The area above the elbow was struck..?
Hello, doctor.
This afternoon after class, I was writing with my elbow resting on the desk when a classmate playfully hit me hard about 3 centimeters above my elbow joint.
It was very painful at that moment, and later I felt heaviness in that arm.
When I got home, I pressed on that area and noticed that my entire arm felt sore, and my hand had little strength to grip a pen.
My ring finger and pinky also feel strange.
What could be wrong with my hand? Should I apply ice or use a medicated patch? How long might this situation last? I have a test tomorrow, and I feel a bit odd when holding a pen, struggling to exert any strength.
I'm very worried.
Thank you!
The Turth, 10~19 year old female. Ask Date: 2010/05/21
Dr. Lai Yanting reply Rehabilitation
Based on your description, it seems that the affected hand has suffered from ulnar nerve neuropraxia, which can recover in a range of hours to several months, with most cases achieving complete recovery.
If you are still concerned, you may want to consult a rehabilitation specialist or a neurologist for further evaluation.
Thank you for your inquiry.
Reply Date: 2010/05/21
More Info
Injuries above the elbow, particularly those caused by direct trauma, can lead to a variety of symptoms including pain, swelling, and weakness in the affected arm. Based on your description, it seems that you experienced a significant impact to the area just above your elbow, which may have resulted in soft tissue injury, such as a bruise or strain, or even a more serious condition like a tendon injury or nerve compression.
Immediate Management
1. Ice Therapy: Applying ice to the injured area is a good first step. Ice can help reduce swelling and numb the pain. You should apply ice for about 15-20 minutes every hour as needed, making sure to wrap the ice pack in a cloth to protect your skin.
2. Rest: Avoid using the affected arm for activities that cause pain, especially writing or gripping objects. Rest is crucial for recovery.
3. Compression: If swelling occurs, consider using a compression bandage to help reduce it. Be careful not to wrap it too tightly, as this could impede circulation.
4. Elevation: Keeping the arm elevated can also help reduce swelling. Try to keep your arm above the level of your heart when resting.
Symptoms to Monitor
- Pain and Weakness: The heaviness and weakness in your hand, especially in the ring and little fingers, could indicate nerve involvement, particularly if the ulnar nerve is affected. This nerve runs near the elbow and can be compressed or irritated by swelling or direct trauma.
- Numbness or Tingling: If you experience any numbness or tingling in your fingers, it is important to seek medical attention as this could indicate a more serious injury.
Recovery Timeline
The duration of your symptoms can vary based on the severity of the injury. Minor soft tissue injuries may improve within a few days, while more significant injuries could take weeks to heal. If you notice that your symptoms are not improving after a few days of home treatment, or if they worsen, it is advisable to consult a healthcare professional for further evaluation.
Rehabilitation
Once the acute pain and swelling have subsided, gentle range-of-motion exercises can be beneficial. These exercises help restore mobility and prevent stiffness. Gradually increase the intensity of your activities as tolerated, but avoid any movements that cause pain.
When to Seek Medical Attention
- If you experience severe pain that does not improve with rest and ice.
- If you notice significant swelling or bruising that worsens.
- If you have difficulty moving your fingers or if you experience persistent numbness or tingling.
- If you have any concerns about the functionality of your arm, especially if you are unable to grip or hold objects.
Mental Well-being
It’s understandable to feel anxious about your injury, especially with an upcoming test. Focus on what you can control, such as following the recommended care steps and allowing your body time to heal. If anxiety persists, consider discussing it with someone you trust or a mental health professional.
In summary, while your symptoms may be concerning, following the appropriate management steps can help facilitate recovery. If symptoms persist or worsen, do not hesitate to seek medical advice. Your health and well-being are paramount, and timely intervention can make a significant difference in your recovery process.
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