Conversation: The conversation between human and AI assistant.
[|Human|] I fell about 3 weeks ago and landed palm down on my left hand that night it was swollen and very painful in the thumb index fingers doen to the inside area of my wrist it was xrayed results where normal having increase pain and tingling also swelling went to an orthopedic specialist who stated the first xrays where clear and referred me to physical therapy went to physical therapy which they couldn t do anything for me cause I have full range or motion but the pain and swelling persists and tingiling off and on what to do next?
[|AI|]  Hi, Noted the history of fall on an outstretched left hand, pain and swelling, normal X-rays, no fracture, physiotherapy did not help. My thoughts:Since the hand is a dependent part, keeping in hanging by side below the heart level will cause the edema and thus pain. Soft tissue injuries take far more time than the fracture.Hence, I would advise you the following:Continue the medication, particularly the anti-inflammatory medications. Needs a splint to avoid movements of the affected area, give it a rest for healing to occur. Keep the hand above the heart level in lying down position, helps a lot. Also get the blood tests for CBC, thyroid and kidney functions. Hope I have answered your query. Let me know if I can assist you further.