Rehabilitation After Elbow Dislocation: Seeking Effective Recovery Strategies

Q: Rehabilitation After Elbow Dislocation: Seeking Effective Recovery Strategies

Hello： In response to your question, rehabilitation does require time, and the rate of progress depends on the severity of the condition and the intensity of the rehabilitation efforts, which can vary from person to person. <br>If there are concerns about joint dislocation, it is

Dislocation rehabilitation

I dislocated my right elbow on March 16.
After two weeks in a cast, I was able to remove it, but my joint movement is less than 90 degrees (while normal range is about 135 degrees).
After a month of traditional Chinese medicine rehabilitation, I have hit a plateau, so I am now seeking treatment at a Western medicine rehabilitation clinic (135 minutes per week).
I am undergoing water therapy, electrical stimulation, and manual therapy, but the day after therapy, my arm feels tighter, and on therapy days, it is quite painful.
Currently, I cannot perform heat therapy and cannot fully extend my arm (180 degrees), and my internal flexion and upper arm movement are slightly less than 90 degrees.
The injury to my dominant hand is limiting my mobility, and I am experiencing muscle atrophy compared to my left arm.
Should I be concerned that my rehabilitation is too slow? Should I consult an orthopedic specialist? Is it appropriate for me to use dumbbells? Thank you.

A-Hsing, 20~29 year old female. Ask Date: 2004/06/08

Dr. Zheng Shunping reply Rehabilitation

Hello: In response to your question, rehabilitation does require time, and the rate of progress depends on the severity of the condition and the intensity of the rehabilitation efforts, which can vary from person to person.
If there are concerns about joint dislocation, it is advisable to return to an orthopedic specialist for evaluation.
Dumbbells are commonly used for strength training, and since you are experiencing muscle atrophy, appropriate strength training can assist in your rehabilitation.

Reply Date: 2004/06/08

More Info

Rehabilitation after an elbow dislocation can be a challenging process, especially when there are complications such as limited range of motion and muscle atrophy. Based on your description, it seems that you are experiencing significant difficulties in regaining full function of your elbow after the dislocation that occurred on March 16.
Firstly, it's important to understand that after an elbow dislocation, the recovery timeline can vary greatly among individuals. Factors such as the severity of the dislocation, the presence of any associated injuries (like fractures), and the effectiveness of the rehabilitation program all play crucial roles in recovery. Typically, the goal of rehabilitation is to restore range of motion, strength, and functional ability to the affected joint.

From your account, it appears that after two weeks in a cast, your range of motion is still limited to less than 90 degrees, which is significantly below the normal range of approximately 135 degrees for a healthy elbow. The fact that you have been undergoing traditional Chinese medicine rehabilitation and are now transitioning to Western medical rehabilitation indicates that you are actively seeking treatment, which is commendable.

You mentioned that you are experiencing increased tightness and pain after your rehabilitation sessions, which could be indicative of several issues. It is possible that the rehabilitation exercises may be too aggressive for your current condition, leading to muscle fatigue and discomfort. Pain and tightness can also be a sign of inflammation or improper healing, which may warrant a reassessment of your rehabilitation strategy.

In terms of your question about whether you are rehabilitating too slowly, it is essential to recognize that recovery is not always linear. While some individuals may regain function quickly, others may require more time, especially if they are dealing with complications like muscle atrophy. The presence of muscle atrophy, as you noted, suggests that your muscles are not being adequately stimulated, which can further hinder your recovery.

Regarding your inquiry about consulting an orthopedic specialist, it may be beneficial to seek a second opinion or further evaluation. An orthopedic doctor can assess your elbow's current state, review any imaging studies, and provide insights into whether there are underlying issues that need to be addressed. They can also recommend a tailored rehabilitation program that may include physical therapy, specific exercises, or even interventions like corticosteroid injections if inflammation is a concern.

As for incorporating weights, such as dumbbells, into your rehabilitation, this should be approached with caution. Strength training can be beneficial for muscle recovery, but it is crucial to ensure that your elbow is stable and that you are not exacerbating any existing pain or limitations. A physical therapist can guide you on when and how to safely introduce resistance training into your routine.

In summary, your rehabilitation journey after an elbow dislocation is crucial for restoring function. It may be beneficial to consult with an orthopedic specialist to evaluate your current condition and adjust your rehabilitation plan accordingly. Additionally, working closely with a physical therapist can help you develop a safe and effective strategy to regain strength and range of motion in your elbow. Remember, patience and consistency are key components of recovery, and it is essential to listen to your body throughout the process.

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