Managing Elbow Dislocation Recovery: Overcoming Pain and Stiffness - Orthopedics

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Elbow dislocation


Hello, on March 16, I dislocated my right elbow while exercising.
I was treated in the emergency department and had a cast applied at a 120-degree angle.
Two weeks later, the cast was removed (X-rays indicated it had healed).
However, my elbow still has limited mobility (it can only extend to 170 degrees outward and flex to 90 degrees inward).
Despite my efforts to rehabilitate at home every night, the results have been unsatisfactory.
The tendons and muscles around the elbow are still painful and stiff, and I also experience soreness in my forearm.
I feel that the shape of my elbows feels different when I touch them.
My daily life is quite inconvenient.
What should I do? Will this be permanent?

A-Hsing, 20~29 year old female. Ask Date: 2004/04/06

Dr. Shi Guozheng reply Orthopedics


Based on your description, it is possible to experience limited joint mobility two weeks after an elbow dislocation.
Continuing rehabilitation therapy may help improve this condition; however, it is essential to first confirm that the joint is properly reduced.
It may be necessary to obtain another X-ray to verify this.
If the joint is stable, it could potentially recover to a certain degree within approximately six to twelve weeks.
Please consult your physician for a detailed examination.

Reply Date: 2004/04/06

More Info


Hello! It sounds like you are experiencing a challenging recovery process after your elbow dislocation. Based on your description, it seems that you are dealing with significant pain, stiffness, and functional limitations in your right elbow, which can be quite frustrating.
After an elbow dislocation, it is common to experience stiffness and pain during the recovery phase. The elbow joint is complex, and dislocations can lead to soft tissue injuries, including damage to ligaments, tendons, and muscles surrounding the joint. The fact that you were placed in a cast for two weeks suggests that your doctor was concerned about stabilizing the joint to allow for proper healing. However, even after the cast is removed, it is not unusual for patients to experience residual stiffness and discomfort.

Here are some steps you can take to help manage your recovery:
1. Physical Therapy: If you haven't already, consider seeking the help of a physical therapist. They can provide you with a tailored rehabilitation program that focuses on improving your range of motion, strength, and function. They may use modalities such as ultrasound, electrical stimulation, and manual therapy to help alleviate pain and stiffness.

2. Gentle Stretching and Strengthening: Continue with your home exercises, but ensure that you are performing them correctly. Gentle stretching can help improve your range of motion, while strengthening exercises can help support the joint. It is crucial to progress slowly and avoid pushing through pain, as this can lead to further injury.

3. Pain Management: Over-the-counter pain medications, such as ibuprofen or acetaminophen, can help manage pain and inflammation. If your pain is severe, consult your doctor about other pain management options.

4. Ice and Heat Therapy: Applying ice to the elbow can help reduce swelling and numb the pain, especially after exercises. Heat therapy can be beneficial before stretching to help relax the muscles and improve blood flow.

5. Gradual Return to Activities: As your pain decreases and your range of motion improves, gradually return to your normal activities. Avoid high-impact or repetitive activities that could strain the elbow until you have regained sufficient strength and flexibility.

6. Monitor for Changes: Keep an eye on any changes in your symptoms. If you notice increased swelling, pain, or changes in the shape of your elbow, it may be necessary to follow up with your healthcare provider for further evaluation.

7. Patience and Persistence: Recovery from an elbow dislocation can take time, and it is essential to be patient with yourself. Some patients may experience lingering stiffness for several months, but with consistent rehabilitation efforts, many can achieve significant improvements.

Regarding your concern about whether you will have permanent issues, it is difficult to predict without a thorough examination. Many patients do recover fully, but some may experience residual stiffness or discomfort. If your symptoms do not improve with conservative management, further imaging studies or a consultation with an orthopedic specialist may be warranted to rule out any underlying issues, such as joint instability or soft tissue injuries.

In summary, focus on a structured rehabilitation program, manage your pain effectively, and be patient with your recovery process. If you have any concerns or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for further guidance. Best of luck with your recovery!

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