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Experiencing pain in forearm near the elbow and diabetic. Advise? - Online Doctor Chats

Date : 05-Sep-2013
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor:How can I help you?
User:This is XXXX
User:My dad has been experiencing pain in his forearm (nearer the elbow)
User:right forearm
User:It does not occur at all times of the day,
User:he is a diabetic, yet his levels are in control
User:(90-110 during fasting
User:and 140-150 PP
User:he is 67 years of age
User:would like to know the reason for this..?
Doctor:Since when does he have this pain?
User:He is experiencing pain for about a year
Doctor:You mentioned it occurs once in a while, I would like to know if there has been any factor that precipitates this pain.
Doctor:I would especially like to know it's relation to physical exertion.
User:No factor that subsides the pain.. He wears a band around his arm when he feels the pain
User:after sometime it gradually decreases
Doctor:Ok, what about anything events that causes pain.
User:He is retired and there is no sort of physical stress given to that area
Doctor:Does it start after some physical activity.
User:no.. there is no physical activity done to get a stress int at area
Doctor:May I know what type of profession he was in?
User:he was working as a manager at a private comapny which deals with sales
User:also, he has retired from it about 15 years back
Doctor:Was he involved in any sports activity both while working and now after retirement?
Doctor:Let me brief you.
Doctor:The area of pain that you describe is close to the elbow.
Doctor:Here there are few structures - epicondyles, olecranon fossa and bursa which get inflammed leading to pain.
Doctor:I would think of these inflammatory condition first as the cause of pain and not diabetes induced neuropathic pain.
Doctor:Diabetes related peripheral neuropathy cause pain in the peripheries - palms and soles and unlikely around the elbow region.
User:Ok.. So could you please let me know on what could be done for this..?
Doctor:The conditions that I mentioned are related to physical activity/profession as well as sports. In some people it occurs due to unknown factors.
Doctor:He will need to consult an orthopedician. The doctor can examine his elbow and if needed order for test - X-ray/CT scan to isolate the exact cause
Doctor:Treatment is usually going to be conservative
Doctor:in the form of medication for pain relief, physiotherapy and use of immobilizer.
User:Ok.. but I don't think he could have any sports injury in that area as the physicall pressure exerted in that area is too little..
User:what could be other treatment options..?
Doctor:Very rarely localised injections or surgical form of treatment would be needed.
User:Hmm.. ok
Doctor:Like I said earlier, those conditions are common in professional.
Doctor:You must have heard of XXXXXXX Tendulkar developing forearm and elbow pain.
User:I just googled an image on the hand; to be specific to the area I mentiond, its the area labelled as "bronchioradialis" in the following link: WWW.WWWW.WW mozilla:en-US:official&q=shoulder+to+palm+structure&bav=on.2,or.r_qf.&bvm=bv.0000,d.Yms,pv.xjs.s.en_US.epv7Gxs5zsU.O&biw=1280&bih=605&um=1&ie=UTF-8&hl=en&tbm=isch&source=og&sa=N&tab=wi&ei=JAcTUrDKIcHnswal9oGADQ#facrc=_&imgdii=kdSZFqIqsMsbIM%3A%3BzpiQ9386pOyEuM%3BkdSZFqIqsMsbIM%3A&
Doctor:Similarly other tennis player having forearem pain.
User:Hmm.. ok..
Doctor:Those player suffered a condition called tennis elbow where medical epicondyle was inflammed due to repeated physical stress.
User:Ok.. Thank you!
Doctor:Now, other structures the olecranon fossa, bursa related to elbows and even brachiradialis can get inflammed by occupation related physical stress or due to
Doctor:unknown factors.
Doctor:What ever the condition is the treatment is as described earlier.
Doctor:The orthopedician is the best person to treat such cases.
Doctor:Hope it is clear.
Doctor:Do you have any other query?
User:Yes, sure. Thank you..!
Doctor:Do you have any other query?
User:No..That;s it for now
Doctor:Thanks for consulting me.
User:Thank you as well
Doctor:Bye for now.
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