hi I'm Bob short physical therapist
Brad hanok physical therapy because we
have the most famous physical therapist
on internet and our pity of course Bob
Loni hit me oh now that happens quite
often doesn't it Brad you Jam a finger
because you allow you burn that past
yeah like a real corner that's my shake
so um like that except for the Bob Mikey
yeah I know you like that a lot of times
it happens in basketball he's doing
basketball it's a jam a finger and we're
going to tell you how to treat this day
we're going to tell you how to treat it
immediately and we're also going to show
you what to do in case it doesn't get
better like three to five days that's
going to be more of an advanced
technique but I think you guys can do it
you're smart out there oh yeah good hi
first thing you Jam your finger you want
to take a look at it if there's a lot of
bruising immediately that's that's kind
of a bad sign that mean you tore
something or broke something especially
if you can't move it at all then you're
going to need to go and see the doctor
right we're generally it's this bigger
joint right here is it not the biggest
joint but the the second joint right
here one that people jam but regardless
even if you think you need to go to the
doctor you're still going to put it on
any yeah exactly that's the first thing
you do is you're going to ice it no
matter what and it want to be a little
careful if you're putting ice right on
it because you don't want to get any
frostbite sure you can you know the ice
patches you are fine because that is bad
you could take a bowl of water with ice
and water what yep and submerse it can
I'd say good you know 15 minutes right
up to 20 minutes right and and then you
can take a break and another hour later
you could do it again but don't drink
the water ion that's right Brad I would
that's good advice so after you ice it
and now at this point what you're going
to do is probably want to make sure that
it's it's going to be protected
sure so what you can do is I hate to say
this a lot when I found this is a used
popsicle stick and when you're at home
and you need something it's going to be
okay I think they also call them craft
sticks sure I don't know what else you
could use but you could anything that
you could use to splint it so this if
this is
the finger I'd go ahead and just put it
right on there and Andale and you could
just take some medical tape and wrap it
around it or the other thing which a lot
of people do even if they don't have a
board like this they might buddy splint
it to another finger go around like that
right now you're gonna really want to
make sure you don't wrap it too tight
just enough to be comfortable because if
it does swell it's going to make it very
uncomfortable and you're going to get
numbness and tingling in right you want
to maintain circulation right but you
know if you're all picnicking which is
where you're doing a lot of these
activities this may be what you're going
to find you exactly find what you can
make it work I just blinked it up to
make it protective so you're going to
protect it and then you know for the
next three to five days you do the the
rice or the price protection rest ice
compression which you've done with the
taping and elevation so you kind of want
to keep it above your heart if you can
as much as possible right so you want
the fluid to gather in there after the
three to five days you know you may have
to rewrap it every every day obviously
and because you're going to want to ice
and such but after the three to five
days you want to take a look at it and
you want to start moving it and if it's
still really really sore at that point
you might need to see the doctor and if
he clears it or if it's not that sore
but still just a little sore this is the
thing that you might try this is kind of
an advanced movement over but I think
you guys are capable of just what you're
doing we're taking the Boleyn's hand
here is you're going to be holding on to
one part of the finger here right
if you consider that above the joint or
below the joint going to be this is
where you talk about this knuckle yeah
right there we're going to hold up your
hand more like your there you go Fred
like that you're going to we're working
on this knuckle so on I'm going to grab
right here or right here and then right
on the other side of it so we're on each
side of it and what I'm going to do is
I'm actually going to move this little
bowl here that direction or this
direction one of them is going to feel
better one of them is going to hurt and
one of them
going to feel better if it doesn't feel
better either direction you can't do it
right so all right let's say I move it
this way oh that hurts I move it this
way ah no pain it doesn't feel bad all
right then you can go and have the
person bend it so let's do it again
it's the ear spreads finger this is the
problem joint I'm grasping pretty firmly
here on one side of the joint I grasp
firmly here I'm moving it this way
does that hurt bread yes okay now I'm
going this way
does that hurt that's better okay so now
that I'm in this direction he's going to
take his other hand and he's going to
bend the joint while I'm doing that I'm
the whole time I'm bending it I mean I'm
pushing the whole time he's maintaining
that I maintain that pressure this
really works well if you're not getting
full Bend at the joint this will help
you get full bend at the joint and again
this would all be painless if this hurts
you can't do it I realized if this hurts
you can't do it right so you try that
and in a lot of times miracle of
miracles it just seems like it helps put
the joint kind of back in place and and
you know you're functioning back to
functioning quicker again a sports
quicker so and then after that you know
you want to start off you can just do
some general and grip strengthening
their stuff like that but but that
should do it right right okay
all right again we don't expect anybody
to live in pain unless you live in pain
Minnesota right Brad that's our one
today that's right you bet Jeff so take
care