instruction: hello doctor a couple of days ago I punched a brick wall after the punch I felt a very sharp pain in my entire hand like a throbbing pain about 30 minutes after my hand was still hurting and when I would try to make a fist my pinky and ring finger would not go all the way my pinky also felt very numb I could not feel it now my pinky and ring finger knuckles are badly bruised and swollen I can make a fist and move my hand but it hurts every time I try to make a fist it feels like a huge amount of pressure is being put on my pinky and ring finger knuckles it also hurts a lot when I touch them to the point where I cannot touch them finally I have pierced skin around and on the bruise I am simply not sure if I have bruised the knuckle or if it is something else so would it be worth going to see a doctor
output: hello sorry to hear about your hand I think the bruise you mentioned could be because of any bony injury or just soft tissue injury but it would be worth to get an ray of the hand to rule out a fracture the mechanism of injury you mentioned might cause something called boxers fracture fifth metacarpal fracture if ray comes out clear then you would just need to ice your hand and keep it elevated when you go to sleep by using a pillow also use regular pain killers if it is broken then it needs to be looked at by a hand surgeon