Elbow Dislocation Recovery: Why Can't I Bend My Arm? - Rehabilitation

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Elbow dislocation


Hello, I would like to inquire about my elbow.
During the New Year, I dislocated my elbow while playing basketball and had it in a cast for two months.
It has healed, but I am unable to bend it.
When I try to bend my arm with my palm facing up, it feels like the elbow joint is not aligned properly; instead of being flat, it feels tilted.
What could be the reason for this?

Mr. Lai, 30~39 year old female. Ask Date: 2016/04/14

Dr. Li Weiqiang reply Rehabilitation


Hello, it may be due to soft tissue stiffness, which can be improved through rehabilitation.
Wishing you peace and health.
Sincerely, Dr.
Li Wei-Chiang, Director of the Rehabilitation Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/14

More Info


Hello! Thank you for your question regarding your elbow dislocation recovery. It sounds like you’ve been through quite an ordeal with your injury, and I’m here to help clarify some of the issues you’re experiencing.

After an elbow dislocation, especially following a period of immobilization in a cast, it is not uncommon to experience limitations in range of motion. This can be attributed to several factors:
1. Soft Tissue Tightness: When the elbow is immobilized for an extended period, the surrounding soft tissues, including muscles, tendons, and ligaments, can become tight. This tightness can restrict your ability to bend your arm fully.

2. Joint Stiffness: The elbow joint itself may become stiff due to lack of movement. This stiffness can lead to a sensation that the joint is not moving smoothly, which might explain why you feel that the bones are not aligned properly when trying to bend your arm.

3. Pain and Discomfort: Pain during movement can also inhibit your ability to bend your elbow. If you are experiencing pain when trying to flex your arm, it may be a protective response from your body, preventing you from moving it in a way that could cause further injury.

4. Bone Alignment: After a dislocation, there may be concerns about the alignment of the bones in the elbow. If the bones did not return to their normal position during the reduction process, this could lead to abnormal mechanics in the joint, which might be perceived as the joint being "slanted" when you attempt to bend it.

5. Rehabilitation Needs: Following the removal of a cast, it is crucial to engage in a structured rehabilitation program. This program typically includes range of motion exercises, strengthening exercises, and functional training to help restore normal movement patterns. A physical therapist can guide you through these exercises and ensure that you are progressing safely.

In your case, it is essential to follow up with your healthcare provider or a physical therapist who specializes in rehabilitation after joint injuries. They can perform a thorough assessment of your elbow, including evaluating your range of motion, strength, and any potential issues with joint alignment. They may also recommend specific exercises to help improve your flexibility and strength.

In summary, the inability to bend your elbow fully after a dislocation and immobilization is likely due to a combination of soft tissue tightness, joint stiffness, pain, and possibly alignment issues. Engaging in a comprehensive rehabilitation program is vital for recovery. If you haven’t already, please consult with a physical therapist or your physician to discuss your symptoms and develop a tailored rehabilitation plan to help you regain full function of your elbow.
Wishing you a smooth recovery!

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