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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Necessary For My Daughter To Go To An Urgent Care For The Swelling Of Her Arm,hand And Elbow After A Workout?

MY DAUGHTER IS 21 AND EXERCISES REGULARLY. sHE WAS DOING AN ARM WORKOUT ABOUT 4 DAYS AGO AND AFTERWARDS EXPERIENCED SEVERE PAIN IN THE MUSCLES OF BOTH ARMS... NOT UNUSAUL AFTER WORKING OUT.. BUT YESTERDAY SHE WOKE UP WITH SWELLING IN HER LEFT ARM DOWN THE ELBOW AND TODAY IT HAS PROGRESSED INTO HER HAND AND HER RIGHT ARM IS SWELLING. sHE CANT FIT INTO ANY OF HER SHIRTS. hER PULSE AND CAP REFILL ARE GOOD... should I TAKE HER TO THE urgent CARE?
Mon, 13 Jan 2014
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General & Family Physician 's  Response
Hello.
The swelling and the pain is due to Exercise-induced compartment syndrome.
This is due to a pressure build-up within the muscles.
Muscles are enclosed within a tight tissue called a fascia. This fascia wraps around and contains the muscle. Normally, the fascia has enough extra room within to allow the muscle to function without problem.
When activity levels are increased, blood flow to a muscle increases, and the size of the muscle increases.
In most people, the fascia allows sufficient room to accommodate this increase in muscle size during exercise. However, in patients with exercise-induced compartment syndrome, the fascia is too tight, and it constricts the muscle during activity.

A period of rest may be attempted, as well as avoiding any activities that causes the symptoms.
If the problem re occurs again, she may need surgery to release the fascia provided exercise is vital for her.
Thus she does not need any emergency care now.

Hope this helps.
Please write back for further queries.
Wishing you good health.
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Is It Necessary For My Daughter To Go To An Urgent Care For The Swelling Of Her Arm,hand And Elbow After A Workout?

Hello. The swelling and the pain is due to Exercise-induced compartment syndrome. This is due to a pressure build-up within the muscles. Muscles are enclosed within a tight tissue called a fascia. This fascia wraps around and contains the muscle. Normally, the fascia has enough extra room within to allow the muscle to function without problem. When activity levels are increased, blood flow to a muscle increases, and the size of the muscle increases. In most people, the fascia allows sufficient room to accommodate this increase in muscle size during exercise. However, in patients with exercise-induced compartment syndrome, the fascia is too tight, and it constricts the muscle during activity. A period of rest may be attempted, as well as avoiding any activities that causes the symptoms. If the problem re occurs again, she may need surgery to release the fascia provided exercise is vital for her. Thus she does not need any emergency care now. Hope this helps. Please write back for further queries. Wishing you good health.