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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fracture On The Forearm

I m a female, age 67, right handed. I fractured my right humerus, mid-shaft, in a fall five weeks ago. The internal fixation includes a plate and 10 screws. Remarkably, I ve regained virtually full range of motion, am still doing strength exercises, and use the arm as much as possible within a 5 lb weight limitation. However, I still have pain--in my forearm, not the upper arm. It hurts on the outer side of the elbow, across the inside of the elbow and down the inside of the forearm to my wrist. There is only minor bicep pain. The surgical incision has healed well with minimal adhesions. The physical therapist has heard my complaint, but is so impressed by the improvement in range of motion that she brushes the complaint aside. Recognizing that muscles were torn in the upper arm, is this forearm pain to be expected? What can I do to minimize the forearm pain and help heal the insult to the arm? I take over-the-counter pain relievers and use Aspercreme.
Sat, 1 Oct 2022
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Anesthesiologist 's  Response
Hello,

Your symptoms of pain in the elbow outer side and forearm make me think of the following conditions:
* Tennis elbow most probable cause
* Cervical radiculopathy due to cervical spondylitis
* Elbow and forearm overuse injuries
* Radial nerve entrapment
* Arthritis of elbow joint

In my opinion, you need to be examined by an orthopedic doctor and few investigations like X-ray may be helpful. Treatment of tennis elbow are:
* Watchful waiting
* Nonsteroidal anti-inflammatory drugs
* Corticosteroid injection
* Counterforce bracing
*Extracorporeal shock wave therapy
* Ultrasound-guided percutaneous radiofrequency thermal lesioning
* Acupuncture
* Autologous blood injection
* Platelet-rich plasma injection
* Hyaluronate injection
* Botulinum toxin
* Topical nitrates

Physical therapy also relieves pain. Please do talk to your orthopedic surgeon and physical therapist.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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Suggest Treatment For Fracture On The Forearm

Hello, Your symptoms of pain in the elbow outer side and forearm make me think of the following conditions: * Tennis elbow most probable cause * Cervical radiculopathy due to cervical spondylitis * Elbow and forearm overuse injuries * Radial nerve entrapment * Arthritis of elbow joint In my opinion, you need to be examined by an orthopedic doctor and few investigations like X-ray may be helpful. Treatment of tennis elbow are: * Watchful waiting * Nonsteroidal anti-inflammatory drugs * Corticosteroid injection * Counterforce bracing *Extracorporeal shock wave therapy * Ultrasound-guided percutaneous radiofrequency thermal lesioning * Acupuncture * Autologous blood injection * Platelet-rich plasma injection * Hyaluronate injection * Botulinum toxin * Topical nitrates Physical therapy also relieves pain. Please do talk to your orthopedic surgeon and physical therapist. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist