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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Soreness In The Palm After A Hand Injury?

Just before New years I fell hard & hurt my hand but I didn t think it was bad until several weeks later it still bothered me. Not really painful but still sore. It s really the fleshy part of my palm by thumb. I had xrays taken at an urgent care place about 3 weeks ago - no fracture etc but gave a RX for anti inflammatory. Saw an orthopaedic doc later who said just to continue taking the anti inflammatory (begins with an M..forget the name). Now it s well over a month after the injury and is still bothering me. Sometimes I wear the brace they gave me but am wondering if someone missed something. The area is mainly the lower part of that fleshy base closer to the wrist.
Tue, 6 Jun 2017
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Orthopaedic Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Based on the site of pain, I would think a missed diagnosis that sometimes doctors cannot pick. Fracture of scaphoid bone might be an option. Scaphoid bone is one of the small bones (bean shaped) near the base of the thumb and wrist.

In the x-rays on the first day of surgery it may not be visible, but after 3 weeks and x-ray with magnification, doctors can see it if suspected. It may be a hairline fracture and not easy to see.

A CT scan of the wrist will definitely confirm or exclude my diagnosis.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Edvin Selmani
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What Causes Persistent Soreness In The Palm After A Hand Injury?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Based on the site of pain, I would think a missed diagnosis that sometimes doctors cannot pick. Fracture of scaphoid bone might be an option. Scaphoid bone is one of the small bones (bean shaped) near the base of the thumb and wrist. In the x-rays on the first day of surgery it may not be visible, but after 3 weeks and x-ray with magnification, doctors can see it if suspected. It may be a hairline fracture and not easy to see. A CT scan of the wrist will definitely confirm or exclude my diagnosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Edvin Selmani