I was digging a lobster out of his hole yesterday when my left hand came in contact with a sea urchine. QUOTE]
Been there, done that, got the "thorns" or actually spines and the venom. Yes venom. See DAN at
https://www.diversalertnetwork.org/medical/faq/faq.asp?faqid=93
for a description of what you should do. The basic immediate action is "Soak in as hot a water as you can stand for 30-90 minutes". Do it now!
Urchins inject venom with the spines that can in rare cases cause illness or worse. The venom will cause the injection site to really get nasty. The hot water is to treat the venom.
Last month I too got stuck by an urchin (hunting lobster and concentrating on the hole, not the environment). When I got home my wife said you can treat that later, we are going to the store. She made the natural assumption that it was just a "thorn" type of problem and no big deal. Bottom line, after several hours I figured what the heck and failed to soak it. The Venom made a nasty pit in my toe that just continued to get worse until I soaked it about 3 days after the fact. After soaking it got noticeably better and is now fine. You could tell from the wounds progression that it was more than just the "thorn" that I had removed almost immediately at work.
From my experience, doing nothing is not the right direction. From the sounds of things you may have a spine stuck in your knuckle. Consulting a doctor is your best bet. Soak it now, and then see the doctor about the spine. I agree with the others that you may have one stuck inside the knuckle. Consult a knowledgeable physician who is familiar with treatment of wounds from aquatic animals.
Not a doctor, or medically trained individual, JMHO.