“Broken finger treatment?”
About 3 weeks in, treatment so far consists of stitches, fingertip splint, healthy diet, vitamin supplements for fracture healing from Forte. I'm wondering if peptide injection of BPC 157 combined with TB 500 would be helpful in healing ligament. Long term joint flexibility is important and heard complete immobilization in the splint could actually be bad for this, wondering if a bit of movement is ok.
Male | 38 years old
Complaint duration: 3wks
Medications: Antibiotics complete. None currently
Conditions: Broken distal phalanx/collateral tendon
5 Answers
The real problem is the displaced fracture.The good news is that this joint is ok.Wound care is important to prevent infection.Gentle Motion is a good idea.
Not familiar with peptide injections; ligaments in the digits heal on their own. What was mechanism of injury? It’s probably too late for the fracture to be stabilized with surgery.
Was the fracture reduced? It needs to be better aligned. There will be stiffness after healing which should not be debilitating. Occupational therapy may be helpful.
BPC 157 combined with TB 500 will only use your money and not help heal. Google peer-reviewed research on these and read it before you spend your money.
Yes, splinting with no movement will increase stiffness. YOU MUST FULLY MOVE THE BIG KNUCKLE AT THE BASE OF YOUR FINGER - THE METACARPAL PHALANGEAL JOINT. THEN, almost as important, move the small joint in the middle of your finger, the proximal interphalangeal joint. You can move these joints EVEN IF IT HURTS BECAUSE YOU ARE STRETCHING OUT SCAR and the 3rd repetition will hurt less because the scar is stretched a little! Take Ibuprofen 200 mg up to 3 tabs if your kidneys are good and no stomach/heart burn, etc. Plus Tylenol to help with the pain. Less important is the joint near your broken bone. Move that one as well, but more gently because you may slow down the fracture healing, which is not too much of a problem because that bone is small.
Yes, splinting with no movement will increase stiffness. YOU MUST FULLY MOVE THE BIG KNUCKLE AT THE BASE OF YOUR FINGER - THE METACARPAL PHALANGEAL JOINT. THEN, almost as important, move the small joint in the middle of your finger, the proximal interphalangeal joint. You can move these joints EVEN IF IT HURTS BECAUSE YOU ARE STRETCHING OUT SCAR and the 3rd repetition will hurt less because the scar is stretched a little! Take Ibuprofen 200 mg up to 3 tabs if your kidneys are good and no stomach/heart burn, etc. Plus Tylenol to help with the pain. Less important is the joint near your broken bone. Move that one as well, but more gently because you may slow down the fracture healing, which is not too much of a problem because that bone is small.
This X-ray shows a significantly displaced distal phalageal fracture that seems to run through the nail bed. This should be evaluated by a hand surgeon as it may need surgery to allow proper positioning and long-term function of the finger.
Jeffrey R. Carlson, MD
Jeffrey R. Carlson, MD
