<s>[INST] I have a displaced fracture of radius and ulna, left hand  that occurred 15 days ago. EL got bones back in place through closed reduction, then casted.  First with half cast, one week later full arm cast.  Hand, fingers and thumb still quiet swollen and very painful. Should this be so? [/INST] HiWelcome to healthcaremagicI have gone through your query and understand your concern.Your swelling in fingers and thumb can be due to less movements and exercises of finger and thumb joint. You are advised active finger and thumb movements. These should not be so swollen. Analgesic such as ibuprofen may be useful for pain relief. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care. </s>