Any doctors in the house?
Discussion
I fell over on Saturday night (sober)
I tripped over a small fence and landed on concrete, I landed heavily on my right elbow and as expected it swelled up and hurts lots
Yesterday the pain was so bad I endured A&E, the elbow itself has a constant dull ache, limited movement and swelling, this is not the main issue though
My forearm is the real issue, certain actions cause large amounts of shooting/stabbing pain and certain movement causes this pain in the elbow, for instance any kind of gripping, I tried to pick up my phone this morning and the pain had me bent double and tears in my eyes
At A&E yesterday they could see it was bad and sent me for an xray, but they xrayed my elbow and the top of my forearm, is there any chance they have missed something?
They said to see how it was at the end of the week and if there was no improvement to go back and I don't want to waste their time, but even co codamol isnt helping with the pain
Do I need to man up and wait a couple of days in quite an amount of pain, or should i see how today goes and go back tomorrow if no improvement?
I have never broken anything in my life so don't know if this is normal for a break or a really bad sprain/knock
I tripped over a small fence and landed on concrete, I landed heavily on my right elbow and as expected it swelled up and hurts lots
Yesterday the pain was so bad I endured A&E, the elbow itself has a constant dull ache, limited movement and swelling, this is not the main issue though
My forearm is the real issue, certain actions cause large amounts of shooting/stabbing pain and certain movement causes this pain in the elbow, for instance any kind of gripping, I tried to pick up my phone this morning and the pain had me bent double and tears in my eyes
At A&E yesterday they could see it was bad and sent me for an xray, but they xrayed my elbow and the top of my forearm, is there any chance they have missed something?
They said to see how it was at the end of the week and if there was no improvement to go back and I don't want to waste their time, but even co codamol isnt helping with the pain
Do I need to man up and wait a couple of days in quite an amount of pain, or should i see how today goes and go back tomorrow if no improvement?
I have never broken anything in my life so don't know if this is normal for a break or a really bad sprain/knock
Chance they would have missed something, but probably not.
Dose yourself up on non-steroidals (Volterol is good, but takes a few days to properly build up, and make sure you have it with some food). Take it easy, and get on with it.
PS Not a doctor, but been in the body shop so many times....
Dose yourself up on non-steroidals (Volterol is good, but takes a few days to properly build up, and make sure you have it with some food). Take it easy, and get on with it.
PS Not a doctor, but been in the body shop so many times....
Don1 said:
Chance they would have missed something, but probably not.
Dose yourself up on non-steroidals (Volterol is good, but takes a few days to properly build up, and make sure you have it with some food). Take it easy, and get on with it.
PS Not a doctor, but been in the body shop so many times....
Over the counter Voltarol is very low dose, so you'd need to go to your GP and see if he thinks its appropriate for you.Dose yourself up on non-steroidals (Volterol is good, but takes a few days to properly build up, and make sure you have it with some food). Take it easy, and get on with it.
PS Not a doctor, but been in the body shop so many times....
A better idea is to take two 500mg of Paracetamol every six hours to provide a base level of pain relief and titrate a dose of Ibuprofen on top of that
Paul Dishman said:
Over the counter Voltarol is very low dose, so you'd need to go to your GP and see if he thinks its appropriate for you.
A better idea is to take two 500mg of Paracetamol every six hours to provide a base level of main relief and titrate a dose of Ibuprofen on top of that
I was taking paracetamol with codeine and ibuprofen yesterday, it dulls the base pain, but not the stabbing pain when I move wronglyA better idea is to take two 500mg of Paracetamol every six hours to provide a base level of main relief and titrate a dose of Ibuprofen on top of that
Did A&E refer you to the Fracture Clinic in about a weeks time?
They normally do this if they can't initially 'see' any fracture on the X ray.
This then allows the 'specialist bone doctors Othorpedic (sp?) surgeons have another review just in case the A&E doctors missed anything on the first pass?
It's no reflection on the A&E dr's but they are generally 'Jack of all trades' and not specialists, hence the referral.
In fact if you went into A&E over the weekend they 'normally' in the NHS trust that I'm with refer you to them on the Monday following.
What was your original diagnosis? I'm assuming 'no break/fracture' and they sent you home in a sling with painkillers and advice on how to manage your 'injury'?
If you're still in pain you have two options
1) Go back to A&E and ask to be re X-rayed? Don't be surpised if they originally refuse but if you persist you should get this X Ray or ask them for a referral to Fracture clinic
2) Go to your GP and they'll probably find a way to book you into seeing a specialist (prob. Fracture Clinic).
Hope this helps!
They normally do this if they can't initially 'see' any fracture on the X ray.
This then allows the 'specialist bone doctors Othorpedic (sp?) surgeons have another review just in case the A&E doctors missed anything on the first pass?
It's no reflection on the A&E dr's but they are generally 'Jack of all trades' and not specialists, hence the referral.
In fact if you went into A&E over the weekend they 'normally' in the NHS trust that I'm with refer you to them on the Monday following.
What was your original diagnosis? I'm assuming 'no break/fracture' and they sent you home in a sling with painkillers and advice on how to manage your 'injury'?
If you're still in pain you have two options
1) Go back to A&E and ask to be re X-rayed? Don't be surpised if they originally refuse but if you persist you should get this X Ray or ask them for a referral to Fracture clinic
2) Go to your GP and they'll probably find a way to book you into seeing a specialist (prob. Fracture Clinic).
Hope this helps!
Yes they can miss things and often do.
The xray is not foolproof. It is very hard to detect microfractures as they are almost impossible to see on the xray but hurt just as much.
A week after the injury though, no matter how small the fracture the body will start making callus over it and this can be picked up easily on xray. So the idea of going back after a week isn't just an idle comment its safety netting.
However your problems sound like a form of compartment syndrome where the nerves are being compressed by the swelling, usually cos you've thrown away the collar and cuff sling they gave you.
Either way I would be seeking medical advice, and not from here
.
The xray is not foolproof. It is very hard to detect microfractures as they are almost impossible to see on the xray but hurt just as much.
A week after the injury though, no matter how small the fracture the body will start making callus over it and this can be picked up easily on xray. So the idea of going back after a week isn't just an idle comment its safety netting.
However your problems sound like a form of compartment syndrome where the nerves are being compressed by the swelling, usually cos you've thrown away the collar and cuff sling they gave you.
Either way I would be seeking medical advice, and not from here
.julian64 said:
Yes they can miss things and often do.
The xray is not foolproof. It is very hard to detect microfractures as they are almost impossible to see on the xray but hurt just as much.
A week after the injury though, no matter how small the fracture the body will start making callus over it and this can be picked up easily on xray. So the idea of going back after a week isn't just an idle comment its safety netting.
However your problems sound like a form of compartment syndrome where the nerves are being compressed by the swelling, usually cos you've thrown away the collar and cuff sling they gave you.
Either way I would be seeking medical advice, and not from here.
This....pain down the forearm is due to pressure/bruising/inflammation near the nerves as they cross the elbow. In A&E, for similar injuries, I tend to use a sling, refer for urgent physiotherapy, non steroidal anti-inflammatories and see in 5-7 days if not resolving for possible re-xray and trauma (fracture) clinic review. The xray is not foolproof. It is very hard to detect microfractures as they are almost impossible to see on the xray but hurt just as much.
A week after the injury though, no matter how small the fracture the body will start making callus over it and this can be picked up easily on xray. So the idea of going back after a week isn't just an idle comment its safety netting.
However your problems sound like a form of compartment syndrome where the nerves are being compressed by the swelling, usually cos you've thrown away the collar and cuff sling they gave you.
Either way I would be seeking medical advice, and not from here
.hora and arguti, spot on
Went to see GP, she pushed and pulled and then rang the hospital I went to yesterday, spoke to a radiographer there who reviewed my xray and said there was a fat deposit which could be hiding something
So she wrote a letter for me to take to my local A&E, have just got back, they did another xray and said I have a small fracture at the top of my radial? bone
Am in a sling and back tomorrow for physio
Went to see GP, she pushed and pulled and then rang the hospital I went to yesterday, spoke to a radiographer there who reviewed my xray and said there was a fat deposit which could be hiding something
So she wrote a letter for me to take to my local A&E, have just got back, they did another xray and said I have a small fracture at the top of my radial? bone
Am in a sling and back tomorrow for physio
Elbow xrays can be difficult to assess as sometimes all you see is a raised fat pad. The fat pad becomes raised due to bleeding within the joint and this is always an indication for a fracture. The normal place for a fracture is the radial head, so this is the normal diagnosis.
Xrays are normally reviewed after the weekend by a senior radiologist and any fractures that are missed will be followed up as appropriate. Normal treatment for radial head fractures is rest in a sling, regular analgesia and review at fracture clinic.
Xrays are normally reviewed after the weekend by a senior radiologist and any fractures that are missed will be followed up as appropriate. Normal treatment for radial head fractures is rest in a sling, regular analgesia and review at fracture clinic.
K77 CTR said:
Elbow xrays can be difficult to assess as sometimes all you see is a raised fat pad. The fat pad becomes raised due to bleeding within the joint and this is always an indication for a fracture. The normal place for a fracture is the radial head, so this is the normal diagnosis.
Xrays are normally reviewed after the weekend by a senior radiologist and any fractures that are missed will be followed up as appropriate. Normal treatment for radial head fractures is rest in a sling, regular analgesia and review at fracture clinic.
Xrays are normally reviewed after the weekend by a senior radiologist and any fractures that are missed will be followed up as appropriate. Normal treatment for radial head fractures is rest in a sling, regular analgesia and review at fracture clinic.
All that bit about fat pads was mentioned and radial heads
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