<s>[INST] hi im a 21year old female and out of anger i punched my wall a couple times and noticed swelling from pinky on left hand to middle finger i can close it in a fist but not tight as it hurts the pain goes up the threes fingers but only to knuckle should i be worried? [/INST] Hello, There are chances of injury to finger bones due to punching against a hard surface. I would like to advise X-ray of the hand anteroposterior and oblique views to rule out a fracture. Please get it done from radiology centre nearby you. Meanwhile, do ice compression and tab Aceclofenac twice a day can be taken for pain relief.  Visit orthopaedic surgeon is recommended if X-ray report is abnormal. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Jayesh Vaza, Orthopaedic Surgeon </s>