When I get hurt Randy I always use Advil for back pain, If that doesn’t work I go to the doctors and get something stronger. Maybe soak in epsom salts, if the wounds open and infected or not. Any body part connected to the hands has 10 times the nerves that any other part of the body does because of the sense of touch, so thats why it hurts and swells so much. Keep it wrapped with Neo sporin on the wound. Through the thumb would hurt like hell, especially if its coil nails with the barbs still connected to the nail shaft. Don’t feel like your dumb as I’ve shot a 1 1/2″ roofing nail to the bone in my thigh and hit my finger twice in a row within two minutes with a 28 oz. framing hammer on a full swing, bled right through the fingernail. Pain killers at the doctors is the only answer as far as Im concerned, don’t like to put up with the pain while having to work at the same time…