Skier's Thumb First Aid and Care

Care Instructions

“Skier’s Thumb” is a common winter sports injury that occurs when falling onto an outstretched hand while holding a ski pole, forcing the thumb outwards. This causes the ulnar collateral ligament (UCL) at the base of the thumb to stretch or tear. Symptoms include pain at the base of the thumb, swelling, and a weakened grip (e.g., difficulty turning a key).

First aid and treatment at home

The most important first aid is to stop activity and start cold therapy immediately. Apply snow or a cold pack (wrapped in a towel) to the area for 15–20 minutes to reduce pain and swelling.

Immobilize the thumb. You can lightly tape the thumb to the palm or use a thumb brace from a pharmacy to prevent further stress on the ligament. Avoid moving the thumb or gripping objects.

This injury is often mistaken for a minor sprain, but it always requires medical assessment. If the ligament is completely torn or involves a bone fragment, leaving it untreated can lead to permanent instability and loss of pinch strength.

Seek medical attention if:

  • The base of the thumb is swollen and painful after a fall.
  • The thumb feels “loose” or unstable.
  • You have difficulty pinching or gripping objects (e.g., pulling a zipper).
  • A bruise appears in the area.
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