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Elbow injury, discomfort and tightness - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
User :   Fell and hit my elbow on the floor. An hour or so later there was a swelling the size of an egg, slowly increasing. Movement of arm OK, some discomfort and tightness.
Doctor :   hello
Doctor :   i am Dr
User :   Hi I'm AAAAAAA
Doctor :   may i know your age and gender please ?
User :   64 M
User :   Can I send a photo of elbow?
Doctor :   sure yes you can YYYY@YYYY
Doctor :   do send it here
User :   Just sent - you meant healthcare, not heathcare, right?
Doctor :   yes sorry about that
User :   No prob. I am current - no easy access to doctor
User :   Generally good health. Low dose aspirin
Doctor :   ok no problem
Doctor :   how bad is the pain on the scale to 1 to 10
User :   2
User :   Only when I move
User :   i.e. bend the arm
Doctor :   ok i see
User :   It's more tightness than pain
Doctor :   now you able to move the arm right ?
User :   Yes
User :   Fully.
Doctor :   ok that rules out a fracture
Doctor :   so thats good news
User :   The lump was very defined, round. Now spreading a bit
User :   Apparently fluid
Doctor :   now the injury cases the tendon to be inflamed that why you are facing these symptoms
User :   The question is whether I need to find an ER in the middle of the night in a foreign country
User :   or will it disperse? I did put some ice on earlier
Doctor :   Apply an ice pack over the injured area as it helps in curbing inflammation to a great extent.
User :   OK
User :   Prognosis?
Doctor :   no if you have movement then its NOT a emergency
User :   Great
Doctor :   A hot water bath by adding little Epsom salt and immersing your elbow into it helps in the healing process.
Doctor :   Massage gently and often to provide comfort and decrease swelling.
User :   Epsom salts not really an option under present conditions
User :   Ice for how long?
Doctor :   can you get some ointment ? like bengay
Doctor :   that will ease the inflammation
User :   Maybe tomorrow. I have some local balm with me.
Doctor :   also take ibufrofen 400 mg right now
Doctor :   if you have it
User :   OK. How often to repeat?
User :   Just checked. Have aspirin and Dexamol
Doctor :   great dexamol is good
Doctor :   take one now
User :   OK.
Doctor :   aand repeat two times a day
Doctor :   also keep the ice pack on
User :   Anything else I need to know / do?
User :   How long should it take to disperse or how do I know when to seek help?
Doctor :   no nothing mush like i said our biggest concern is a fracture and if that would have been the case there would have been no movement
Doctor :   of the swelling is not subsiding for next 2 days
Doctor :   you need to seek help
Doctor :   the pain will persist for a week
User :   OK, thanks - it just looks really weird and a bit scary but you've reassured me
Doctor :   well dont worry
Doctor :   you will be fine
User :   Thanks. I didn't feel it was life-threatening but don't want to go clubbing with a mutant elbow
Doctor :   your most welcome
User :   And I'll try not to fall of any more chairs
Doctor :   yes you do that . and enjoy your new year
Doctor :   take care of your self
User :   You too. Bye
Doctor :   good bye
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