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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Recovering From An Arm Fracture. Tingling In The Fingers, Pain In The Elbow. Suggestions?

i broke by arm close to my wrist on Jan 23. I am almost 4 weeks out of the cast and I don't feel like it is getting betting. I have a lot of tingling in my fingers and pain up to my elbow that feels like when you hit your crazy bone. I still have limited mobility and I expect that and am working on it but the tingling and pain drive me crazy.
Thu, 18 Apr 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, Generally a little bit of stiffness with limited mobility will be present in all fractures treated by cast application. Extensive physiotherapy after cast removal is a must to acquire full range of movements. Coming to your tingling in fingers, it could be due to compression or entrapment of the nerves that are present at the level of wrist by the callus (newly formed bone). If your tingling is not recovering over a period of time, you may need to undergo "nerve conduction studies" for your upper limb. Hope this helps you
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Physical Therapist or Physiotherapist Baljeet Kaur's  Response
hi,
thanks for writing to HCM,
the reason for the pain is your limited range of elbow as well as wrist. since you have not achieved full mobility shows that the soft tissues which got tightened due to cast are still not back to their normal state as well as the new bone formed at the fracture site has not allowed the full movement. for the tingling there could be two reasons one is that your tingling is coming due to impingement of your nerve into the tight soft tissues or its impingement in the newly formed callus (new bone formed)at the fracture site.

for the treatment-
I would suggest you to start with regular physiotherapy sessions by a physiotherapists who specialises in musculoskeletal or orthopedic problems (i.e. masters of physiotherapy ortho or musculoskeletal). your arm need to be treated with hot wax bath (if the sensation of the arm is normal like the other side), mobilizations of elbow and wrist joint, stretching and strengthening exercises of all the muscles of arm individually.

this should definitely relieve you from pain, stiffness and tingling.
If symptoms doesn't improve consult your orthopedic who treated you for the fracture.

i hope this helps
wish you speedy recovery
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Recovering From An Arm Fracture. Tingling In The Fingers, Pain In The Elbow. Suggestions?

Hi, Generally a little bit of stiffness with limited mobility will be present in all fractures treated by cast application. Extensive physiotherapy after cast removal is a must to acquire full range of movements. Coming to your tingling in fingers, it could be due to compression or entrapment of the nerves that are present at the level of wrist by the callus (newly formed bone). If your tingling is not recovering over a period of time, you may need to undergo nerve conduction studies for your upper limb. Hope this helps you