Elbow dislocation with inability to flex?
Hello, I would like to ask a question.
On August 3rd, I accidentally fell and tried to catch myself with my left hand.
At that moment, it felt like my hand was broken.
I rushed to the hospital and the doctor said it was a dislocated bone.
I only wore a splint for three to four days and then stopped.
To this day, I cannot bend my hand, and it hurts when I exert too much force.
What kind of rehabilitation should I do to restore my hand's function to how it was before? I just gave birth, and it's really inconvenient to take care of my baby.
Meng Jia, 20~29 year old female. Ask Date: 2015/09/09
Dr. Shi Guozheng reply Orthopedics
When there is a wrist injury with bone displacement, it is essential to pay attention to whether there is damage to the ligaments between the radius and ulna (distal radioulnar joint).
If there is an injury, further examination or surgery may be necessary.
If the pain has persisted for over a month, it is advisable to consult a hand surgeon to confirm the diagnosis.
Reply Date: 2015/09/09
More Info
Rehabilitation after an elbow dislocation can be a challenging process, especially when it affects your daily activities, such as caring for a newborn. It’s essential to approach your recovery with a structured plan that includes both physical therapy and self-care strategies. Here are some tips and insights to help you regain mobility in your elbow:
Understanding Elbow Dislocation
An elbow dislocation occurs when the bones of the elbow joint are forced out of their normal position. This can result in pain, swelling, and a significant loss of mobility. After the initial injury, the focus is on reducing pain and inflammation, followed by restoring range of motion and strength.
Initial Recovery Phase
1. Rest and Ice: In the first few days after your injury, it’s crucial to rest your elbow and apply ice to reduce swelling. Ice should be applied for 15-20 minutes every couple of hours.
2. Immobilization: If your doctor recommended a splint or brace, it’s important to follow their advice. While you mentioned you wore it for only a few days, some immobilization may be necessary to allow the ligaments and soft tissues to heal.
3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation. Always consult your doctor before taking any medication.
Rehabilitation Phase
Once the initial pain and swelling have subsided, typically after a few days to a week, you can begin rehabilitation exercises. However, it’s crucial to consult with a physical therapist or your healthcare provider before starting any exercises to ensure they are appropriate for your specific situation.
1. Gentle Range of Motion Exercises: Start with gentle movements to regain flexibility. Here are a few exercises:
- Wrist Flexion and Extension: While keeping your elbow bent, move your wrist up and down to maintain mobility.
- Elbow Flexion and Extension: Slowly bend and straighten your elbow. Start with small movements and gradually increase the range as tolerated.
- Forearm Pronation and Supination: Rotate your forearm so your palm faces up and then down. This helps improve the rotational movement of your arm.
2. Strengthening Exercises: Once you regain some range of motion, you can begin strengthening exercises. These may include:
- Isometric Exercises: Press your palm against a wall or a table without moving your elbow. This helps strengthen the muscles without straining the joint.
- Resistance Band Exercises: Using a resistance band can help build strength in your arm. Start with light resistance and gradually increase as you get stronger.
3. Functional Activities: As you progress, incorporate activities that mimic daily tasks. For example, practice lifting light objects or performing movements similar to those required for caring for your baby.
Additional Considerations
- Consistency is Key: Rehabilitation requires regular practice. Aim for short sessions multiple times a day rather than long sessions infrequently.
- Listen to Your Body: If you experience pain during any exercise, stop and consult your therapist. Pain is a signal that something may not be right.
- Seek Professional Guidance: A physical therapist can provide personalized exercises and monitor your progress. They can also adjust your rehabilitation plan based on your recovery.
Conclusion
Regaining mobility after an elbow dislocation takes time and patience. By following a structured rehabilitation plan and working closely with healthcare professionals, you can improve your elbow function and return to your daily activities, including caring for your child. Remember, every recovery journey is unique, so be kind to yourself and celebrate small victories along the way.
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