Angle relaxation
The injury has persisted for over six weeks and is still not normal.
The hand still experiences pain.
Is it possible to restore normal function with rehabilitation exercises? Currently, the elbow range of motion is 30-90 degrees, with the wrist extending 40 degrees and flexing 45 degrees.
Is anesthesia needed for muscle relaxation, or should extracorporeal shock wave therapy be considered?
Wen, 40~49 year old female. Ask Date: 2015/11/29
Dr. Shi Guozheng reply Orthopedics
In addition to rehabilitation, consideration can be given to anesthetic muscle relaxation; however, there remains a risk of fractures that must be approached with caution.
Reply Date: 2015/11/29
More Info
Restoring normal joint function after an injury is a critical aspect of rehabilitation, especially when dealing with conditions such as joint stiffness and pain following trauma. In your case, it appears that you have been experiencing limited range of motion in your elbow joint, with flexion and extension angles significantly below normal. This situation is not uncommon after injuries, particularly those involving fractures or dislocations, and it can be frustrating for patients who wish to regain full functionality.
Understanding Joint Rehabilitation
Rehabilitation after an injury typically involves a combination of physical therapy, exercises, and sometimes medical interventions to promote healing and restore function. The primary goals of rehabilitation are to reduce pain, improve range of motion, strengthen the surrounding muscles, and ultimately restore normal joint function.
In your case, with the elbow joint showing a range of motion from 30 to 90 degrees, it is essential to understand that recovery can take time. The healing process varies significantly from person to person, influenced by factors such as the severity of the injury, the specific structures involved, and the individual’s overall health and compliance with rehabilitation protocols.
Rehabilitation Strategies
1. Physical Therapy: Engaging in a structured physical therapy program is crucial. A physical therapist can provide tailored exercises designed to improve flexibility and strength in the elbow joint. These exercises often include passive and active range of motion activities, stretching, and strengthening exercises.
2. Gradual Progression: It is important to gradually increase the intensity and duration of your exercises. Pushing too hard too soon can lead to increased pain and potential setbacks. Consistency is key; performing exercises regularly, even if they are gentle, can lead to gradual improvements.
3. Pain Management: Managing pain during rehabilitation is essential. Techniques such as ice application, heat therapy, and over-the-counter pain medications may help alleviate discomfort. If pain persists, discussing this with your healthcare provider is crucial, as they may recommend other interventions.
4. Manual Therapy: Techniques such as joint mobilization performed by a physical therapist can help improve joint mobility and reduce stiffness. This hands-on approach can be beneficial in restoring normal function.
5. Assistive Devices: In some cases, using braces or splints may help stabilize the joint during the healing process, allowing for more effective rehabilitation.
6. Surgical Interventions: If conservative measures do not yield satisfactory results, surgical options such as arthroscopy or manipulation under anesthesia may be considered. These procedures can help release tight structures around the joint and improve range of motion.
7. Extracorporeal Shock Wave Therapy (ESWT): This non-invasive treatment uses shock waves to promote healing and reduce pain in musculoskeletal conditions. It may be an option to discuss with your healthcare provider if traditional rehabilitation strategies are not effective.
Expected Outcomes
While it is difficult to predict the exact timeline for recovery, many patients can achieve significant improvements in joint function with dedicated rehabilitation efforts. It is essential to maintain open communication with your healthcare team, including your physical therapist and orthopedic surgeon, to monitor progress and adjust your rehabilitation plan as needed.
In conclusion, restoring normal joint function after an injury requires a comprehensive approach that includes physical therapy, pain management, and possibly surgical interventions if conservative measures fail. With persistence and the right strategies, many individuals can regain their pre-injury functionality and return to their desired activities.
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