Orthopedics

Orthopedics Questions? Ask an Orthopedist for Answers ASAP

Ask a Doctor,
Get an Answer ASAP!

This answer was rated:

I had a car accident last September and sustained multiple…

I had a car accident...
I had a car accident last September and sustained multiple injuries. I am having persistent pain and stiffness in my right third digit PIP joint with flexion. ROM is considerably improved but not back to where it was pre-accident. Early CR and T2 MRI reports were WNL- ie, "normal hand". My orthopedist has never treated it, saying that its probably just a ligament sprain and Ill be fine. Is this reasonable? I am a dental hygienist and I cannot work this way.
Show More
Show Less
Ask Your Own Orthopedics Question
Customer reply replied 4 months ago
typo: should say early XR and 2T MRIadditionally, the joint is not grossly deformed but it is visibly larger than the opposing hand.
Answered in 1 hour by:
3/14/2018
Dr.Sawhney
Dr.Sawhney, Orthopedic Surgeon
Category: Orthopedics
Satisfied Customers: 7,715
Experience: More than a decade of post qualification experience
Verified
Thanks for your patience.
I understand that you have been waiting for a long time to get an answer.
I am Dr. Sawhney and Orthopaedic surgeon and I would be happy to help you today.
I just came online and saw your question lying unanswered on the question list. I am replying to it as soon as possible.
PIP joints are notorious for stiffness post any injury.
It is possible that you have sustained a ligament injury which has caused the pain and stiffness along with enlargement around the joint.
Another possible cause of persistent pain and stiffness can be damage to the cartilage or volar plate which can be missed on X Ray and MRI.
As it has been 6 months since the injury you need to get a fresh X-rays as that may be able to show any loss of cartilage at this stage.
Feel free to ask any follow up questions.
Do take a moment to honour my work and time by rating my answer hopefully 5 stars.
Ask Your Own Orthopedics Question
Customer reply replied 4 months ago
Thank you for your reply, Doctor. What is the treatment and diagnostic protocol in such cases? Ate you suggesting a new xray, or a new MRI? Given that my doctor was dismissive and didn't order new imaging, is it worth a second opinion ?
What is the range of motion at your PIP joint and does it pain at terminal flexion or is it painful all through the range of motion?
Ask Your Own Orthopedics Question
Customer reply replied 4 months ago
It is the third digit and i cant close my hand more than this without pain. It is stiff throughout the flexion but pain only at terminal.
Customer reply replied 4 months ago
One addition
Please excuse the delay.
I got busy in an emergency surgery and could not reply earlier.
As you have almost complete range of motion with loss of terminal flexion as you suggest that you try physiotherapy to get the lost motion and relief from stiffness.
Any intervention has a risk of causing greater stiffness and loss of motion.
Do get an xray to see the status of joint but focus should be on getting back full flexion.
Dr.Sawhney
Dr.Sawhney, Orthopedic Surgeon
Category: Orthopedics
Satisfied Customers: 7,715
Experience: More than a decade of post qualification experience
Verified
Dr.Sawhney and 87 other Orthopedics Specialists are ready to help you
Ask your own question now
Customer reply replied 4 months ago
Thank you very much for the information. Have a great day. I will see about the xray.
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with an orthopedistLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr.Sawhney Your Own Question
Dr.Sawhney
Dr.Sawhney
Dr.Sawhney, Orthopedic Surgeon
Category: Orthopedics
Satisfied Customers: 7,715
7,715 Satisfied Customers
Experience: More than a decade of post qualification experience

Dr.Sawhney is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

DoctorGZ

DoctorGZ

Board Certified MD

208 satisfied customers

Board Certified in Orthopedics

tabortho

tabortho

Board Certified Physician

33 satisfied customers

private practice general orthopedics for 13+ years in the Southeast US

Dr.Sawhney

Dr.Sawhney

Orthopedic Surgeon

7,715 satisfied customers

More than a decade of post qualification experience

Dr. Scott H.

Dr. Scott H.

Board Certified Orthopedic Surgeon

69 satisfied customers

Board Certified Orthopedic Surgeon specializing in Sports Medicine, Knee and Shoulder Surgery,

Dr. B Makimaa

Dr. B Makimaa

Doctor of Podiatric Medicine

19 satisfied customers

I am a triathlete and foot and ankle specialist. I have been in practice for 16 years and I am board certified.

orthosportsdoc

orthosportsdoc

Board Certified Physician

116 satisfied customers

Orthopedic Surgeon

Doctor John MD

Doctor John MD

M.D.

24 satisfied customers

Primary Care Sports Medicine Physician

< Previous | Next >

Related Orthopedics Questions
I turned my right ankle really badly on October 16 when I
I turned my right ankle really badly on October 16 when I fell off of a curb into the street. I was able to put a tiny bit of weight on it. I couldn't ice it for a few hours because I had to catch a p… read more
Dr.Sawhney
Dr.Sawhney
Orthopedic Surgeon
7,715 satisfied customers
I was pushed down, playing around and my knee land on
I was pushed down, playing around and my knee land on curb,it 2 sizes big,can't walk hurts Really bad… read more
Dr.Sawhney
Dr.Sawhney
Orthopedic Surgeon
7,715 satisfied customers
My arm has been giving me pain for 4months. The pain seems
My arm has been giving me pain for 4months. The pain seems to move around a lot. Sometimes front deltoid ,Terus Minor Terus Major . stiff elbow , bicep pain and cramp like, top forearm. I've never bee… read more
Dr.Sawhney
Dr.Sawhney
Orthopedic Surgeon
7,715 satisfied customers
My orthopedic surgeon says I have cubital tunnel, tapping on
Hi my orthopedic surgeon says I have cubital tunnel, tapping on my inner elbow produces tingling in my pinky and ring finger.My chiropractor says even though the tapping causing tingling is consistent… read more
Dr.Sawhney
Dr.Sawhney
Orthopedic Surgeon
7,715 satisfied customers
I have started working out in the last several months and
Hello, I have started working out in the last several months and rotate between free weights and treadmill fast walking, high and low inclines. Two weeks ago after a class I felt this pain/pull in my … read more
Dr.Sawhney
Dr.Sawhney
Orthopedic Surgeon
7,715 satisfied customers
Just noticed my right knee is swollen. I noticed it was kind
Just noticed my right knee is swollen. I noticed it was kind of giving out on me on stairs a couple weeks ago, my normal exercise routine is 30 minutes elliptical a night and weights every other night… read more
Dr.Sawhney
Dr.Sawhney
Orthopedic Surgeon
7,715 satisfied customers
I am in desperate need of medical advice to help assist me
I am in desperate need of medical advice to help assist me in locating a local Orthopedic doctor/surgeon so I am able to receive the necessary medical procedures/surgeries corrected as soon as possibl… read more
Dr. Thomas, MD
Dr. Thomas, MD
2,227 satisfied customers
I was getting a massage and they were massaging near my c-4
I was getting a massage and they were massaging near my c-4 c-5 vertebrae just left and right of the spine and there were certain spots that created very intense shocking sensations that jolted my bod… read more
Dr.Sawhney
Dr.Sawhney
Orthopedic Surgeon
7,715 satisfied customers
I just had on September 28th.a three level fusion.C4,C5 and
Hi my name is ***** ***** I just had on September 28th.a three level fusion.C4,C5 and C6.Today I had a visitor at the door and my Rottweiler who wt, is 80 lbs.i had to pull back into house.I didn't pu… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,827 satisfied customers
I am 57 year old male playing soccer for the first time in
I am 57 year old male playing soccer for the first time in 20 years. I've been playing for about a month now. Since I've been playing again my knees 'ache' and feel 'creaky' and no doubt it's due to s… read more
Dr.Sawhney
Dr.Sawhney
Orthopedic Surgeon
7,715 satisfied customers
I was involved in a car accident on September 30th. When I
I was involved in a car accident on September 30th. When I saw a doctor about my injuries he told me that everything looked ok, but if the whiplash in my neck didn't get better in 6 weeks to come back… read more
Dr.Sawhney
Dr.Sawhney
Orthopedic Surgeon
7,715 satisfied customers
Can I have an orthopaedic surgeon who can read MRI images on
Can I have an orthopaedic surgeon who can read MRI images on lumber spine and answer to questions on sacrum, hip, and lumber region. If no orthopaedic surgeon for lumber is on line then a neuro-radiol… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,217 satisfied customers
Since June I have developed pain and stiffness in all the
Since June I have developed pain and stiffness in all the joints of all my fingers. At first, it is most noticeable when I first wake up, then shortly subsided. Now the stiffness is present sometimes … read more
wieyedoc
wieyedoc
Ophthalmologist & Retina Specialist
Doctoral Degree
970 satisfied customers
Since June I have developed pain and stiffness in the joints
Since June I have developed pain and stiffness in the joints of all my fingers. At first, it is most noticeable when I first wake up, then shortly subsided. Now the stiffness is present throughout the… read more
Dr. Sharon Hooper
Dr. Sharon Hooper
Doctoral Degree
40 satisfied customers
I have an intra-articular fracture in PIP. It has been 90
I have an intra-articular fracture in PIP. It has been 90 days with not official treatment. I have made tube splints that have helped. It seems that the joint gets irritated if it moves and it kept bl… read more
Dr. Thomas, MD
Dr. Thomas, MD
2,227 satisfied customers
My shoulder is messed up. "Normally" it only hurts to move
My shoulder is messed up. "Normally" it only hurts to move my arm. Today I have that plus it's really painful just to a gentle touch! Even my bra hurts. Carrying a purse is out of the question. Gettin… read more
Daniel Sheibley, MD
Daniel Sheibley, MD
Radiologist
Doctoral Degree
936 satisfied customers
My right shoulder has been bugging me for YEARS. No
Hi. My right shoulder has been bugging me for YEARS. No diagnosis. X-rays seem to show nothing of note. I had a car accident YEARS ago (like 25 years ago), after which I had physical therapy on this s… read more
orthosportsdoc
orthosportsdoc
Board Certified Physician
116 satisfied customers
I would like a second opinion please.... Six days ago, while
I would like a second opinion please.... Six days ago, while on vacation out of state, I took a mis-step on a staircase, by one step and turned my ankle (aversion) and it was sore and bruised after th… read more
Coachrobmd
Coachrobmd
Physician Examiner
Doctoral Degree
1,720 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x