After surgery, you will need to wear a splint or cast for a month or longer until the injury heals. The injury can also become long-term chronic. This can cause ongoing pain, weakness, or instability of the thumb.
Over time, arthritis may develop in the joint at the base of the thumb. This can worsen pain and cause stiffness and limited thumb movement. Symptoms such as redness, warmth, swelling, bleeding, or drainage that occur near incision sites. This only applies if you had surgery. Was this helpful?
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Always follow your healthcare professional's instructions. With this injury, the main ligament in your thumb is stretched or torn. The ligament is a strong fiber that attaches one bone to another bone. This injury can be caused by any kind of fall with your thumb stretched out.
It often occurs during skiing. At home, be sure to follow your doctor's instructions on how to take care of your thumb so that it heals well.
Thumb sprains can be mild to severe. They are ranked by how much the ligament is pulled or torn away from the bone. An x-ray may also show if the ligament has pulled off a piece of bone. This is called an avulsion fracture. For pain, you can use ibuprofen Advil, Motrin, and others or naproxen Aleve, Naprosyn, and others. You can buy these medicines without a prescription. As you recover, your provider will check how well your thumb is healing. You will be told when your cast or splint can be removed and you can return to your normal activities.
At some point as you recover, your provider will ask you to begin exercises to regain movement and strength in your thumb. This may be as soon as 3 weeks or as long 8 weeks after your injury. When you restart an activity after a sprain, build up slowly.
If your thumb begins to hurt, stop using it for a while. The thumb will be swollen, bruised and painful. Treatment consists of either a period of splintage or a repair of the ligament with an operation. The most important decision in deciding which method of treatment is used is identifying whether the ligament is partly or completely torn and, if it is torn, whether the ligament has displaced into a position where healing may not be possible This may be referred to by your treating surgeon as a Stener lesion.
Making this decision may be possible with a gentle examination but it can be hard to decide as the thumb is sore and swollen. Other methods can be used to help with assessing the degree of injury. One maybe to inject some local anaesthetic around the thumb and to then examine the joint again.
An x-ray may help if there is a fracture of a small fragment of bone which the ligament is attached to. Displacement of this fracture may indicate a complete tear. An ultrasound examination can help. If the ligament is partially torn then a splint or cast is usually worn for six weeks and after its removal a programme of exercises is used to get the thumb moving again.
It can take several weeks for the movement and the strength to return.
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