Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Fell off bike and landed on the palm of left hand

Resolved Question:

I fell off my bike and landed on the palm of my left hand 3 hours ago. No my left hand feels weak. I can move all the fingers, but the key difference is that I am unable to bring the little finger and the ring finger of my left hand together as if to make a karate chop. Also, I cannot press those same fingers flat to a table top or straighten them when stretching my fingers forward like Superman. The ring finger in particular is bowed with the upper knuckle high. There is no swelling. I can spread my fingers wide apart.

Category: Neurologist, Medical

Ask Your Own Question

Category: Pediatric Neurologist
 23 Doctors Online

Hello,

Thank you for posting your query.

The symptoms are suggestive of minor involvement of the left ulnar nerve, and resulting weakness of muscles supplied by this nerve.
In most cases, the condition is self-limiting, and spontaneous improvement occurs.
As of now, nerve vitamins such as B12, folate, alpha lipoic acid may be taken.
Physiotherapy with exercises is also helpful.
If any pain or tingling occurs, then, pregabalin would be useful.

Please get back if you have any more queries.

Best wishes,

Dr. Sudhir Kumar MD (Medicine), DM (Neurology)

--

I recommend an ER visit. An Xray for the arm might be needed. As Dr.Sudhir suggested there appears to be an ulnar nerve compression which can spontaneously recover. However any fracture or external compression needs to be ruled out.
Dr.Deepu Sebin (In House Physician)


Patient replied :

Additional info: I fell on my elbow about an hour before the second fall. It's sore and tender to the touch, but not especially painful.


You can take pain medication like Ibuprofen (400mg two to three times daily) for pain relief. This will help in reducing the swelling and inflammation too. But you do need to get it checked for fracture or serious nerve injury.

If the hand symptoms are persisting it need some evaluation as I have mentioned earlier.

Thank you.


Dr. Sudhir Kumar
Category: Pediatric Neurologist
Experience: 
Senior Residency, Fellowship: DM, Neurology, CMC, Vellore, 2001
Junior Residency: MD, Internal Medicine, CMC, Vellore, 1998
Medical School: MBBS, Christian Medical College, Vellore, 1995
Dr. Sudhir Kumar and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news