Question: I had a radial head fracture on my right arm 7 weeks back. This was while I put my hand down to break the fall. Nothing hit directly to the fracture site. Doctor put me in a cast for 3 weeks,no surgery was done. After that the cast was removed and I started on physiotherapy. I had problems with pronation/supination and bending. Now after 4 weeks of not very intensive physiotherapy I could stretch my hand to almost full (last 10degress I can't). Bending is about 130degrees. Pronation and supination has improved but not full. If I put a weight and push it hard I can do it but feel pain all through the arm. The other pain points are back of the elbow while bending with force. Also at the back of the elbow I feel like the nerve is pinching a burning sensation if I push it hard. It goes away after I relax. Again after waking up the arm remains very stiff for about 1-2 hrs. I saw my doctor today and he took a latest x-ray. He pointed that there is a slight calcification of the blood near the forearm muscle (myositis). His advise is to continue with some more intense physitherapy,apply heat packs twice a day and manage the myositis by getting full ROM back. He also advised to take Liofen 10mg tablets for 3 weeks (2 tablets everyday) for muscle relaxation.
Below are my questions
1. Can you please advise if the myositis needs a surgery now. Will it permanently affect my ROM and pain. If not now will it eventually need a surgery
2. Which movements will be restricted by the myositis.
3. Can I do intesene physical therapy as suggested by the doctor.
4. What is the usual recovery time.
5. Are the burning/bruising feeling at the back of the elbow normal.
6. How should go about the PT and pain management.

My x-rays of the fracture and the latest one are attached.

THanks
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