<s>[INST] I punched a tree and now (5 days later) I cannot do a pushup because ly left hand won t bend backwards far enough without causing unbearable pain. From the look of it, one of the center bones in the distal row? Is sitting too high. What can ya tell me? [/INST] Hello, It could be a contusion only. Dislocation or fracture are unlikely. As of now you can use analgesics/anti inflammatory combination like aceclofenac/seratiopeptdase for symptomatic relief. You can also apply icepacks for faster recovery. If symptoms persists better to consult an orthopaedician and plan for an X-ray. Hope I have answered your queries. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician </s>