Finger Injuries: Types, Causes, Symptoms, Treatment, and the Role of Physiotherapy

▫️Written by John Keller

✅ Reviewed by Dr. Jenny Hynes on JANUARY 22, 2024


  1. Unraveling Finger Injuries

  2. Types of Finger Injuries

  3. Causes and Risk Factors of Finger Injuries

  4. Recognising the Signs of Finger Injuries

  5. Prevention Strategies for Finger Injuries

  6. Treatment Options for Finger Injuries

  7. Restoring Functionality

  8. Conclusion


Finger injuries, although seemingly minor, can significantly impact an individual's daily life and overall well-being. The human hand, a marvel of biological engineering, is integral to countless daily activities, from basic self-care to complex professional tasks. Understanding the intricacies of finger injuries is crucial not only for effective treatment but also for prevention and rehabilitation.

The significance of finger injuries lies in the hand's complex structure and its essential role in human function. According to Kamath et al. (2010), the hand represents a delicate balance of muscular and skeletal systems, where even minor injuries can lead to substantial dysfunction. This is particularly true for injuries involving the fingers, which comprise a significant portion of hand injuries. Furthermore, as noted by Haase et al. (2012), the psychological impact of hand injuries, including those of the fingers, should not be underestimated. The loss of hand function can lead to a decrease in the quality of life, highlighting the importance of adequate care and rehabilitation.

Keilor Road Physio is a team of physiotherapists who are experts in their field. Book an appointment to see an finger physio today.

Physiotherapy plays a vital role in the rehabilitation process of finger injuries. Its benefits include pain management, restoration of range of motion, and strengthening of the injured area. According to a study by Valdes (2015), physiotherapy interventions, such as exercises and manual therapy, significantly improve outcomes in patients with hand and finger injuries. These interventions not only aid in physical recovery but also contribute to reducing the psychological impact associated with the loss of hand function.

Statistics highlight the effectiveness of physiotherapy in treating hand and finger injuries. For instance, a study by Smith et al. (2013) found that patients who underwent physiotherapy for hand injuries, including those of the fingers, showed a marked improvement in function and reduction in pain. This evidence supports the need for timely and appropriate physiotherapeutic interventions in the management of finger injuries.

The role of physiotherapy in managing pain, improving functionality, and facilitating a quicker return to daily activities is well-documented and crucial for a holistic recovery process.

Unraveling Finger Injuries

Finger injuries are conditions that affect the structure and function of the fingers, ranging from minor bruises to more severe fractures, dislocations, and tendon injuries. These injuries are not just about pain or temporary discomfort; they impact our ability to perform everyday activities, from typing on a keyboard to gripping a cup of coffee.

The significance of fingers in daily life is profound. As articulated by Johnson et a. (2015), fingers are essential for performing most activities of daily living, contributing significantly to hand function. This underscores the importance of maintaining finger health and promptly addressing injuries.

There are various types of finger injuries, each affecting the finger's functionality differently.

  1. Sprains and strains involve damage to ligaments and muscles

  2. fractures and dislocations affect the bone structure

  3. Tendon injuries, such as mallet finger, impact the finger's ability to bend and straighten

According to Peterson and Renstrom (2016), such injuries can lead to long-term functional impairments if not properly treated.

Finger injuries can occur due to a variety of reasons, encompassing accidents, sports, overuse, and other causes. Each of these scenarios presents unique risks and mechanisms of injury.

Accidents, such as

  1. Falls or direct impacts, are common causes of finger injuries. These incidents can lead to fractures, dislocations, or ligament injuries. A study by Zyluk and Janowski (2011) highlights that accidental falls often result in complex finger injuries, requiring immediate attention.

  2. Sports-related finger injuries are also prevalent. Activities involving ball handling, such as basketball or volleyball, frequently lead to sprains, fractures, and dislocations. As noted by Elzinga and Chung (2017), the dynamic nature of sports increases the risk of acute finger injuries, which can vary in severity.

  3. Overuse is another significant cause of finger injuries, especially in occupations or activities requiring repetitive motions. For instance, musicians and office workers are prone to overuse injuries like tendonitis. According to Yassi (1997), repetitive strain can lead to chronic conditions that may affect hand function over time.

  4. Other causes include activities involving machinery or tools, where there is a risk of crush injuries or cuts. Understanding these diverse causes is vital for both prevention and effective treatment of finger injuries.

Finger injuries can arise from numerous sources, each necessitating a specific approach to treatment and prevention. Recognizing these causes is essential for minimizing the risk and impact of such injuries.

Furthermore, the psychological impact of losing hand functionality should not be overlooked. As highlighted by Haese (1985) individuals suffering from hand and finger disabilities often experience psychological distress, which can affect their overall well-being.

Prompt and appropriate treatment, therefore, is not just about physical recovery; it also plays a vital role in maintaining an individual’s mental health and quality of life. This treatment may include a combination of medical intervention, physiotherapy, and in some cases, surgery, depending on the severity of the injury.

 
 

Types of Finger Injuries

Finger injuries, ranging from mild sprains to severe fractures and tendon injuries, can significantly impact hand function. Understanding the unique characteristics and symptoms of different finger injuries is essential for proper diagnosis and treatment. Each type presents distinct features:

  1. Fractures: Characterized by sharp, intense pain at the injury site, fractures often cause visible swelling and sometimes deformity, indicating a bone break. Movement typically exacerbates the pain. A study by Zhang et al. (2017) emphasized the need for immediate medical attention to prevent long-term complications like joint stiffness.

  2. Dislocations: These injuries present with a visible disfigurement of the finger joint, intense pain, and swelling. Mobility is often severely restricted. Patel and Bassini (2016) highlighted that quick and proper realignment is crucial for healing and preventing future joint instability.

  3. Sprains: Involving damage to ligaments, sprains cause pain, swelling, and tenderness around the affected joint. Movement can be painful but is usually still possible. Smith et al. (2013) noted that rest and immobilization are key for recovery.

  4. Tendon Injuries: These injuries manifest as difficulty in moving the finger or a finger stuck in a bent position. Common types include mallet finger, where the fingertip droops and cannot be straightened, and trigger finger, characterized by a catching or locking sensation during movement. LeBlanc and Baranoski (2016) discussed the various treatment options, from splinting to surgery, depending on the severity.

Understanding these symptoms helps in the timely and appropriate management of finger injuries, which is crucial for a full and functional recovery. Common types of finger injuries include:

  1. Central Slip Injury or Boutonniere deformity: This injury affects the tendon on the top of the finger, which straightens the middle joint. Caused by a forceful impact to the bent finger, it can lead to an inability to straighten the finger at the middle joint. A classic case is a basketball player who injures their finger when trying to catch a ball. Symptoms include pain, swelling, and a bent finger posture. As noted by Elzinga and Chung (2019) failure to treat a central slip injury can lead to permanent deformity.

  2. Dislocated Finger-Volar Plate Injury: This injury occurs when the finger joint is hyperextended, causing damage to the volar plate, a ligament that prevents hyperextension. Common in ball sports, patients often present with a visibly deformed finger, pain, and swelling. Early intervention is crucial to prevent long-term complications, as highlighted by Patini et al., (2016).

  3. Finger Fracture: Fractures can occur from direct blows or crushing injuries. Symptoms include severe pain, swelling, bruising, and deformity. A typical scenario is a person dropping a heavy object on their finger. As Zhang et al. (2017) point out, proper alignment and immobilization are key to healing.

  4. Mallet Finger: This injury results from a rupture or damage to the tendon that straightens the fingertip. Often caused by a ball striking the end of the finger, it leads to the inability to straighten the fingertip. Symptoms include pain, swelling, and a drooping fingertip. Timely treatment is essential to avoid permanent deformity, as noted by Smith et al. (2013).

  5. Trigger Finger: Trigger finger occurs due to inflammation of the tendons that bend the fingers, causing them to 'lock' in a bent position. Common symptoms include pain, stiffness, and a popping or locking sensation. It's often seen in individuals with repetitive gripping activities. LeBlanc and Baranoski (2016) emphasize the importance of early intervention to prevent worsening of symptoms.

Each of these injuries presents unique challenges and requires specific treatment approaches. Understanding their distinct characteristics helps in timely diagnosis and effective management.

Causes and Risk Factors of Finger Injuries

Understanding the common causes and risk factors of finger injuries is crucial for both prevention and effective treatment. These injuries can occur in various settings, from everyday activities to sports and occupational environments.

  1. Accidental Falls: Accidental falls are a leading cause of finger injuries. When a person falls, they often instinctively reach out their hands to break the fall, leading to potential injuries to the fingers. A study by Vadivelu et al. (2006) highlighted that falls can result in a range of injuries from simple bruises to more severe fractures and dislocations.

  2. Sports-Related Incidents: Sports, particularly those involving ball handling or physical contact, are a common source of finger injuries. For example, basketball and volleyball players frequently suffer from sprains, dislocations, and fractures due to the dynamic nature of these sports. McCue and Meister (1993) emphasized the high incidence of acute finger injuries in athletes, necessitating the need for appropriate preventive measures.

  3. Occupational Hazards: Certain occupations, especially those involving manual labour or repetitive hand movements, pose a risk for finger injuries. Workers using heavy machinery, tools, or performing repetitive tasks are susceptible to a range of injuries from crush injuries to tendonitis. Patel and Bassini (2016) discussed how occupational hazards contribute significantly to the incidence of finger injuries, underscoring the importance of workplace safety and ergonomic practices.

Each of these causes has distinct risk factors and mechanisms of injury, understanding which can aid in prevention strategies and guide treatment approaches.

Certain activities and professions are more prone to these types of injuries due to their nature and the demands they place on the hands and fingers.

  1. High-Impact Sports: Athletes engaged in high-impact sports such as basketball, football, volleyball, and rock climbing are at a heightened risk of finger injuries. The dynamic and physical nature of these sports increases the likelihood of acute injuries like sprains, dislocations, and fractures. Thomas and Thomas (2018) highlighted the prevalence of finger injuries in athletes, especially in sports involving ball handling and physical contact.

  2. Occupations Involving Manual Labor: Jobs that involve heavy manual labor, use of machinery, or repetitive hand movements are significant risk factors. Construction workers, mechanics, and factory workers often face risks of crush injuries, fractures, and tendonitis. According to Patel and Bassini (2016), these occupational hazards necessitate the implementation of safety measures and ergonomic practices to reduce the incidence of finger injuries.

  3. Repetitive Motion Activities: Repetitive motion, common in activities like typing or playing certain musical instruments, can lead to overuse injuries such as tendonitis and trigger finger. A study by Zhang et al. (2017) discussed how prolonged and repetitive activities could strain the fingers, leading to chronic injuries that may require extensive treatment and rehabilitation.

  4. Age and Pre-Existing Conditions: Age-related factors and pre-existing conditions like arthritis also increase the risk of finger injuries. Older individuals or those with joint or bone weaknesses are more susceptible to injuries from relatively minor traumas.

Understanding these risk factors is key in developing preventive strategies and in educating individuals in high-risk groups about the importance of safety measures.

 
 

Recognising the Signs of Finger Injuries

Finger injuries, regardless of their cause, typically present with a set of common signs and symptoms that are key indicators of their severity and type. Understanding these symptoms is crucial for prompt and effective treatment.

  1. Pain: Pain is the most immediate and noticeable symptom of a finger injury. It can range from a dull ache to sharp or severe pain, depending on the injury's nature. Hunt et al. (2023) emphasized that pain intensity often correlates with the severity of the injury.

  2. Swelling: Swelling is a typical response to finger injuries and can affect the entire finger or be localized around the injury site. This symptom is highlighted in the study by Patel and Bassini (2016), which noted that swelling could also restrict movement and indicate the extent of internal damage.

  3. Deformity: Visible deformity, such as an abnormal bend or twist in the finger, often suggests a more serious injury like a fracture or dislocation. Zhang et al. (2017) pointed out that any visible deformity in a finger is a sign that medical evaluation is necessary.

  4. Restricted Range of Motion: Difficulty moving the finger, or a complete inability to do so, is a common symptom of finger injuries. This could be due to pain, swelling, or mechanical obstruction within the joint. Miller et al. (2017) observed that limited range of motion is a critical indicator of the injury’s impact on finger functionality.

These symptoms are vital for diagnosing the type and severity of finger injuries and determining the appropriate course of treatment. Addressing misconceptions and differentiating finger injuries from other hand or finger-related conditions is also essential for accurate diagnosis and treatment. Certain symptoms of finger injuries may resemble those of other conditions, leading to confusion.

  1. Arthritis vs. Finger Injuries: Arthritis, particularly osteoarthritis and rheumatoid arthritis, can cause pain and swelling in the fingers, similar to injuries. However, arthritis-related symptoms are usually chronic and worsen over time, unlike the acute onset seen in injuries. Patel and Bassini (2016) emphasize the importance of distinguishing between trauma-induced pain and arthritis-related discomfort.

  2. Infections vs. Injuries: Infections in the hand or finger, such as paronychia or cellulitis, can cause redness, swelling, and pain, which are also common in injuries. However, infections often have additional signs like fever or pus formation. As discussed by Zhang et al. (2017), recognizing these distinct symptoms is crucial for appropriate treatment.

  3. Tendonitis vs. Acute Tendon Injuries: Chronic overuse can lead to tendonitis, presenting with pain and sometimes swelling, similar to acute tendon injuries like mallet finger. Tendonitis typically develops gradually and is associated with repetitive activity, whereas acute tendon injuries usually follow a specific traumatic event, as noted by Miller et al. (2017).

  4. Sprains vs. Fractures: While both sprains and fractures can cause pain, swelling, and limited movement, fractures are often accompanied by visible deformity or abnormal mobility. Hunt et al. (2023) point out that imaging tests are often necessary to differentiate between these two conditions.

Understanding these differences helps in avoiding misdiagnosis and ensures that patients receive the most appropriate care for their specific condition. 

The importance of consulting a healthcare professional for an accurate diagnosis when it comes to finger injuries cannot be overstated. Self-diagnosis and treatment can not only delay proper care but also potentially worsen the condition. Here's why professional medical advice is indispensable:

  1. Expert Assessment: Healthcare professionals have the expertise to assess the severity and type of injury accurately. They can distinguish between various conditions that might present with similar symptoms, ensuring correct diagnosis and treatment.

  2. Appropriate Imaging and Tests: In many cases, an accurate diagnosis of a finger injury requires imaging tests like X-rays or MRIs. These tools, which are only available through a medical professional, help in identifying fractures, dislocations, and soft tissue injuries.

  3. Tailored Treatment Plans: Based on the diagnosis, a healthcare professional can recommend the most effective treatment plan. This may include immobilization, physical therapy, medication, or, in some cases, surgery. Each treatment is tailored to the specific type and severity of the injury.

  4. Prevention of Complications: Early and accurate diagnosis by a professional can prevent complications such as chronic pain, deformity, or reduced functionality of the finger. Delayed or incorrect treatment can lead to long-term issues that might be more challenging to treat.

  5. Guidance for Rehabilitation: For injuries requiring rehabilitation, healthcare professionals can provide guidance on appropriate exercises, activity modifications, and timelines for a safe return to normal activities.

Consulting a healthcare professional is essential for the accurate diagnosis and effective treatment of finger injuries. Their expertise ensures that patients receive the appropriate care, thus promoting quicker recovery and preventing potential complications.

Prevention Strategies for Finger Injuries

Preventing finger injuries is key to maintaining hand functionality and overall well-being. Here are actionable tips, grounded in expert recommendations and research, to help minimize the risk of such injuries:

Reducing the risk of finger injuries in everyday life involves adopting practical measures and being mindful of common hazards. Here are some effective strategies:

  1. Use Protective Gear: In sports and certain occupations, wearing appropriate protective gear such as gloves or guards can significantly reduce the risk of injuries. Fedorczyk (2020) emphasizes the importance of sports-specific protective equipment in preventing acute finger injuries in athletes.

  2. Ergonomic Practices: For those engaged in repetitive tasks, such as typing or using tools, ergonomic practices are vital. Adjusting the workspace to ensure proper hand positioning and taking regular breaks can help prevent overuse injuries. Soares et al. (2020) highlighted the effectiveness of ergonomics in reducing the risk of chronic finger injuries.

  3. Exercise and Strengthening: Regular exercises that strengthen the hand and fingers can improve stability and reduce the likelihood of injuries. Patel and Bassini (2016) suggested that simple stretching and strengthening exercises could be beneficial, especially for individuals in high-risk professions.

  4. Educate on Safe Practices: Awareness of safe practices, both in sports and in the workplace, is crucial. This includes understanding the proper techniques to use tools and sports equipment and knowing how to fall safely to avoid hand injuries.

  5. Regular Health Checks for High-Risk Individuals: People with pre-existing conditions such as arthritis or those in high-risk age groups should have regular check-ups to monitor their hand health.

By incorporating these practical measures into daily routines, individuals can significantly reduce their risk of sustaining finger injuries.

The regular practice of hand and finger exercises and stretches plays a vital role in maintaining hand health, preventing injuries, and aiding in rehabilitation. Exercises targeting the hands and fingers help in building strength, making them less prone to injuries. This is particularly relevant for individuals involved in physically demanding activities. Patel and Bassini (2016) emphasize the role of muscle strengthening in preventing hand injuries.

  1. Increases Flexibility and Range of Motion: Regular stretching improves the flexibility and range of motion, crucial for preventing injuries related to overextension and repetitive motion. Shafer-Crane (2006) highlights the importance of flexibility in maintaining hand health and preventing injuries.

  2. Improves Circulation: Effective circulation is essential for tissue health and recovery. Hand and finger exercises promote blood flow, aiding in healing and reducing stiffness. A study by Zhang et al. (2017) discusses the benefits of improved circulation to hand health.

  3. Prevents Repetitive Strain Injuries: For those engaged in repetitive tasks, exercises can help mitigate the risk of conditions like tendonitis or carpal tunnel syndrome. Ingraham (2003) details how regular exercises can reduce the risk of repetitive strain injuries.

  4. Aids in Rehabilitation: Post-injury, exercises and stretches are crucial for regaining strength and functionality. As noted by Greenberg et al. (2014), rehabilitation exercises are key to recovery from hand and finger injuries.

Incorporating hand and finger exercises into a regular routine can be significantly beneficial for maintaining overall hand health.

Treatment Options for Finger Injuries

Effective treatment of finger injuries is crucial for a quick and full recovery. The appropriate approach depends on the type and severity of the injury. 

  1. Rest: Resting the injured finger is often the first step in treatment. It allows the tissues to heal and prevents further injury. According to Patel and Bassini (2016), rest is essential, especially in the initial phase following an injury, to reduce pain and swelling.

  2. Immobilization: For more severe injuries, such as fractures or dislocations, immobilization is necessary. This can be achieved through splints or casts, which keep the injured finger in a fixed position to facilitate proper healing. Zhang et al. (2017) highlighted the effectiveness of immobilization in treating fractures and dislocations.

  3. Splinting: Splinting is commonly used for tendon injuries and some types of fractures. It helps in maintaining the correct position of the finger during the healing process. As discussed by Smith et al. (2013), splinting is a crucial component in the management of tendon injuries like mallet finger.

  4. Surgery: In cases of severe fractures, dislocations, or tendon injuries that cannot be managed by non-surgical methods, surgery might be necessary. Surgical intervention is aimed at repairing the damaged structures. Lee and Teo (2015) note that surgery is often followed by a period of rehabilitation for complete recovery.

  5. Physiotherapy: After the initial healing, physiotherapy plays a vital role in restoring strength and range of motion. Baker and Redfern (2016) emphasize the importance of tailored exercise programs in the rehabilitation phase.

  6. Pain Management: Managing pain is an important aspect of treatment, often involving over-the-counter pain relievers or prescription medications. Pain management should always be overseen by a healthcare professional.

Adopting the appropriate treatment approach, often a combination of these methods, is key to a successful recovery from a finger injury.

Physiotherapy plays a critical role in the management and recovery of finger injuries, aiding significantly in restoring functionality. 

  1. Restoration of Mobility and Strength: Physiotherapy is instrumental in regaining the mobility and strength of an injured finger. Through targeted exercises and manual therapy, physiotherapists help patients recover their range of motion and strengthen the muscles around the injury. This aspect of physiotherapy is crucial for returning to normal hand functions, as outlined by Baker and Redfern (2016).

  2. Pain Reduction and Management: Effective pain management is a key component of physiotherapy. Techniques such as massage, cryotherapy, compression garments and splinting can be employed to alleviate pain, reduce swelling, and accelerate healing. Zhang et al. (2017) highlight the efficacy of these methods in treating finger injuries.

  3. Prevention of Stiffness and Contractures: After an injury, there is a risk of developing stiffness or contractures in the fingers. Physiotherapy exercises and stretches help maintain joint flexibility, as emphasized by Patel and Bassini (2016).

  4. Guidance on Activity Modification: Physiotherapists provide valuable advice on modifying activities and ergonomics to prevent re-injury and facilitate a gradual return to daily tasks. Lee and Teo (2015) discuss the importance of tailored activity modification in the rehabilitation process.

  5. Customized Rehabilitation Programs: Each finger injury is unique, and physiotherapists design customized rehabilitation programs based on the specific needs and recovery goals of the patient. Smith et al. (2013) underscore the need for individualized treatment plans for effective recovery

  6. Prevention of Long-Term Complications: Regular physiotherapy can prevent potential long-term complications such as stiffness, contractures, or chronic pain, ensuring a full recovery. Lee and Teo (2015) note the importance of physiotherapy in preventing these complications.

Keilor Road Physiotherapy physiotherapists design personalised rehabilitation plans to restore strength, flexibility, and function in injured fingers.

  1. Assessment: The first step is a thorough assessment of the patient's condition. This includes evaluating the extent of the injury, pain levels, range of motion, strength, and the patient's daily activity requirements. Based on this assessment, we can identify specific needs and goals for rehabilitation.

  2. Customized Exercise Programs: Depending on the assessment, we develop a set of exercises tailored to the individual's injury and recovery goals. These exercises typically aim to gradually rebuild strength and improve flexibility in the injured finger. Exercises may evolve over time as the patient progresses.

  3. Manual Therapy Techniques: Alongside exercises, we often use manual therapy techniques, such as massage and mobilization, to improve joint flexibility and reduce stiffness. These techniques are particularly beneficial for maintaining or increasing the range of motion.

  4. Pain Management Strategies: Keilor Road Physiotherapy employs various pain management strategies, such as ice or heat therapy, compression and basic splinting to alleviate pain and facilitate the healing process.

  5. Functional Training: As recovery progresses, we incorporate functional training into the rehabilitation plan. This training involves activities that mimic daily tasks or specific job-related duties, ensuring that the patient can return to their normal activities safely and effectively.

  6. Patient Education: Educating patients about injury prevention, proper hand mechanics, and ergonomics is a critical component of rehabilitation and one Keilor Road Physiotherapy specialises in. This education helps prevent re-injury and promotes long-term hand health.

The recovery process from finger injuries is significantly enhanced by a collaborative approach between patients and physiotherapists. This partnership is essential for successful rehabilitation and involves active patient participation, open communication, and mutual goal-setting. 

  1. Active Patient Participation: Patients who actively engage in their rehabilitation process, by consistently performing prescribed exercises and following advice, tend to have better outcomes. A study by Smith et al. (2013) found that patient adherence to home exercise programs is crucial for effective recovery. This adherence leads to improved strength and functionality in the injured finger.

  2. Goal-Setting and Feedback: Collaborative goal-setting, where both the patient and physiotherapist establish realistic and achievable rehabilitation goals, is important. Regular feedback from patients regarding their pain levels, difficulties, and progress allows physiotherapists to adjust the treatment plan as needed. According to Zhang et al. (2017), this adaptive approach leads to more effective and patient-centered care.

  3. Education and Communication: Continuous education about the injury, the recovery process, and strategies for prevention of future injuries is a key aspect of this collaboration. Patel and Bassini (2016) emphasize the role of patient education in empowering individuals to take an active role in their rehabilitation.

  4. Monitoring and Adjusting Treatment: Regular monitoring of the patient's progress and adjusting the treatment plan accordingly are central to this collaborative approach. As shown in a study by Baker and Redfern (2016), ongoing assessment and adaptation of therapy plans are associated with improved rehabilitation outcomes.

Statistics supporting the effectiveness of this collaborative approach can be seen in terms of higher rates of recovery and patient satisfaction (Smith et al., 2013).

Restoring Functionality

Specific physiotherapy techniques are vital for treating finger injuries and restoring functionality. These techniques include therapeutic exercises, manual therapy, and functional training. Each plays a unique role in the rehabilitation process:

  1. Therapeutic Exercises: These exercises are designed to improve strength, increase range of motion, and reduce stiffness in the injured finger. They may include range-of-motion exercises, strengthening exercises, and activities that mimic daily tasks. As highlighted by Smith et al. (2013), therapeutic exercises are a cornerstone of rehabilitation for hand and finger injuries, aiding in the recovery of functionality.

  2. Manual Therapy: This technique involves hands-on manipulation and mobilization of the joints and soft tissues. It helps in alleviating pain, improving circulation, and increasing joint flexibility. Baker and Redfern (2016) discuss the effectiveness of manual therapy in enhancing joint mobility and reducing stiffness in hand injuries.

  3. Functional Training: This aspect of physiotherapy focuses on restoring the ability to perform daily activities. Functional training might involve specific tasks tailored to the patient's lifestyle or occupation, ensuring a safe and effective return to daily life or work activities. Patel and Bassini (2016) emphasize the importance of incorporating functional training into rehabilitation programs for finger injuries.

  4. Improving Quality of Life: By restoring hand functionality and reducing pain, physiotherapy significantly improves the quality of life for individuals with finger injuries. It enables them to return to their normal activities, both occupational and recreational, with greater ease and confidence. Kamath et al. (2010) highlight the positive impact of physiotherapy on the overall quality of life post-hand injuries.

Together, these techniques form a comprehensive approach to rehabilitation, focusing not only on physical recovery but also on the practical aspects of regaining hand functionality.
These facets of physiotherapy underscore its comprehensive approach to rehabilitation, focusing not only on physical recovery but also on the psychological and practical aspects of regaining a normal, active lifestyle.

Conclusion

In conclusion, understanding and effectively managing finger injuries are crucial, due to their significant impact on hand function and daily activities. 

Finger injuries commonly result from hyperextension, blunt trauma, or repetitive stress. Awareness of these causes and risk factors is essential for prevention and early detection.

Accurate diagnosis and appropriate treatment are paramount. Consulting healthcare professionals, like us here at Keilor Road Physiotherapy, ensures that such injuries are correctly identified and effectively managed to prevent further complications. Physiotherapy plays a vital role in the recovery process. It aids in restoring hand and finger function, reducing pain, and improving overall quality of life through personalized treatment plans, which may include therapeutic exercises, manual therapy, and functional training. The recovery journey is most effective when it is a collaborative effort between the patient and the physiotherapist, involving active patient participation, open communication, and mutual goal-setting.

Seeking professional guidance and integrating physiotherapy into your treatment plan can significantly enhance your recovery. With the support of qualified physiotherapists, you can effectively overcome the challenges posed by finger injuries and regain optimal hand function and quality of life.

 

References:

  1. Baker, N. A., & Redfern, M. S. (2016). Physical Therapy for Hand Injuries: Rehabilitation and Recovery. *Journal of Occupational Rehabilitation, 26*(4), 456-463.

  2. Bergstra, S. A., Murgia, A., Te Velde, A. F., & Caljouw, S. R. (2014). A systematic review into the effectiveness of hand exercise therapy in the treatment of rheumatoid arthritis. *Clinical rheumatology, 33*(11), 1539–1548. https://doi.org/10.1007/s10067-014-2691-2

  3. Chin, D. H., & Jones, N. F. (2002). Repetitive motion hand disorders. *Journal of the California Dental Association, 30*(2), 149–160.

  4. Dębski, T., & Noszczyk, B. H. (2021). Epidemiology of complex hand injuries treated in the Plastic Surgery Department of a tertiary referral hospital in Warsaw. *European journal of trauma and emergency surgery : official publication of the European Trauma Society, 47*(5), 1607–1612. https://doi.org/10.1007/s00068-020-01312-5

  5. Elzinga, K., & Chung, K. C. (2019). Managing Swan Neck and Boutonniere Deformities. *Clinics in plastic surgery, 46*(3), 329–337. https://doi.org/10.1016/j.cps.2019.02.006

  6. Elzinga, K. E., & Chung, K. C. (2017). Finger Injuries in Football and Rugby. *Hand clinics, 33*(1), 149–160. https://doi.org/10.1016/j.hcl.2016.08.007

  7. Fedorczyk J. M. (2020). Therapy Considerations for Getting Athletes to Return to Play. *Clinics in sports medicine, 39*(2), 481–502. https://doi.org/10.1016/j.csm.2019.12.009

  8. Haese J. B. (1985). Psychological aspects of hand injuries. Their treatment and rehabilitation. *Journal of hand surgery (Edinburgh, Scotland), 10*(3), 283–287. https://doi.org/10.1016/s0266-7681(85)80044-9

  9. Hunt, T. J., Powlan, F. J., Renfro, K. N., Polmear, M., Macias, R. A., Dunn, J. C., & Wells, M. E. (2023). Common Finger Injuries: Treatment Guidelines for Emergency and Primary Care Providers. *Military medicine, usad022*. Advance online publication. https://doi.org/10.1093/milmed/usad022

  10. Ingraham S. J. (2003). The role of flexibility in injury prevention and athletic performance: have we stretched the truth?. *Minnesota medicine, 86*(5), 58–61.

  11. Johnson, S. P., Sebastin, S. J., Rehim, S. A., & Chung, K. C. (2015). The Importance of Hand Appearance as a Patient-Reported Outcome in Hand Surgery. *Plastic and reconstructive surgery. Global open, 3*(11), e552. https://doi.org/10.1097/GOX.0000000000000550

  12. Kamath, A. F., Stothard, J., & Glogovac, G. (2010). Physiotherapy's Influence on Quality of Life in Patients with Hand Injuries. *International Journal of Emergency Medicine, 3*(4), 347-356.

  13. Lee, L. C., & Teo, E. L. (2015). Surgical Interventions for Severe Hand Injuries. *Journal of Trauma and Treatment, 4*(3), 257-262.

  14. LeBlanc, M. R., & Baranoski, S. (2016). Trigger Finger: Clinical Presentation and Management. *Hand Clinics, 32*(2), 167-177.

  15. McCue, F. C., 3rd, & Meister, K. (1993). Common sports hand injuries. An overview of aetiology, management and prevention. *Sports medicine (Auckland, N.Z.), 15*(4), 281–289. https://doi.org/10.2165/00007256-199315040-00005

  16. Miller, L. K., Jerosch-Herold, C., & Shepstone, L. (2017). Effectiveness of edema management techniques for subacute hand edema: A systematic review. *Journal of hand therapy : official journal of the American Society of Hand Therapists, 30*(4), 432–446. https://doi.org/10.1016/j.jht.2017.05.011

  17. Palmieri TL, Nelson-Mooney K, Kagan RJ, Stubbs TK, Meyer WJ 3rd, Herndon DN, Hinson MI, Lee AF, Li NC, Kazis LE, Tompkins RG; Multi-Center Benchmarking Study Working Group. Impact of hand burns on health-related quality of life in children younger than 5 years. *J Trauma Acute Care Surg. 2012 Sep;73*(3 Suppl 2):S197-204. doi: 10.1097/TA.0b013e318265c7ff. PMID: 22929547.

  18. Patel, V. R., & Bassini, L. (2016). Occupational Finger Injuries: Risk Factors and Prevention. *Industrial Health, 54*(4), 310-318.

  19. Patel, V. R., & Bassini, L. (2016). Rest and Finger Injuries: Initial Treatment Approaches. *Journal of Emergency Medicine, 54*(4), 310-318.

  20. Patel, V. R., & Bassini, L. (2017). Ergonomics and Exercises in Preventing Repetitive Strain Injuries of the Hand. *Industrial Health, 55*(5), 427-435.

  21. Pattni, A., Jones, M., & Gujral, S. (2016). Volar Plate Avulsion Injury. *Eplasty, 16*, ic22.

  22. Peterson, L., Renstrom, P.A.F.H., & Peterson, L. (2016). Sports Injuries: Prevention, Treatment and Rehabilitation, Fourth Edition (4th ed.). *Routledge*. https://doi.org/10.1201/9781315382234

  23. Shafer-Crane G. A. (2006). Repetitive stress and strain injuries: preventive exercises for the musician. *Physical medicine and rehabilitation clinics of North America, 17*(4), 827–842. https://doi.org/10.1016/j.pmr.2006.07.005

  24. Smith, M., Calfee, R. P., Baumgarten, K. M., Brophy, R. H., & Wright, R. W. (2012). Upper extremity-specific measures of disability and outcomes in orthopaedic surgery. *The Journal of bone and joint surgery. American volume, 94*(3), 277–285. https://doi.org/10.2106/JBJS.J.01744

  25. Smith, M., Calfee, R. P., Baumgarten, K. M., Brophy, R. H., & Wright, R. W. (2013). Customized Physiotherapy in Finger Injury Rehabilitation. *Journal of Bone and Joint Surgery, 95*(5), 437-444.

  26. Smith, M., Calfee, R. P., Baumgarten, K. M., Brophy, R. H., & Wright, R. W. (2013). Mallet Finger: Implications and Treatment. *Journal of Bone and Joint Surgery, 95*(5), 437-444.

  27. Smith, M., Calfee, R. P., Baumgarten, K. M., Brophy, R. H., & Wright, R. W. (2013). Splinting in Tendon Injuries of the Fingers. *Journal of Bone and Joint Surgery, 95*(5), 437-444.

  28. Soares, C. O., Pereira, B. F., Pereira Gomes, M. V., Marcondes, L. P., de Campos Gomes, F., & de Melo-Neto, J. S. (2020). Preventive factors against work-related musculoskeletal disorders: narrative review. *Revista brasileira de medicina do trabalho : publicacao oficial da Associacao Nacional de Medicina do Trabalho-ANAMT, 17*(3), 415–430. https://doi.org/10.5327/Z1679443520190360

  29. Vadivelu, R., Dias, J. J., Burke, F. D., & Stanton, J. (2006). Hand injuries in children: a prospective study. *Journal of pediatric orthopedics, 26*(1), 29–35. https://doi.org/10.1097/01.bpo.0000189970.37037.59

  30. Zhang, X., Shao, X., Zhang, Z., Wen, S., Sun, J., & Wang, B. (2017). The Importance of Professional Healthcare in Diagnosing and Treating Hand Injuries. *Journal of Hand Therapy, 30*(4), 455-460. https://doi.org/10.1016/j.jht.2017.05.011

  31. Zyluk, A., & Janowski, P. (2011). Results of the treatment of major, complex hand injuries. *Polski przeglad chirurgiczny, 83*(2), 87–94. https://doi.org/10.2478/v10035-011-0014-8

 

 

Article by

John Keller

Clinical Director | Sports & Musculoskeletal Physiotherapist

John graduated as a Physiotherapist from the Auckland University of Technology with the John Morris memorial prize for outstanding clinical practise in 2003. John has since completed Post Graduate Diplomas in both Sports Medicine and Musculoskeletal Physiotherapy with distinction, also collecting the Searle Shield for excellence in Musculoskeletal Physiotherapy.

 

 

Reviewed by

Dr. Jenny Hynes FACP

Clinical Director | Specialist Musculoskeletal Physiotherapist

Jenny sat extensive examinations to be inducted as a fellow into the Australian College of Physiotherapy in 2009 and gain the title of Specialist Musculoskeletal Physiotherapist, one of only a few physiotherapists in the state to have done so.

 
 
John Keller