Stephen J. Schueler, M.D.

Overview Symptoms Evaluation Treatment specialist Home Care pain in adults pain in children ring removal warning signs Complications Underlying Cause Anatomy

Finger is Out of Joint Home Care

Home care for finger dislocations includes:

Finger is Out of Joint Pain in Adults

Medications commonly used to control pain and inflammation in adults with a finger dislocation include:

  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Adult dosing is 2 regular strength (325 mg) every 4 hours or 2 extra-strength (500 mg) every 6 hours.
  • Maximum dose is 4,000 mg per day.
  • Avoid this drug if you have alcoholism, liver disease or an allergy to the drug. See the package instructions.
  • Common brand names include Tylenol, Panadol, and many others.





NSAID Precautions

Finger is Out of Joint Pain in Children

Common medications used at home for pain in children with a finger dislocation include:

Aspirin and most of the other nonsteroidal anti-inflammatory drugs (NSAIDS) are not used in children except under a doctor's care.

  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Dosing is 10-15 mg per kilogram (5-7 mg per pound) of body weight every 4-6 hours, up to the adult dose.
  • Do not exceed the maximum daily dose.
  • Acetaminophen products come in various strengths. Always follow the package instructions.
  • Avoid this drug in children with liver disease or an allergy to acetaminophen.
  • Common acetaminophen products include Tylenol, Panadol and many others.



Finger is Out of Joint Ring Removal

Remove rings immediately after a finger dislocation, because it is difficult to remove the ring if the finger becomes swollen. Sometimes, the finger becomes so swollen that the ring must be removed with a ring cutter. The following will help you remove a ring from a swollen finger.

Ring Removal

  • Elevate the finger above the heart and apply a cold compress for 15-20 minutes.
  • Lubricate the ring:
    • Apply soapy water to the ring.
  • Ask another person to pull the skin tightly away from the ring, and then try to twist the ring off gently.
    • Stop if this causes pain or skin damage.
  • If this does not work, loop a piece of thin string or ribbon under the ring on both sides of the finger. Ask another person to grab the ends of both strings. Have the person pull equally on the ends of each string, while you gently twist the ring.

Reducing Finger Swelling
In order to reduce finger swelling, you may wrap a wide rubber band around the finger. Start at the tip of the finger and wrap towards the ring. Overlap the edges of the rubber band as you wrap the finger. After 5 minutes, remove the rubber band and try to remove the ring.

Do not wrap the finger with a rubber band if:

Seek medical care immediately for:

Finger is Out of Joint Warning Signs

Notify your doctor if you have a finger dislocation and any of the following:

Continue to Finger is Out of Joint Complications

Last Updated: Feb 23, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Finger is Out of Joint References
  1. Campbell DA, Kay SP. The Hand Injury Severity Scoring System. J Hand Surg [Br]. 1996 Jun;21(3):295-8. [8771461]
  2. Chan J, Spencer J. Adaptation to hand injury: an evolving experience. Am J Occup Ther. 2004 Mar-Apr;58(2):128-39. [15068148]
  3. Gustafsson M, Ahlstrom G. Problems experienced during the first year of an acute traumatic hand injury - a prospective study. J Clin Nurs. 2004 Nov;13(8):986-95. [15533105]
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