the only advise of a medical nature i will give is do not repeat do not get a cortisone shot. this will make all pain go away but you will simplyy use injured ligaments/tendons/whatever with out feeling pain yet cause so much extra damage. see a real doctor or physical therapist...they will help also try a mri if you can afford one and correct upper cut and hook punches if you feel these could be a problem. another piece of advice, keep your mind on what you are doing and on the hear and now in the gym...it is easy to throw slop once you stop paying attention..hope this helps