What are the sequelae of a hand bone fracture?
Hello Dr.
Shi: I previously fractured the bone in my left elbow due to a fall.
After rehabilitation, I was able to extend it normally.
However, recently, due to my workouts, I've noticed that after lifting dumbbells, my left arm cannot fully extend the next day, and when I try to extend it, I experience significant soreness.
What could be the reason for this? Is there a way to improve this condition? Thank you!
Yaken, 20~29 year old female. Ask Date: 2010/03/15
Dr. Shi Guozheng reply Orthopedics
It may be due to excessive exercise causing muscle fatigue, which can result in soreness.
It's best to rest and see if it improves.
If it doesn't get better, you should consult a physician.
You can also try using a warm compress to see if that helps.
Reply Date: 2010/03/15
More Info
Post-fracture elbow pain can be a complex issue, especially after an injury that required rehabilitation. The symptoms you describe—difficulty straightening your elbow and experiencing significant soreness after lifting weights—are not uncommon among individuals recovering from elbow fractures. Here’s a deeper look into the potential causes and solutions for your situation.
Causes of Post-Fracture Elbow Pain
1. Soft Tissue Injury: After a fracture, the surrounding muscles, ligaments, and tendons may also be injured or strained. This can lead to inflammation and pain, especially when you engage in activities that stress these tissues, such as lifting weights.
2. Joint Stiffness: Following an elbow fracture, it’s common to experience stiffness in the joint due to immobilization during the healing process. Even if you have regained some range of motion, the joint may not be fully functional, leading to discomfort when performing certain movements.
3. Tendonitis: Overuse of the elbow, particularly after a period of inactivity, can lead to tendonitis. This is an inflammation of the tendons around the elbow, which can cause pain during movement, especially after activities like weightlifting.
4. Nerve Compression: Sometimes, swelling or changes in the elbow joint can lead to nerve compression. The ulnar nerve, which runs near the elbow, can be particularly susceptible to irritation, leading to pain and discomfort.
5. Referred Pain: Pain in the elbow can sometimes be referred from other areas, such as the shoulder or neck, especially if there are underlying issues in those regions.
Solutions and Management
1. Rest and Ice: If you are experiencing pain after workouts, it’s essential to allow your elbow some rest. Applying ice to the affected area can help reduce inflammation and alleviate pain.
2. Modify Your Workout: Consider adjusting your exercise routine to avoid movements that exacerbate your elbow pain. Focus on low-impact exercises that do not strain the elbow joint. Gradually reintroduce weightlifting, starting with lighter weights and ensuring proper form.
3. Physical Therapy: Engaging in physical therapy can be highly beneficial. A physical therapist can provide tailored exercises to improve strength, flexibility, and range of motion in your elbow. They can also teach you proper lifting techniques to prevent further injury.
4. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. However, consult with your healthcare provider before starting any medication.
5. Gradual Return to Activity: Once your pain subsides, gradually return to your regular activities. It’s crucial to listen to your body and not push through pain, as this can lead to further injury.
6. Consult a Specialist: If your symptoms persist despite these measures, it may be wise to consult an orthopedic specialist. They can perform imaging studies, such as X-rays or MRIs, to assess the condition of your elbow and rule out any complications from the fracture.
Conclusion
In summary, the pain you are experiencing in your elbow after lifting weights is likely due to a combination of factors related to your previous fracture and the stresses of your current activities. By taking a proactive approach to rest, modifying your workouts, and possibly seeking professional guidance, you can effectively manage your symptoms and work towards a full recovery. Always remember that healing takes time, and it’s essential to be patient with your body as it adjusts to the demands placed upon it.
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