HI! I am DR. LORI, and I am happy to help you! Are you available to chat right now?
A hematoma can take up to 6 weeks to reabsorb
If it is still very tender, you want to have a doc look at it, as hematomas can become infected, and will on the hand more than other places
What can I do for the pain? If I leave my hand extended at my side normally the pain is severe at times.
You said the swelling went down, with no improvement in pain?
The whole hand was swollen like a boxing glove!! the fingers and surrounding tissue has gone down but the cite of impact(henatoma remains.
ok-- so has imroved....
still.....it shouldn't hurt so much
When did your doc last see it?
Yes except for the round area in the center. I saw the doc last Mon. he referred me to O.T.
what happens is the majority of blood shifts and reabsorbs, but a small amount can stick around
therapy can take awhile
Is it hot?
Red in color but not fevered.
How about you- feel sick?
No I have no symptoms except a very ugly hand and the pain.
Was it less painful on Monday or more?
The pain has been pretty constant since the injury.
And this was x-rayed at some point?
How big did it get at max?
it is 2 inches now
The area remaining has stayed the same. The surrounding area swelled from my knuckles to the wrist and was the same size approx. 1 in off the top of my hand.
so is much smaller now?
the color will go away in time-- weeks even
All is smaller except the 2 in area in the center of my hand.
But the pain is concerning- since it is so much smaller, the stretch on the skin etc should all be much better
can you feel fluid inside?
I cnnot make a fist or use my hand to open containers or grasp the curling iron. as the skin is too tight from the henmatoma.
Is OT oing ultrasound/phonophoresis
No they have used ice packs and massage but no ultrasound.
this is likely what you need to break it up
but....I would definitely call your doc- be seen-- or ask for a hand referral since the pain is not improved and your function is not improving
O.K. Thaks a bunch I lie in a rural area where good medical care is hord to get. I will ask tomorrow for ultra sound treatments..Thank you so much!!
In some cases they will extract surgically- but the longer the fluid stays there, the more likely it is to be infected
the peristent pain worries me
I woul xray again 2 weeks from last
O.K. I have been concerned of infection. Will call doc again tomorrow and ask for a referral.
make sure there is no fracture missed
Thank You so much will follow your suggestions.
that is the best thing for now-- you are very welcome
Have a grerat Sunday evening Dr. Lori.
If you ever have a question again, ask for me, or start your question with DR. LORI!!
I'll be happy to help
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Yes Absolutely just needed reinforcement for what I was thinking.