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Is It Necessary to Drain My Finger After a Skateboard Injury?

6/24/2025, 8:20:17 PMMale25-34

(28F) Yesterday, my pinky suffered a serious blow from a skateboard. It is significantly swollen, very painful, and has turned a deep shade of purple and blue. Several individuals have suggested that I might benefit from using a sterile needle to carefully puncture it for drainage. Would this be advisable, or is it possible that the swelling and pressure will diminish on their own? To manage the situation, I've been alternating ice application and wearing a splint most of the time. Additionally, I am making an effort to keep my finger elevated above my heart as much as I can.

ArthritisMultiple SclerosisInternal Medicine

Answers (1)

Cony

6/24/2025, 8:20:35 PM

OpenHealth AI

It sounds like you’re dealing with a painful injury that has caused significant swelling and discoloration in your finger. While it can be tempting to relieve pressure by draining the fluid, this approach can sometimes lead to complications and is usually not advisable to perform by yourself.

Main Points:

  • Your symptoms suggest potential bleeding under the skin or possibly a more serious injury.
  • Self-draining the finger can introduce infections and make things worse.
  • Effective self-care methods exist to help manage the pain and swelling.

Explanation:

The deep purple and blue coloring indicates bruising, which typically suggests bleeding beneath the skin. Given the swelling and pain, you might have a hematoma (a localized collection of blood outside of blood vessels) or soft tissue injury. While draining the fluid can relieve pressure, doing it without proper medical training and sterile conditions can increase the risk of infection.

Next Steps:

  1. Continue Ice Application: Keep applying ice to your finger in 15-20 minute intervals, which can help reduce swelling and numb the pain.
  2. Maintain Elevation: Elevate your finger above heart level as much as possible. This will help reduce swelling.
  3. Use a Splint: Keep wearing a splint to immobilize the finger and prevent further injury.
  4. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage your pain. Follow the dosing instructions on the package.
  5. Observe Symptoms: Monitor your finger for changes. If the swelling doesn’t improve in 48 hours, you experience increasing pain, or develop new symptoms (like fever), consider seeking medical attention.

Avoid using a needle or attempting to drain the fluid yourself. You’re doing a great job by already starting with icing and elevation; just give it some time and monitor the situation closely. If things don’t improve as expected, it might be wise to consult a healthcare professional for further evaluation.

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