Elbow issues
Two months ago, I had a car accident and broke my right arm.
After the surgery, the cast was removed after two months, but my elbow has not moved for a long time and cannot fully straighten.
The connective tissue feels tight.
What can I do to help soften the connective tissue?
Ahao, 20~29 year old female. Ask Date: 2020/12/18
Dr. Shen Boquan reply Orthopedics
Hello, after surgery, if your elbow is stiff due to the cast, it's uncertain whether the joint has been injured.
If there is no severe damage to the joint, it should recover after rehabilitation.
Wishing you good health.
Reply Date: 2020/12/18
More Info
Improving elbow mobility after an injury, especially following a fracture and surgical intervention, is crucial for regaining full function. The process can be challenging, but with the right strategies, you can enhance your recovery. Here are some effective strategies to improve elbow mobility:
1. Gentle Range of Motion Exercises
After removing the cast, it is essential to start with gentle range of motion (ROM) exercises. Begin with passive movements where you or a therapist assist in moving the elbow through its range. Gradually progress to active movements where you actively engage the muscles around the elbow. Here are some exercises to consider:
- Flexion and Extension: Slowly bend and straighten your elbow. Start with small movements and gradually increase the range as tolerated.
- Wrist Movements: Since the wrist and elbow are interconnected, moving your wrist in circles or flexing and extending it can help facilitate elbow movement.
2. Stretching
Stretching the muscles around the elbow can help improve flexibility. Focus on the biceps, triceps, and forearm muscles. Hold each stretch for 15-30 seconds and repeat several times. Be cautious not to overstretch, as this can lead to further injury.
3. Strengthening Exercises
Once you have regained some mobility, incorporate strengthening exercises to support the elbow joint. Start with isometric exercises (contracting the muscles without moving the joint) and progress to isotonic exercises (moving the joint). Examples include:
- Bicep Curls: Use light weights to strengthen the biceps.
- Tricep Extensions: Strengthen the triceps by extending the arm against resistance.
4. Therapeutic Modalities
Utilizing therapeutic modalities can help reduce stiffness and improve mobility. Consider:
- Heat Therapy: Applying heat before exercises can help relax the muscles and improve blood flow.
- Cold Therapy: After exercising, using ice can help reduce any inflammation or discomfort.
- Ultrasound Therapy: This can be used by a physical therapist to promote healing and reduce stiffness.
5. Manual Therapy
Seeking the assistance of a physical therapist can be beneficial. They can perform manual therapy techniques to mobilize the joint and soft tissues, which can help reduce stiffness and improve range of motion.
6. Consistency and Patience
Recovery takes time, especially after a significant injury like a fracture. Consistency in performing your exercises daily is key to regaining mobility. Set realistic goals and track your progress to stay motivated.
7. Mind-Body Techniques
Incorporating mindfulness or relaxation techniques can help manage any anxiety or stress related to your recovery. Techniques such as deep breathing, meditation, or gentle yoga can promote relaxation and improve your overall well-being.
8. Nutrition and Hydration
Proper nutrition plays a vital role in recovery. Ensure you are consuming a balanced diet rich in vitamins and minerals, particularly calcium and vitamin D, which are essential for bone health. Staying hydrated is equally important to support muscle function and recovery.
9. Avoiding Overexertion
While it is essential to work on mobility, avoid pushing yourself too hard. Listen to your body and rest when needed. Overexertion can lead to setbacks in your recovery.
Conclusion
Improving elbow mobility after an injury requires a multifaceted approach that includes gentle exercises, stretching, strengthening, and possibly the assistance of a physical therapist. Be patient with yourself, as recovery can take time. If you experience significant pain or have concerns about your progress, consult your healthcare provider for further evaluation and guidance. Remember, the goal is to regain full function and return to your daily activities without discomfort.
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