Elbow Impingement: When to Seek Medical Attention - Orthopedics

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Elbow impingement, often referred to as "tennis elbow" or "golfer's elbow," can occur when there is compression or irritation of the tendons and muscles around the elbow joint. Given your description of the incident while whitewater rafting, it sounds like you may have experienced a significant trauma to your elbow, which could lead to various injuries, including strains, sprains, or even fractures.


Symptoms and Initial Response
The symptoms you are experiencing—immediate pain, difficulty moving the arm, and increasing pain over time—are concerning. Initially, the pain may have subsided, which is common in soft tissue injuries, but the fact that you are now unable to fully extend your arm and are experiencing increasing pain suggests that there may be a more serious underlying issue.


When to Seek Medical Attention
You should definitely seek medical attention for the following reasons:
1. Inability to Move the Joint: The inability to fully extend your arm is a significant red flag. This could indicate a more serious injury such as a ligament tear or a fracture.

2. Increasing Pain: If the pain is worsening rather than improving, this is another indicator that you should see a healthcare professional. Pain that escalates can be a sign of inflammation or injury that requires treatment.

3. Swelling or Bruising: If you notice swelling, bruising, or any deformity in the elbow area, these are signs that you should seek immediate medical evaluation.

4. Functional Limitations: If you are unable to perform daily activities or if the pain interferes with your ability to use your arm, it is essential to get it checked out.


What to Expect at the Doctor's Office
When you visit a healthcare provider, they will likely perform a physical examination and may order imaging studies such as X-rays or an MRI to assess the extent of the injury. They will look for signs of fractures, ligament damage, or other injuries that may not be visible through a physical exam alone.


Treatment Options
Depending on the diagnosis, treatment options may include:
- Rest and Ice: Initially, resting the elbow and applying ice can help reduce swelling and pain.

- Physical Therapy: If there is a soft tissue injury, physical therapy may be recommended to strengthen the muscles around the elbow and improve range of motion.

- Medication: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and inflammation.

- Surgery: In severe cases, such as a significant tear or fracture, surgical intervention may be necessary.


Conclusion
In summary, given your symptoms and the mechanism of injury, it is advisable to seek medical attention as soon as possible. Early diagnosis and treatment can significantly improve your recovery time and help prevent long-term complications. Remember, it’s always better to err on the side of caution when it comes to joint injuries, especially after a traumatic event.