Should an X-ray be taken for pain in the knuckles after an injury?
Patient: Banged my hand against a piece of furniture on Christmas. Pinky and ring finger knuckles hurt, swollen. Wrapped it and the swelling has gone away. Full range of motion has returned, but still, I have pain and some tenderness in the knuckles. Should I expect any more progress, or do I absolutely need imaging? Doctor: Hello,  It might be a contusion. Fracture is unlikely. As a first line management, you can apply ice packs for symptomatic relief.  Generally, the symptoms will settle in a couple of days. If persists better to consult an orthopaedic and plan for an X-ray.  Hope I have answered your query. Let me know if I can assist you further.  Take care  Regards, Dr Shinas Hussain, General & Family Physician