Car accident injuries?
I had an accident while riding a motorcycle and fell.
Although I did not fracture any bones, it has been six months, and I still cannot fully extend my left arm or raise it high.
If I try to force it, my arm trembles.
What could be the problem? Is rehabilitation possible? Thank you!
Da Niu, 20~29 year old female. Ask Date: 2008/05/11
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry.
Here are my responses and suggestions:
1.
It is possible that there is an injury to the shoulder, elbow joint, or surrounding tissues, which may have led to stiffness or frozen shoulder (adhesive capsulitis).
In this case, muscle atrophy may occur, resulting in tremors during movement, and joint mobility may be limited, making it difficult to reach high positions.
2.
You should immediately consult a rehabilitation specialist for an evaluation and undergo treatments such as deep and superficial heat therapy, electrical stimulation, and manual mobilization techniques.
Wishing you safety and happiness!
Reply Date: 2008/05/11
More Info
Injuries sustained from motorcycle accidents can vary widely in severity, and even in the absence of fractures, soft tissue injuries can lead to significant functional impairments. Based on your description, it seems that you are experiencing persistent issues with your left arm, specifically an inability to fully extend it and lift it without trembling. This suggests that there may be underlying soft tissue damage, such as ligament, tendon, or muscle injuries, which are common after such accidents.
The fact that you have been experiencing these symptoms for six months indicates that the injury may not be healing properly or that there could be a more complex issue at play. Soft tissue injuries can sometimes lead to conditions such as adhesive capsulitis (frozen shoulder), tendinitis, or even nerve compression syndromes, which can all contribute to pain, weakness, and limited range of motion.
Rehabilitation is indeed a viable option for your situation. Physical therapy can be highly beneficial in addressing the limitations you are facing. A physical therapist can design a tailored rehabilitation program that focuses on improving your range of motion, strength, and overall function of your left arm. This may include:
1. Range of Motion Exercises: Gentle stretching and mobilization techniques can help improve flexibility and reduce stiffness in the shoulder and elbow joints.
2. Strengthening Exercises: Once you regain some range of motion, strengthening exercises can help rebuild muscle strength and stability around the shoulder and elbow.
3. Neuromuscular Re-education: This involves exercises that help improve coordination and control of the arm, which may help reduce the trembling you experience when trying to lift your arm.
4. Pain Management Techniques: Modalities such as ultrasound, electrical stimulation, or heat/cold therapy may be used to manage pain and inflammation.
5. Education and Ergonomics: Learning proper body mechanics and ergonomics can help prevent further injury and promote better function in daily activities.
It is essential to consult with a healthcare professional, such as an orthopedic specialist or a physical therapist, who can assess your condition more thoroughly. They may recommend imaging studies, such as an MRI, to evaluate the soft tissues around your shoulder and elbow for any injuries that may not have been detected previously.
In summary, while your symptoms are concerning, there is a good chance that with appropriate rehabilitation, you can regain function in your left arm. Early intervention is crucial, so I encourage you to seek professional help as soon as possible to start your recovery journey. Remember, every individual's healing process is unique, and with dedication to your rehabilitation program, you can work towards improving your arm's function and reducing any associated pain.
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