Twitching of the muscles around the elbow joint?
Hello, doctor.
I would like to ask about an issue with my elbow.
Previously, I fell and landed on my wrist, which caused pain in the tendons.
After seeing an orthopedic doctor, I was diagnosed with chronic myofascial pain syndrome.
Taking anti-inflammatory medication provided some improvement, and resting helped as well, but if I use my hand for too long, it becomes sore.
Recently, I've noticed that my elbow feels stiff when bending and straightening, and there are sounds coming from it.
I can clearly feel a tendon on the outer side of my elbow that is pulsating.
Is this related to my previous wrist injury?
CSY, 10~19 year old female. Ask Date: 2012/06/09
Dr. Shi Guozheng reply Orthopedics
It may be advisable to consult a physician for an examination, and if necessary, an X-ray may be performed.
Reply Date: 2012/06/09
More Info
In your case, the symptoms you're experiencing with your elbow, particularly the twitching of the tendon on the outer side, can indeed be related to your previous wrist injury. To understand this better, let’s delve into the anatomy and mechanics of the arm, as well as the potential implications of your injury.
When you sustained a wrist injury, particularly one involving chronic myofascial pain, it can lead to compensatory changes in the way you use your arm. The muscles and tendons in the forearm and elbow are interconnected, and an injury in one area can affect the function and mechanics of another. This is particularly true for the muscles that cross both the wrist and the elbow, such as the flexor and extensor groups. If you have been favoring your wrist or altering your movements to avoid pain, this can lead to overuse or strain in the elbow region.
The "catching" sensation and the audible sounds you hear when bending or straightening your elbow could indicate several things. It might be a sign of tendonitis, where the tendons are inflamed due to overuse or strain. Alternatively, it could be related to the mechanics of the joint itself, such as the presence of loose bodies or changes in the cartilage that can occur after an injury. The twitching you feel in the tendon could be due to muscle spasms or irritation of the tendons, which can happen when the muscles are overworked or when there is an imbalance in muscle strength and flexibility.
It’s also important to consider the role of the nervous system in your symptoms. The ulnar nerve, which runs along the inner side of the elbow, can sometimes become irritated or compressed, leading to symptoms that might feel like twitching or spasms. If your wrist injury has caused you to change your posture or the way you hold your arm, it could potentially lead to nerve irritation in the elbow area.
Given these factors, it is advisable to consult with a healthcare professional, such as a physical therapist or an orthopedic specialist, who can assess your elbow and wrist comprehensively. They may recommend imaging studies, such as an MRI or ultrasound, to evaluate the soft tissues around the elbow and wrist. A thorough examination can help determine whether your symptoms are indeed related to your previous wrist injury or if there is another underlying issue that needs to be addressed.
In the meantime, you might benefit from gentle stretching and strengthening exercises for both your wrist and elbow, as well as modalities such as ice or heat to manage inflammation and discomfort. Avoiding activities that exacerbate your symptoms is also crucial. If your symptoms persist or worsen, further evaluation and possibly interventions such as corticosteroid injections or other treatments may be necessary.
In summary, while your elbow symptoms could be related to your prior wrist injury, a detailed assessment is essential to pinpoint the exact cause and to develop an appropriate treatment plan. Remember, the interconnected nature of our musculoskeletal system means that injuries in one area can have cascading effects on others, so addressing the entire kinetic chain is often key to recovery.
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