<s>[INST] The area on both side of the middle finger knuckle is swollen from falling and catching myself with my fingers and palm down. I heard the cracks like a crack sound when a person cracks their knuckles. my hand is sore and weak. should I be concerned and see a Dr. to get xrays or will this heal with time? [/INST] Hithank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As you have pain in the middle finger knuckles, it will be just a ligament sprain. Doing hot water fermentation and slow hand exercises should improve your pain and swellingIncase there is increase in pain and swelling after hot water fermentation than an x-ray will be advised. Usually, patient respond well to physical therapy and recovers in 2-3 weeks of time with good strength. RegardsJay In Chat Doctor.  </s>