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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Bruising On Knuckles

I punched a wall at work last week (bad idea, I know) and it bruised/swelled up real quick and was SUPER tender. The thing is, the swelling has gone down, but the bruising has gotten a lot worse and it's still really tender. The knuckles look...out of shape (comparing to my "good" hand) and they don't feel like they're...in one piece... Did I break my knuckle? Should I get it checked?
posted on Sat, 2 May 2015
Twitter Tue, 15 Mar 2016 Answered on
Twitter Tue, 15 Mar 2016 Last reviewed on
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Dentist,  's  Response
Hi..
Welcome to HEALTHCARE MAGIC..

I have gone through your query and can understand your concerns..

As per your complain it seems that due to hitting with the wall there has been injury to the soft tissues leading to pain and swelling..
On the other hand bruising seems to be due to perforation of the blood vessels that are superficially located leading to accumulation of the blood into the soft tissues..
If the knuckles are tender and looking out of shape there can be displacement or fracture of the knuckles..
But it can be confirmed only after a clinical evaluation and investigations like x ray..
I would suggest you to consult an Orthopedician and get evaluated..
In case if there is fracture reduction of the fractured segments followed by immobilization using a cast can be done..
In case if there is no fracture and only soft tissue injury then you can apply Heparin gel to fade the bruises..
You should do alternate warm and cool compresses..
You can take anti inflammatory painkiller like Ibuprofen..
You should avoid over exertion of the fingers for faster healing..

Hope this information helps..

Thanks and regards.
Dr.Honey Nandwani Arora.
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Suggest Treatment For Severe Bruising On Knuckles

Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concerns.. As per your complain it seems that due to hitting with the wall there has been injury to the soft tissues leading to pain and swelling.. On the other hand bruising seems to be due to perforation of the blood vessels that are superficially located leading to accumulation of the blood into the soft tissues.. If the knuckles are tender and looking out of shape there can be displacement or fracture of the knuckles.. But it can be confirmed only after a clinical evaluation and investigations like x ray.. I would suggest you to consult an Orthopedician and get evaluated.. In case if there is fracture reduction of the fractured segments followed by immobilization using a cast can be done.. In case if there is no fracture and only soft tissue injury then you can apply Heparin gel to fade the bruises.. You should do alternate warm and cool compresses.. You can take anti inflammatory painkiller like Ibuprofen.. You should avoid over exertion of the fingers for faster healing.. Hope this information helps.. Thanks and regards. Dr.Honey Nandwani Arora.