Persistent Elbow Pain After Fall: Your Injury and Recovery - Orthopedics

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Elbow on the ground?


About six months ago, I was playing basketball and accidentally fell, landing on my right elbow.
At the time, I didn't feel much pain and continued to play.
The next day, my right neck felt stiff, similar to a neck sprain, and I couldn't turn it.
I also experienced significant pain in my right shoulder and elbow.
I consulted a traditional Chinese medicine practitioner who diagnosed me with a rotator cuff injury and recommended electrical therapy, heat treatment, and acupuncture, but there was no improvement.
I then visited the rehabilitation department at Taichung Veterans General Hospital, where the doctor took X-rays and confirmed that there were no fractures.
However, I still feel uncomfortable.
To this day, my right arm, right pectoral muscle, and right elbow still experience mild pain.

Chen Shangren, 20~29 year old female. Ask Date: 2016/01/17

Dr. Wang Shouji reply Orthopedics


Hello: If there are no skeletal issues and the range of motion is normal, there should be no major problems.
Rehabilitation, heat therapy, and strength training should help improve the condition.
Thank you!

Reply Date: 2016/01/17

More Info


Experiencing persistent elbow pain after a fall can be frustrating and concerning, especially when initial assessments, such as X-rays, do not reveal any fractures or significant injuries. The symptoms you describe, including pain in the elbow, shoulder, and neck, suggest that you may be dealing with soft tissue injuries, such as strains or sprains, rather than bony injuries.
When you fell and landed on your elbow, the impact could have caused damage to the surrounding soft tissues, including muscles, tendons, and ligaments. The fact that you felt fine initially but developed pain the next day indicates that the injury may have been more subtle, possibly involving micro-tears in the muscles or tendons around the elbow and shoulder. This is common in sports injuries where the body may not immediately react to the trauma.

The pain radiating to your neck and shoulder could also be indicative of referred pain, where the injury in one area causes discomfort in another. This is particularly relevant in cases involving the shoulder girdle and cervical spine, where muscle imbalances or tension can lead to discomfort in multiple areas.

Given that you have already sought treatment from both traditional and alternative medicine practitioners, it may be beneficial to consider a comprehensive rehabilitation approach. Here are some steps you can take to aid in your recovery:
1. Physical Therapy: Engaging in a structured physical therapy program can be incredibly beneficial. A physical therapist can assess your range of motion, strength, and functional abilities, and develop a tailored exercise program to address your specific needs. This may include stretching, strengthening exercises, and modalities such as ultrasound or electrical stimulation to promote healing.

2. Pain Management: While you may have already tried some pain relief methods, consider discussing with your healthcare provider about non-steroidal anti-inflammatory drugs (NSAIDs) or other pain management strategies that can help alleviate discomfort during your recovery.

3. Activity Modification: It’s important to listen to your body and avoid activities that exacerbate your pain. Gradually reintroducing activities, especially those involving overhead movements or heavy lifting, can help prevent further injury.

4. Ergonomic Adjustments: If your daily activities or sports involve repetitive motions that strain your elbow, consider making ergonomic adjustments to your technique or equipment. This can help reduce strain on the elbow and surrounding structures.

5. Follow-Up Imaging: If your symptoms persist despite conservative management, it may be worthwhile to discuss further imaging studies, such as an MRI, to evaluate for any soft tissue injuries that may not have been visible on X-ray.

6. Patience and Consistency: Recovery from soft tissue injuries can take time, often several weeks to months, depending on the severity of the injury and your overall health. Consistency in your rehabilitation exercises and following your healthcare provider's recommendations will be key to a successful recovery.

In conclusion, while it can be disheartening to deal with ongoing pain after an injury, a proactive approach involving physical therapy, pain management, and activity modification can significantly improve your recovery outcomes. If you continue to experience pain, do not hesitate to seek further evaluation from a specialist who can provide a more in-depth assessment and treatment plan tailored to your needs.

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