Elbow Joint Issues: Rehabilitation Options for Pain Relief

Elbow joint

Hello Doctor: Since my right elbow was completely dislocated on March 16, 2004, I have been unable to fully flex it, but it does not hinder my daily life too much.
However, my ability to extend it is significantly limited.
I feel there are many growths around the joint that prevent me from fully extending it.
I have seen several doctors who have confirmed that I do not have any fractures, but the last doctor mentioned that there is a post-fracture healing phenomenon at the olecranon, and that about 50% of patients experience similar issues without recovery.
He also advised against surgery, suggesting it might have adverse effects.
My extension brace causes numbness and pain after wearing it for just an hour and a half, making it impossible to wear it all night.
After wearing it, my flexion actually becomes more painful.
I am only 27 years old and have stopped participating in many of my favorite sports.
Should I seek another doctor for surgery to remove or smooth out the growths? Is this feasible with current medical practices? Thank you.

Xiao Xing, 20~29 year old female. Ask Date: 2005/02/22

Dr. Chen Xianchang reply Rehabilitation

(1) It is recommended to consult a physician in the "Sports Medicine" department at a medical center's orthopedic department, as orthopedic surgeons with this specialization may not be available in general hospitals.
(2) There is a possibility of reoperation, but factors such as adhesion need to be considered.
How much range of motion can be improved post-surgery? Rehabilitation can begin three days after surgery (initially using laser therapy to promote healing).

Reply Date: 2005/02/22

More Info

Hello,
Thank you for sharing your concerns regarding your elbow joint issues following your dislocation. It sounds like you have been through a lot since your injury, and it's understandable to seek further options for relief and rehabilitation.

From your description, it appears that you are experiencing significant limitations in the range of motion of your elbow, particularly in straightening it. This can be quite frustrating, especially at your young age, as it impacts your ability to engage in activities and sports that you enjoy. The presence of "增生物" (exostosis or bone spurs) can indeed contribute to restricted movement and pain, particularly if they are impinging on surrounding soft tissues or the joint capsule.

In cases like yours, where conservative treatments have not provided sufficient relief, and given the complexity of your situation, it is essential to consider a few key points:
1. Rehabilitation Options: Rehabilitation is a critical component of recovery from joint injuries. Physical therapy can help improve range of motion, strengthen the surrounding muscles, and reduce pain. A physical therapist can design a tailored program that includes stretching, strengthening exercises, and modalities such as ultrasound or electrical stimulation to help alleviate pain and improve function. It may also be beneficial to explore manual therapy techniques that can help mobilize the joint and surrounding tissues.

2. Pain Management: If you are experiencing significant pain, it may be worth discussing pain management options with your healthcare provider. This could include medications such as NSAIDs (non-steroidal anti-inflammatory drugs) or corticosteroid injections to reduce inflammation and pain in the joint. However, these should be used judiciously and under the guidance of a physician.

3. Surgical Considerations: You mentioned the possibility of surgery to remove bone spurs or other growths. While surgery can be an option for some patients, it is essential to weigh the potential benefits against the risks. Surgical intervention may provide relief for some individuals, but it can also lead to complications or further limitations in mobility. Consulting with an orthopedic surgeon who specializes in elbow injuries would be advisable. They can perform a thorough evaluation, possibly including imaging studies like an MRI, to assess the extent of the issue and determine if surgical intervention is appropriate for you.

4. Second Opinions: If you feel uncertain about the recommendations you have received, seeking a second opinion from another orthopedic specialist can provide additional insights and options. Different surgeons may have varying approaches to treatment, and it is essential to find a physician whose philosophy aligns with your goals for recovery.

5. Long-term Outlook: It is important to have realistic expectations regarding recovery. While some individuals may regain full function after surgery, others may experience residual limitations. Engaging in a consistent rehabilitation program and following your healthcare provider's recommendations will be crucial in maximizing your recovery potential.

In summary, I recommend pursuing a comprehensive rehabilitation program tailored to your needs, exploring pain management options, and considering a consultation with an orthopedic surgeon for further evaluation of your condition. Remember, you are not alone in this journey, and there are professionals who can help guide you toward the best possible outcome.

Best wishes for your recovery, and I hope you find relief and regain the ability to participate in the activities you love.

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