Doctor insights on:
Treating A Jammed Thumb
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
Ice, protect, eval.: Jammed thumbs can be a soft tissue injury, whereby the surrounding soft tissues are injured or sprained at the joint between the thumb bones (phalanges), or involve bony injury (fracture). A thorough evaluation by your healthcare provider will help elucidate whether an x-ray is indicated. Usually ice, compression and bracing to protect against further injury is indicated. Recovery is usually rapid. ...Read more
Probably won't help: Treatment of a jammed thumb depends on what the injury is. If it is a minor sprain, pullling on it won't help, but won't hurt. Be careful though - some "jammed" thumbs are actually complete ligament tears or fractures. Best advice is to seek medical attention if pain persists more than a few days, or there is significant swelling or bruising ...Read more
Thumb: A jammed thumb implies there is no fracture. However one must be careful in the thumb that a collateral ligament injury of the mcp joint is not missed. Dip joint injuries typically do not involve ligametns but a"mallet thumb" may present with loss of extension due to a tendon injury and it is missed due ot inability to appreciate that there is a loss of terminal extension ...Read more
Acute game-keepers: It is a tear of the ulnar collateral ligament of the metacarpal-phalangeal joint of the thumb. It is caused by falling on your hand with the thumb outstretched. The ski pole strap and/or hard plastic molded pole grips capture the thumb and predispose to this injury. You should only use ski pole straps to hand them on a nail in the garage. Yes you may drop a pole but that is an easier recovery. ...Read more
Exam and x-ray: Fractures and ligament tears are very common injuries. An x-ray is obtained to check for a fracture and if none is found, a physical exam is performed to evaluate the collateral ligaments. Both the radial and ulnar collateral ligaments can be sprained or torn. Sprains resolve with immobilization, torn ligaments require surgical repair. ...Read more
Ice: Ice decreases swelling, bleeding/bruising, and pain. Unless it was a very large hammer or you are exceptionally strong, the chance of a fracture is minimal and the pain and swelling will improve in a few days. The black and blue under the nail may take several months to resolve. If there is a lot of pain and pressure under the nail the blood may have to be released by your doctor. ...Read more
You would need an examination by a hand surgeon and an xray to make the diagnosis and then come up with the appropriate treatment. With no other info provided it is impossible to make any diagnosis.
Some common diagnoses you can look up - basal joint arthritis, trigger thumb, ulnar collateral ligament tear, dequervain tendinitis. ...Read more
Give it time: There is nothing we know of that will speed recover of injuries. I would recommend the typical which is keep the finger moving to prevent stiffness, you can also try over the counter anti inflammatory medications if you are having pain. ...Read more
Pain, swelling...: Simple thumb injuries, such as sprains, can cause pain, swelling and stiffness. Symptoms should improve over the course of a few weeks. More complex injuries can result in fractures and ligament ruptures (severe sprains) and in some cases require treatment, such as casting or surgery. See your doctor if you have any concerns. ...Read more
Jammed thumb eight months ago. Swells at night and at times is painful. Always hurts when I move it certain ways.?
See a boctor: Would be best if you got that checked out by a doctor. ...Read more
Possibly the splint is not applied properly or in correct position.
If it for a fracture, perhaps a well padded thumb spica cast
might be more comfortable.
One should actually be more comfortable if an injury is
immobilized in a splint or cast in the proper position
check with your ortho if not better. ...Read more
The splint may: Not be the best fit for your hands or it can be putting stress on the injury such as a ligament injury or fracture or it can be irritating a nerve that lies just below the skin or even a small portion of the splint may be too tightThe best thing to do is talk to the supplier of prescriber of or maker of the splint and make sure it's fitted properly and also that it's the right split for the injury ...Read more
See your doc: Your physician can help to figure out whether the injury is bone related or soft tissue and whether a specialist is needed. ...Read more
Need more specifics:
You neglect to mention whether it was a sprain, a fracture or whatever?
If it was a fracture it typically heals in 4-6 weeks
if it was a severe sprain usually involving
the ulna collateral ligament, it can lead
to some chronic instability which may be
hard to say more specifics without knowing
your precise injury 3 years ago. ...Read more
Really depends: What happened to the thumb? Is it swollen? Painful? Range of motion is still intacted? ...Read more
Arthritis: Narrowing of joint usually associated with cartilage damage and loss of height of articular cartilage. Could be traumatic or arthritic. If see narrowing on one side and opening up on opposite side with stress x-ray could indicate collateral ligament injury. Can see narrowing associated with fracture involving articular surface. See hand surgeon. ...Read more