Krygen XL Physical examination is closely related to X-rays which are very important in correctly diagnosing fractures. Findings that suggest the need for X-rays include activities that increase the risk of fractures, hand deformity, tenderness, swelling of the hands, discoloration, decreased ability to move the hands, numbness , unequal temperature between injured and unharmed hands, or severe injuries caused by the impact of teeth when punching someone in the mouth resulting in injury. http://www.nizuni.com/