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Splinting > Conditions
Hand, Wrist, Forearm & Elbow Conditions > Finger Dislocation
(Proximal Interphalangeal Joint) Hand Therapy
Finger Dislocation (Proximal Interphalangeal Joint) Hand Therapy
“Working with a knowledgeable hand therapist can make the difference between success and failure in complex hand surgical cases. The therapist extends the continuum of our care, as well as functioning as coach and trainer for our patients.”
Marybeth Ezaki, MD, Past President, American Society for Surgery of the Hand
In Phoenix Rehab, our senior hand therapists are experienced licensed and dedicated therapists (physiotherapists and/or occupational therapists) who specialized ONLY in the rehabilitation, treatment and management of painful fingers, hands, wrists, forearm & elbow conditions, because of interest, passion and expertise.
Finger dislocation is a very common injury.
It occurs when the bones of the finger are moved (dislocated) from their normal position. A dislocated finger can occur in any of the joints of any finger, but most of the time it occurs in the middle knuckle (PIP* joint) of a finger.
Types of dislocations are called
depending on the direction of the dislocated bone. There can be a fracture associated with a dislocation (this is called fracture dislocation) and also the ligaments surrounding the joint can be sprained or torn.
*PIP = proximal interphalangeal ie the middle joint of the fingers
Illustration of a normal finger (A), (B: dorsal PIP dislocation) and (C: lateral PIP dislocation)
What are the symptoms of a finger dislocation?
A dislocated finger is usually obvious, but not always.
Usually the dislocated finger may appear crooked or bent and can be painful, swollen, bruised and difficult to move. There may be numbness or tingling and the finger may have a pale color.
Some dislocations may cause the skin to tear.
Example of a lateral PIP dislocation after a motorcycle injury
What are the causes of a finger dislocation?
The most common causes of finger dislocations are
where the finger can be
- bent or
- pushed backward forcefully
An object such as a ball hitting the finger can also cause the finger to dislocate.
What is the treatment for a finger dislocation?
Fortunately, most finger dislocations can be treated without surgery.
A physical examination and X-rays may be taken (X-rays are done usually to rule out fractures or fracture dislocations). Treatment usually consists of “putting the finger back in place” (reduction).
It is then rested in an orthotic or buddy taped to its neighbor.
Early exercise to bend the finger is generally begun once the finger is safe to be moved. If the dislocation is combined with a fracture and is not stable, surgery might be required.
What can a hand therapist do for me?
Our senior hand therapist may fabricate a custom hand and finger splint to protect the finger as it heals. Regaining the movement and strength of the hand will be a focus of treatment.
Our senior hand therapist will work with the patient in order to achieve the best possible outcome after a finger dislocation to improve
- range of motion (movement)
Example of an orthosis to protect ring and small fingers dorsal dislocations
Patients may also receive the following hand therapy treatment modalities:
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Phoenix Rehab physio Services
Phoenix Rehab Group works with specialist
physiotherapists and rehab therapists who are highly
trained, qualified, experienced and passionate to provide high level of
expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
HAND THERAPY & SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand
following injuries or post-operations as well as custom made hand splints.
Commonly treated hand pain injuries includes
CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on
- core stability
- flexibility and
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to
- accelerate recovery and
- shorten downtime / recovery period required
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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