<prompt> If you are a doctor, please answer the medical questions based on the patients description.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?  <response>: 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. 