Smashed fingers

Alternative names:

finger(s) - smashed

First aid:

• Apply an ice pack to decrease the swelling.
• Over-the-counter pain medications may help relieve discomfort.
• If pain becomes excessive resulting from blood under the fingernail, talk to your health care provider. The provider MAY recommend that you take the following steps to relieve the pressure:
  
  1. Heat the end of a bent paper clip (or something similar) over an open flame until it is very hot. Use a pair or pliers to hold the paper clip during sterilization.
     
     
  2. While it is still very hot, touch the tip of it to the injured fingernail. This is not a painful procedure for most people.
     
     
  3. The heat of the clip will burn a small hole in the fingernail even without pressing down hard.
     
     
  4. As the paper clip is removed, blood should start releasing through the small hole. If not, retry the procedure until blood comes out and pressure is relieved. The pain will be relieved as the pressure is released. Soak the injured finger in warm soapy water for 20 minutes four times a day for two days.
     
     
  5. This procedure can be repeated, if necessary, if the hole closes over and the pressure rebuilds.
     
     
  6. This procedure can be repeated if necessary, if the hole closes over and the pressure rebuilds.
     
     
  7. The finger should be washed carefully before and after the procedure. Antibiotics should be administered if the procedure was not performed under sterile conditions.

Do not:

• DO NOT splint a smashed finger without first consulting with a doctor. Decreased long-term finger mobility may result.
• DO NOT try to drain a swollen finger unless the health care provider instructs you to do so.

Call immediately for emergency medical assistance if:

• The finger is deformed or if the injury is not limited to the tip of the finger.

Update Date: 10/08/99

Updated by: adam.com editorial