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Dr Basu
Dr Basu, Experienced Specialist
Category: Health
Satisfied Customers: 29168
Experience:  MD
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I smashed my thumb between two concrete blocks (don't ask).

Customer Question

i smashed my thumb between two concrete blocks (don't ask). It is white under my acrylic nail and very painfully throbbing. Just wondered what to do to make it stop hurting so badly.
JA: How long have you had the pain? What seems to make the pain better or worse?
Customer: I smashed it this morning, it has gotten progressively more painful.
JA: Anything else in your medical history you think the doctor should know?
Customer: I take lialda for ulcerative colitis, apparently doctors like to know this...
Submitted: 4 months ago.
Category: Health
Expert:  Dr Basu replied 4 months ago.

Hi there,
This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.

Sorry to hear that.

There is risk of thumb bone fracture from the impact.

Given that the swelling is worsening, you should consider thumb xrays if possible.

Meanwhile, the treatment is the same even if there is fracture.

You will need to apply ice 5 minutes at a time with 10 minute break. Keep your thumb elevated as much as possible.

Use a thumb strap or immobilizer to avoid any movement for now.

NSAIDs like Naproxen ( aleve) can be taken 2 tabs twice daily to control the pain.
Best wishes,
It was my pleasure to help you today.
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