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  1. #1
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    Brief Medical History Overview

    Age: 27, Male, Presenting Problem Since: 1 month, Symptom Behaviour: Staying constant, Symptoms Worse (24hr Behaviour): Neither, Aggravating Factors:: Pressure, Extension, Rotation,, Easing Factors:: Neutral position of arms near side with elbows bent, Investigations: X-Rays of both arms. Left arm was diagnosed with a complete radial fracture, right arm was undiagnosed, No Diabetes, No history of High Blood Pressure, No Medications, No Osteoporosis, No Hx of Cancer, No Unexplained Weight Loss, No Bowel/Bladder issues, Other Info: 27 Year old male, 6'3 170lbs. Generally Healthy

    Major problem / Symptomatic Areas

    Upper Arm, Biceps - Anterior - Left

    Upper Arm, Biceps - Anterior - Right

    Elbow, Forearm - Anterior - Left

    Elbow, Forearm - Anterior - Right

    Wrist, Hand - Anterior - Right

    Undiagnosed Arm Pain after Hit on Bike

    Physical Agents In Rehabilitation
    Hello all,
    First, thank you all very much for taking the time to read the post. I thank you in advance for all responses.

    One month ago I was hit by a car from behind while riding my bike. It was a hit and run and unfortunately, I suffered a concussion and do not remember exactly how I fell. Immediately I knew there was damage to my arms, but because I am uninsured I waited two days to see if the symptoms would get better on there own. Upon realizing that medical care was necessary, I went to the closet non-emergency room immediate care clinic. After reviewing the X-Rays for both arms they told me that my left arm suffered a complete level 1 Radial fracture, but they told me that my right arm was fine.

    ( After the discussion concerning my diagnosis I was unbeknownst to me brought a different patient's prescription and discharge papers. On my way out the door the doctor asks me where I was going, so I explained that the nurse discharged me and with a look of fear he explained that there had been a mix up and that she had mistakenly discharged the wrong person. Long story short, I question the professionalism of the clinic that I went to ).


    Now one month later I still have significant pain and weakness in my right arm, centered in my right forearm and elbow. The pain is not persistent, but simple things such as turning a doorknob clockwise or pushing in a thumb door latch are very painful. Upon clockwise rotation I have sharp pain in the muscles of my forearm just below the elbow. No point in particular seems sorer then any other when probe my right arm with my left, but even typing this now there are some pains shooting up the top of my forearm near my right elbow. There is almost a burning sensation that occur in my upper forearm sometimes on rotation as well. These symptoms do not appear to be getting better.

    As for my left elbow, the swelling and bruising has diminished completely and the pain has diminished somewhat, but I feel a looming stiffness in my elbow developing upon extension. I can only extend to about 85%.

    I was given no physical therapy recommendations nor any information as far as far as what I should expect during the recovery process. I am writing today in the hopes that some of you fine people can point me in the right directions of what steps I should take as far as physical therapy goes. Are there any resources for exercises that I can do to at home to help reduce the stiffness and improves flexibility in my left elbow? As far as the pain in my right elbow goes, are there any simple range of motion tests that I can do to try to pin point what the issue is? I ask the same question about what exercises I can do to help work out the pain.

    As I mentioned earlier, if I could afford it I would be seeking professional help, but because I am uninsured and broke ( the accident also put me out of work for the last month ) I am here seeking your advice.

    Thank you all again for your replies - I wholeheartedly appreciate them.
    All the best,

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  2. #2
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    Re: Undiagnosed Arm Pain after Hit on Bike

    ​D Binny, I understand that you do not have sufficient insurance but seeking a doctor's advice is a must for proper diagnosis and treatment of your condition.

    OrthoTexas

  3. #3
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    Re: Undiagnosed Arm Pain after Hit on Bike

    Aircast Airselect Short Boot
    Hi D Binny, sorry to hear of the pain you are going through. That's a tricky spot. As we have 9 tendons that run through the carpal tunnel in your wrist and up through the elbow, any spot on these that are damaged or inflamed can cause pain anywhere through the arm. Most of the time when there is pain on the forearm right below the elbow, it is typically tennis elbow. If the damage lies on the lower end of one of the tendons running past the lateral epicondyle, this can cause pain right in the area you describe.

    I would get some tape on it for support and for preventative measures. Also get a cold compress on it if you haven't already. If it is severely flamed, this will block a lot of the circulation to the area, and therefore slowing down the healing process.

    I hope this helps.



 

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