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Ouray Ice Festival 2011 Highlights
Ouray Ice Festival 2011 Highlights

Lateral band (?) irritation

12-Jul-2014 08:03 PM

Mike

Mike
Posts: 1

Hey Dr. J!

Full disclosure: I am a repeat offender. You previously gave me some fantastic advice for my wrist (now 100%), but this time it is my finger. I am 12 weeks post injury and a bit confounded.

During a long weekend trip to a pocketed limestone destination (with stereotypical no rest days), I awoke up with a swollen index finger and pain near my collateral ligament (ulnar side). I stopped climbing and took enough time for the initial swelling to subside. My total time off with no climbing was ~10 days.

After slowly ramping up activity over the next 14 days, my finger would swell and be painful down the entire ulnar side for 36-48 hrs post climbing. This pattern continued for some time, but was improving albeit slowly.

Fast forward to now...3 months later with only incremental improvement.

I now suspect the lateral band as the culprit, perhaps from a lumbrical strain. My persisting symptoms are PIP joint swelling and dorsal/lateral pain during full flexion. Neither extension or loaded flexion hurt. ROM is complete. Glide exercises help relieve stiffness in the morning.

I would appreciate any input. Thanks in advance for the read. I have doctor appointment in 2 days, though my past experience with the PT available through my healthcare was not good.

Mike

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16-Jul-2014 05:47 PM

Mike

Mike
Posts: 1


Update 07/16:

Just finished up with a new (to me), seemingly competent PT. We did a very thorough work through all types of motion and he isolated various anatomical elements.

His conclusion was a strained extensor indicis tendon/muscle that won't calm down due to the mixture of climbing and office work (story of my life).

He said to 1) stop poising my fingers when typing (remove the constant stress on the extensors), 2) climb with a reduced intensity, 3) do some light extensor exercises, and 4) light passive ROM exercises until stronger and pain free.

It all seems plausible, though not something I could have imagined.

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