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  1. #1
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    Dislocated fingers

    So last week i decided i was going to go for a hike instead of riding the bike. I felt like scouting the trails for some new routs.

    Walking down one nasty DH i slipped and when i went to catch myself my hand got jammed into a crack in the rocks. 3 fingers got snapped out of the joints and bent all the way back. It was interesting snapping them back and the 4km hike home was a joy.

    They finally felt better after 10 days so i decided to go for a ride. I took it easy -- all was well till the last 15min of the ride. I got home did not think much of it but now in the morning they are a bit swolen and a tad bit of pain. Do i ignore it? Wait longer before i get back on the cycle?

    How long should i wait. They felt fine and the brusing has pretty much gone away. I want to let them heal but i am going crazy. I certainly dont want to risk long term damage for a longer wait.

    BTW -- no i never went to the doctors.

  2. #2
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    Does the swelling and pain go away (or at least become significantly reduced) with aleve/advil/etc?

    If so, I would take some aleve/advil/etc and call it a day.

    If not, I would see a doctor. 10 days for a dislocation is quite a bit of time. You may have partially torn ligaments or tendons... or possibly even fractured one of the seventy-bajillion bones in your hand.

  3. #3
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    Quote Originally Posted by axisofoil View Post
    Does the swelling and pain go away (or at least become significantly reduced) with aleve/advil/etc?

    If so, I would take some aleve/advil/etc and call it a day.

    If not, I would see a doctor. 10 days for a dislocation is quite a bit of time. You may have partially torn ligaments or tendons... or possibly even fractured one of the seventy-bajillion bones in your hand.
    Absolutely, swelling and pain goes away. Even from day 1 ibuprofen worked wonders.

    I am not sure that 10 days is a long time. A good portion of the palm of my hand was bruised til day 8 and my fingers that were involved in the altercation are still slightly bruised. It was more than just dislocated fingers.

    On a side note I will say this -- the pain of setting the fingers was a nice jolt. The image of those fingers laying on the back of my hand was priceless. The image is burned in my mind. I dont think ill ever forget that image for the rest of my life. Its a keeper.

  4. #4
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    Cool-blue Rhythm

    Quote Originally Posted by slowmotion View Post
    Absolutely, swelling and pain goes away. Even from day 1 ibuprofen worked wonders.

    I am not sure that 10 days is a long time. A good portion of the palm of my hand was bruised til day 8 and my fingers that were involved in the altercation are still slightly bruised. It was more than just dislocated fingers.

    On a side note I will say this -- the pain of setting the fingers was a nice jolt. The image of those fingers laying on the back of my hand was priceless. The image is burned in my mind. I dont think ill ever forget that image for the rest of my life. Its a keeper.
    So they actually went ALL the way back. Ouchies. Yeah, if you had other impacts and bruising than "just" the 3 fingers dislocated, it will likely take a couple weeks to be back to 100%. Just take it easy and keep up on the anti-inflammatories/pain killers... I wouldn't be too worried. You might consider switching from ibuprofen to naproxen (aleve or generic) to get more anti-inflammatory and a tad less pain relief... killing the inflammation will expedite healing.

    And, as always, I'm not a medical professional (the "if OTC pain killers stop the pain, keep taking them. If not, come see me" is advice to 'me' from 'my doctor'); if your pain doesn't go away or starts to worsen without provocation (i.e. - not when you're riding), or if the pain killers stop being "enough" then a doctor may be in the future. But a "little" bit of pain and swelling after riding, especially if there is still persistent bruising, would be well within 'normal' in my mind.

    Moral of the story: Stop hiking, it's too dangerous! Gotta stick with the biking

    And, Pics or it didn't happen.

  5. #5
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    Seriously -- I thought of the pictures as an after thought. about 15 min later but that thought quickly went away. One other interesting thing was that I got very nauseated. It was almost worse than the pain.

    I knew right away that if i did not set them while i was still in the "holy **** what F*@K!! happened" phase the pain would be twice as much to set them later on. With in 3 seconds after i seen what happened i re-set them. It was instinctive and quick -- zero hesitation. It scared the hell out of me and i started to move my fingers imidiatly after i set them. That ofcourse that did not help with the pain but i had to know if i had a functional hand.

    Funny you should mention that about the hiking vs biking down that hill. I thought the same thing. Ive hurt myself a few times and most of the time its doing stupidly simple activities.

  6. #6
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    I wouldn't have taken pictures either (in favor of immediate setting during the adrenaline surge).

    I was always told that the nausea was your body's reaction to severe injuries; it would empty your stomach to reduce the 'unnecessary' use of resources in processing the food, as it takes a huge amount of immediate blood/oxygen flow to begin the healing (swelling is the red-headed stepchild of your body trying to heal itself...) processes.

    I always get hurt with the simple stuff. I design/build large rockets for a living... but I'll be darned if I can go a week without walking into a kitchen cabinet door or something like that. I think its a confidence thing.

    I hope you heal up soon!

  7. #7
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    Ill just add one more thing

    The first reaction you instintively want jump into is Panic. Picture your fingers from the second joint down bent most of the way back.

    I had 4km hike to get home. Had no idea if there was going to be long term damage -- but i did feel good about the prospects. A bunch of things race through your mind.

    After a few thoughts on the matter all was good and i was down to dealing with the pain and the prospects of having to hike out.

    Ive seen people panic badly on the trail after a bad spill. I dont understand it but ive seen it happen. Had this wound involved a dangerous amount of blood loss, freaking out would put you at a serious disadvantage.

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