The overuse of the hand may eventually cause irritation of the tendons found along the thumb side of the wrist. This irritation causes the lining around the tendon to swell, making it difficult for the tendons to move properly. Extensor carpi ulnaris ECU tendonitis is another common sports-related closed tendon injury.
ECU tendonitis is an inflammation of the tendon that runs along the back of the wrist and is caused by repetitive twisting and backward flexion of the wrist. It is most commonly seen in basketball players and those playing racquet sports. Baseball finger or mallet finger is an injury that commonly occurs at the beginning of the baseball season.
It occurs when a ball hits the tip of your finger, bending it down. Normally, the tip of your finger can bend toward the palm of your hand about degrees. However, add the force of a ball that has been batted through the air, and it can push your finger beyond that limit, tearing the extensor tendon that controls muscle movement in the affected finger. If the force is great enough, it may even pull tiny pieces of bone away, as well. Jersey finger is the opposite of mallet finger and occurs when the fingertip, usually the ring finger, is forcibly extended, such as if your finger gets caught in an opponent's jersey.
This causes the flexor tendon, which bends the fingertip, to be pulled away from the bone and will leave you unable to bend your finger without assistance. It occurs when your finger receives a forceful blow when it is bent. Several tendons, running along the side and top of your finger, work together to straighten the finger. If the tendon on the top that attaches to the middle bone of the finger the central slip of tendon is injured by a forceful blow, it can sever the central slip from its attachment to the bone, in some cases, even popping the bone through the opening.
Sprains Sprains are damage to ligaments. Thumb Sprains Breaking a fall with the palm of your hand or taking a spill on the slopes with your hand strapped to a ski pole could leave you with a painful thumb injury. Wrist Sprains When you fall forward, as when you trip running or rollerblading, your natural response is to put your hands out in front of you to catch yourself.
Injuries to the Bone Bones can be fractured and dislocated. Hand Fractures Fractures of the metacarpals the bones in your hand just before your knuckles and your phalanges the bones between the joints of your fingers are also common sports injuries.
Finger Fractures The most common fracture of the metacarpals is a boxer's fracture. Wrist Fractures Scaphoid fractures account for many wrist fractures. Dislocations of the PIP Joint One of the most common injuries to an athlete's hand is an injury to the joint above the knuckle, the proximal interphalangeal PIP joint.
Pain in children 3 years and older Severe pain 8 to 10 : The pain is so bad that the child can't stand it for more than a few hours, can't sleep, and can't do anything else except focus on the pain. No one can tolerate severe pain for more than a few hours. Moderate pain 5 to 7 : The pain is bad enough to disrupt the child's normal activities and sleep, but the child can tolerate it for hours or days.
Mild pain 1 to 4 : The child notices and may complain of the pain, but it is not bad enough to disrupt his or her sleep or activities. Symptoms of infection may include: Increased pain, swelling, warmth, or redness in or around the area. Red streaks leading from the area.
Pus draining from the area. A fever. Long-term alcohol and drug problems. Steroid medicines, which may be used to treat a variety of conditions. Chemotherapy and radiation therapy for cancer. Other medicines used to treat autoimmune disease. Medicines taken after organ transplant. Not having a spleen. Shock is a life-threatening condition that may quickly occur after a sudden illness or injury.
Adults and older children often have several symptoms of shock. These include: Passing out losing consciousness. Feeling very dizzy or lightheaded, like you may pass out. Feeling very weak or having trouble standing. Not feeling alert or able to think clearly. You may be confused, restless, fearful, or unable to respond to questions.
Shock is a life-threatening condition that may occur quickly after a sudden illness or injury. Babies and young children often have several symptoms of shock.
Being very sleepy or hard to wake up. Not responding when being touched or talked to. Breathing much faster than usual. Acting confused. The child may not know where he or she is. For a dirty wound that has things like dirt, saliva, or feces in it, you may need a shot if: You haven't had a tetanus shot in the past 5 years. You don't know when your last shot was. For a clean wound , you may need a shot if: You have not had a tetanus shot in the past 10 years.
With severe bleeding , any of these may be true: Blood is pumping from the wound. The bleeding does not stop or slow down with pressure.
Blood is quickly soaking through bandage after bandage. With moderate bleeding , any of these may be true: The bleeding slows or stops with pressure but starts again if you remove the pressure. The blood may soak through a few bandages, but it is not fast or out of control.
With mild bleeding , any of these may be true: The bleeding stops on its own or with pressure. The bleeding stops or slows to an ooze or trickle after 15 minutes of pressure. It may ooze or trickle for up to 45 minutes. Seek Care Today Based on your answers, you may need care soon. Call your doctor today to discuss the symptoms and arrange for care.
If you cannot reach your doctor or you don't have one, seek care today. If it is evening, watch the symptoms and seek care in the morning. If the symptoms get worse, seek care sooner.
Seek Care Now Based on your answers, you may need care right away. Call your doctor now to discuss the symptoms and arrange for care. If you cannot reach your doctor or you don't have one, seek care in the next hour. You do not need to call an ambulance unless: You cannot travel safely either by driving yourself or by having someone else drive you. You are in an area where heavy traffic or other problems may slow you down.
Call Now Based on your answers, you need emergency care. Call or other emergency services now. Make an Appointment Based on your answers, the problem may not improve without medical care.
Make an appointment to see your doctor in the next 1 to 2 weeks. If appropriate, try home treatment while you are waiting for the appointment. If symptoms get worse or you have any concerns, call your doctor. Put direct, steady pressure on the wound until help arrives. Keep the area raised if you can. Finger, Hand, and Wrist Problems, Noninjury. Home Treatment First aid for a suspected broken bone If a bone is sticking out of the skin, do not try to push it back into the skin.
Cover the area with a clean bandage. Control bleeding. Remove all rings or bracelets. It may be hard to remove the jewelry once swelling occurs, which in turn can cause other serious problems, such as nerve compression or restricted blood flow.
Free a trapped finger or hand from an object, such as a pipe, toy, or jar. Splint the injured area without trying to straighten the injured limb.
Loosen the wrap around the splint if signs develop that indicate the wrap is too tight, such as numbness, tingling, increased pain, swelling, or cool skin below the wrap. A problem called compartment syndrome can develop. Home treatment for a sore or sprained finger Use rest, ice, compression, and elevation RICE for pain and swelling. If you do not have diabetes or peripheral arterial disease , a sore or sprained finger can be "buddy-taped" to the uninjured finger next to it.
Protect the skin by putting some soft padding, such as felt or foam, between your fingers before you tape them together. The injured finger may need to be buddy-taped for 2 to 4 weeks to heal. If your injured finger hurts more after you have buddy-taped it, remove the tape. Then check your symptoms again. Caution : Never splint a finger in a completely straight position, such as on a Popsicle stick.
For proper healing, the finger should be slightly bent and in a relaxed position. Stop, change, or take a break from activities that cause your symptoms. Home treatment for a minor hand or wrist injury Home treatment may help relieve pain, swelling, and stiffness. Remove all rings, bracelets, or any other jewelry that goes around a finger or wrist. It will be harder to remove the jewelry later if swelling increases. Use rest, ice, compression, and elevation RICE for pain and swelling.
Do not use your injured hand or wrist for the first 24 hours after an injury, if possible. An elastic bandage can help decrease swelling. The wrap will also remind you to rest the injured hand or wrist. A wrist splint can help support an injured wrist. Talk to your doctor if you think you need to use a splint or bandage for more than 48 to 72 hours. Gently massage or rub the area to relieve pain and encourage blood flow.
Do not massage the injured area if it causes pain. For the first 48 hours after an injury, avoid things that might increase swelling, such as hot showers, hot tubs, hot packs, or alcoholic beverages. After 48 to 72 hours, if swelling is gone, apply heat and begin gentle exercise with the aid of moist heat to help restore and maintain flexibility. Some experts recommend alternating between heat and cold treatments. Treat blisters. Cast and splint care If a cast or splint is applied, be sure to keep it dry and to try to move your extremity as normally as possible to help maintain muscle strength and tone.
Medicine you can buy without a prescription Try a nonprescription medicine to help treat your pain: Acetaminophen , such as Tylenol Nonsteroidal anti-inflammatory drugs NSAIDs : Ibuprofen, such as Advil or Motrin Naproxen, such as Aleve or Naprosyn Aspirin also a nonsteroidal anti-inflammatory drug , such as Bayer or Bufferin Talk to your child's doctor before switching back and forth between doses of acetaminophen and ibuprofen.
Safety tips Be sure to follow these safety tips when you use a nonprescription medicine: Carefully read and follow all directions on the medicine bottle and box. Do not take more than the recommended dose.
Do not take a medicine if you have had an allergic reaction to it in the past. If you have been told to avoid a medicine, call your doctor before you take it. If you are or could be pregnant, do not take any medicine other than acetaminophen unless your doctor has told you to.
Do not give aspirin to anyone younger than age 20 unless your doctor tells you to. Symptoms to watch for during home treatment Call your doctor if any of the following occur during home treatment: Pain or swelling develops.
Signs of infection develop. Numbness; tingling; or cool, pale skin develops. Symptoms do not improve with home treatment. Symptoms become more severe or frequent. Prevention The following tips may prevent finger, hand, and wrist injuries. Do exercises that strengthen your hand and arm muscles. Learn safe hand and wrist movements to avoid an injury. Reduce the speed and force of repetitive movements in activities such as hammering, typing, knitting, quilting, sweeping, raking, playing racquet sports, or rowing.
Change positions when you hold objects, such as a book or playing cards, for any length of time. Use your whole hand to grasp an object.
Gripping with only your thumb and index finger can stress your wrist. Consider wearing gloves that support the wrist and have vibration-absorbing padding when working with tools that vibrate.
Use safety measures, such as gloves, and follow instructions for the proper use of hand and power tools. Use caution when using knives in preparing food or craft activities.
Supervise a child using knives or sharp scissors in craft activities. Wear protective gear, such as wrist guards, in sports activities. Self-injury treatment options include outpatient therapy, partial-inpatient hours a day and inpatient hospitalization. When the behaviors interfere with daily living, such as employment and relationships, and are health or life-threatening, a specialized self-injury hospital program with an experienced staff is recommended.
Eating disorders are real, complex medical and psychiatric illnesses that can have serious consequences for health, productivity and relationships. With practice, everyone can do a better job of dealing with their negative emotions in healthy ways. By engaging in self-injury, a person intends to: Obtain relief from a negative feeling or mental state Resolve an interpersonal difficulty, like a disagreement with a friend or loved one Deal with an intrapersonal problem, like boredom Induce a positive feeling state [3].
Warning Signs. Warning signs that someone may be injuring themselves include: Unexplained frequent injuries including cuts and burns, Low self-esteem, Difficulty handling feelings, Relationship problems or avoidance of relationships, and Poor functioning at work, school or home.
Self-Injury and Suicide. Medication is often useful in the management of depression, anxiety, obsessive-compulsive behaviors, and the racing thoughts that may accompany self-injury.
Contracts, journals, and behavior logs are useful tools for regaining self-control.
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