Emergency Care for Pain After Elbow Surgery: What to Do? - Orthopedics

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Nail problems


Hello, doctor.
Last year, I had a nail inserted into my elbow joint due to a car accident.
It has improved somewhat, but recently I fell while walking and landed on the injured area.
Now I am experiencing some intermittent pain.
What are some emergency management methods I can use?

Qingnian, 20~29 year old female. Ask Date: 2016/04/10

Dr. Ye Qingnian reply Orthopedics


Please return to the orthopedic department for an X-ray examination to assess the fracture status, and then determine the appropriate course of treatment.

Reply Date: 2016/04/10

More Info


After experiencing pain following elbow surgery, especially after a recent fall, it's essential to approach the situation with caution. Here are some steps you can take for emergency care and management of your pain:
1. Rest and Immobilization: First and foremost, avoid using the affected arm as much as possible. Rest is crucial to prevent further injury. If you have a brace or splint, use it to immobilize the elbow and provide support.

2. Ice Therapy: Apply ice to the affected area for 15-20 minutes every hour as needed. This can help reduce swelling and numb the pain. Make sure to wrap the ice pack in a cloth to avoid direct contact with the skin, which can cause frostbite.

3. Elevation: Keep your elbow elevated above the level of your heart whenever possible. This can help reduce swelling and improve circulation.

4. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can be effective in managing pain. Always follow the recommended dosage on the package or consult with your healthcare provider for personalized advice.

5. Monitor Symptoms: Keep an eye on your symptoms. If you notice increased swelling, redness, warmth, or if the pain becomes severe and unmanageable, it may indicate a more serious issue, such as an infection or a fracture.

6. Seek Medical Attention: If your pain worsens or if you experience new symptoms such as fever, inability to move the elbow, or significant swelling, it is crucial to seek medical attention promptly. You may need to visit an emergency room or urgent care facility for further evaluation.

7. Follow-Up Care: After addressing the immediate pain, schedule a follow-up appointment with your orthopedic surgeon or healthcare provider. They may recommend imaging studies, such as an X-ray or MRI, to assess any potential damage to the elbow joint or surrounding tissues.

8. Rehabilitation: Once the acute pain subsides, physical therapy may be necessary to regain strength and mobility in your elbow. A physical therapist can guide you through exercises tailored to your recovery needs.

9. Avoid Strain: Be cautious with activities that may strain your elbow, especially lifting or carrying heavy objects. Gradually increase your activity level as tolerated, and listen to your body.

10. Educate Yourself: Understanding your condition and the recovery process can empower you to make informed decisions about your care. Ask your healthcare provider for resources or information about elbow injuries and rehabilitation.

In summary, while experiencing pain after elbow surgery, especially following a fall, it is vital to rest, ice, elevate, and manage pain effectively. Monitoring your symptoms and seeking medical attention when necessary will help ensure a safe recovery. Always follow your healthcare provider's advice for rehabilitation and follow-up care to achieve the best possible outcome.

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