Diagnosis Explanation:

A finger sprain occurs when the ligaments that stabilize the finger joints are overstretched or torn, typically due to falls, sports injuries, or forceful impacts. It most commonly affects the proximal interphalangeal (PIP) joint or the metacarpophalangeal (MCP) joint.

Grades of Finger Sprains:

• Grade 1 (Mild): Ligament is stretched but intact; mild pain and swelling.
• Grade 2 (Moderate): Partial ligament tear; noticeable pain, swelling, and instability.
• Grade 3 (Severe): Complete ligament tear; significant pain, instability, and possible joint deformity.

Symptoms:

• Pain and swelling around the affected joint.
• Bruising and tenderness along the finger.
• Difficulty moving or bending the finger.
• Instability or weakness in gripping objects.

Specific Work Modifications:

• If your job involves typing or writing: Use voice dictation software and take frequent breaks to stretch the hand.
• If your job requires manual labor: Avoid gripping, pulling, or using vibrating tools.
• If your job is desk-based: Use an ergonomic keyboard and mouse, and keep the hand elevated to reduce swelling.
• Avoid: Forceful gripping, repetitive hand use, and tasks that strain the injured finger.

Specific Activity Modifications:

• If you play sports: Avoid ball-handling sports (basketball, volleyball, tennis) and activities requiring strong grip strength.
• If you play an instrument: Modify technique to reduce pressure on the injured finger.
• If you do crafting, gardening, or cooking: Use larger-handled tools to reduce strain.
• Avoid: High-impact activities, repetitive gripping, and forceful pushing motions.

Recommended Supplements:

• Collagen Peptides – 10g daily for ligament and joint repair.
• Vitamin C – 500mg daily to support collagen synthesis.
• Glucosamine & Chondroitin – 1500mg/1200mg daily for joint lubrication and ligament health.
• Omega-3 Fatty Acids – 1000mg daily to reduce inflammation.
• Turmeric (Curcumin) – 500-1000mg daily for pain relief.

Recommended Nutrition and Hydration:

• Increase Lean Protein (chicken, fish, tofu, eggs) to support ligament healing.
• Eat Anti-Inflammatory Foods (berries, leafy greens, turmeric, nuts) to reduce swelling.
• Consume Hydrating Foods (cucumber, watermelon, citrus) to maintain joint lubrication.
• Limit Processed Foods & Sugars to prevent inflammation.
• Hydration: Drink 8-10 cups of water daily to support joint function.

Home Exercise Prescription (Rehabilitation for Finger Sprain)

Early Phase (0-2 Weeks, Reducing Pain & Protecting the Joint):

• RICE Protocol – Rest, Ice (15-20 min, 3x/day), Compression (taping or buddy splinting), Elevation.
• Finger Splinting – Buddy tape the injured finger to the adjacent one if needed for support.
• Passive Finger Flexion & Extension – Use the opposite hand to gently bend and straighten the injured finger, 10 reps, 2x/day.

Strengthening Phase (2-6 Weeks, Restoring Mobility & Function):

• Towel Scrunches – Place a towel on a flat surface, use fingers to scrunch it, 10 reps, 2x/day.
• Finger Lifts – Place hand flat, lift each finger individually, 10 reps per finger, 2x/day.
• Rubber Band Finger Extensions – Wrap a rubber band around fingers, open hand against resistance, 10 reps, 2x/day.

Advanced Phase (6+ Weeks, Preventing Recurrence & Maintaining Function):

• Grip Strengthening (Soft Ball Squeeze) – Squeeze a soft ball 5 seconds, repeat 10 reps, 2x/day.
• Finger-to-Thumb Opposition – Touch thumb to each fingertip, 10 reps, 2x/day.
• Wrist Circles – Slowly rotate wrists in both directions, 10 reps, 2x/day.

Helpful Books:

1. The Hand and Wrist Pain Solution: Simple Exercises for Relief – Dr. Ross Clifford.
2. Arthritis and Hand Therapy: A Self-Help Guide to Managing Joint Pain – Susan J. Barnhart, PT.

Contact the Key West orthopedic clinic or reach out to Dr. Jason Pirozzolo.