddler years — between ages 2 and 4. For older kids who continue to suck their thumbs, peer pressure at school usually ends the habit. If lingers on , thumb sucking might begin to affect the roof of the mouth (palate) or how the teeth line up — especially if the thumb sucking is aggressive. ...Read more

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