<s>[INST] I fell on my right hand last Wednesday and landed palm facing down and there is a lot of swelling in my thumb and the lower part of my thumb as well as the palm itself and tenderness surrounding the thumb. I have been taking medicine that my doctor has gave me. What else should I be doing and could it be broken? [/INST] Hello, I had gone through your query and understand your concern. The chances of your thumb being broken depends on your age. If you are an aged person fracture is more likely as your bones tend be weak in old age. However, it is a good idea to get an x-ray of palm to rule out any fracture. To reduce swelling you can hold your hand folding at elbow. While sleeping, you can keep a pillow under your hand. To reduce pain you can continue to take medication prescribed by your doctor. I hope this helps. If you have any other queries, feel free to ask.  Chat Doctor.  </s>