Assessing a Possible Bone Bruise or More Serious Injury
At 38 years old, I experienced an incident around a month ago while assisting my son, who was trying to jump off some decorative rocks. Unfortunately, he miscalculated his jump and inadvertently propelled me into the stones. Given that I was already recovering from a separate knee issue, my stability wasn’t ideal at the time. As a result, I ended up with a noticeable bruise on my foot and scrapes along with bruising on my elbow. Now, four weeks have passed. The skin on my elbow has completely healed, and there are no visible signs of bruising left. However, I still endure considerable pain whenever I lean on or lightly bump my elbow. Thankfully, I can move my arm freely without discomfort, and there are no issues with bending or lifting. Currently, I am taking ibuprofen for my knee ailment and managing my allergies with daily medication. I do not have any other health concerns at the moment. I am hoping to steer clear of another X-ray, especially since I underwent both X-rays and an MRI for my knee earlier this year, plus I have upcoming dental procedures to consider.
Answers (1)
3/31/2025, 1:50:45 PM
OpenHealth AI
It sounds like you have been through quite an incident, and I understand your concern about the lingering elbow pain after your recent injury. Here’s a summary of the situation and some steps you can take.
Main Points:
- You have a bruise from a fall four weeks ago, and while your elbow has healed in terms of skin bruising, you still experience pain when leaning on it.
- It’s important to assess your symptoms and manage your pain while avoiding unnecessary imaging like X-rays.
Explanation:
The pain you're experiencing in your elbow after bruising, even after the visible signs have healed, is not uncommon. It could be due to several reasons including:
- Bone Bruise: This is a type of injury that occurs when the bone sustains trauma, and it can take several weeks to heal.
- Soft Tissue Injury: The impact may have caused some internal swelling or damage to the tissues surrounding the elbow, which can cause pain even after skin healing.
Since you can move your arm without any significant issues, this is a reassuring sign, but pain during specific activities indicates that your elbow is still in the healing process.
Next Steps:
- Rest and Avoid Pressure: Try to minimize activities that put pressure on your elbow or involve leaning on it. Provide your elbow with adequate rest.
- Ice the Area: Applying ice to the elbow for 15-20 minutes several times a day can help reduce any remaining swelling and alleviate pain.
- Pain Management: Continue taking over-the-counter anti-inflammatory medications like ibuprofen, as directed, to manage pain. Ensure any medication is compatible with your allergy medication.
- Gentle Movements: Engage in light stretches and movements that do not cause pain. This helps maintain mobility without aggravating the injury.
- Monitor Symptoms: Pay attention to any changes in pain levels, especially if they increase or if you notice new symptoms like swelling or stiffness.
If your elbow pain persists or worsens after a week of these self-care measures, it may be worth considering a consultation with a healthcare provider to evaluate your injury more closely, even if you want to avoid X-rays.
Take care, and please keep me updated on how your elbow feels after you try these steps!
Related Questions
Experiencing Medical Adhesive for the First Time
I apologize for the awkwardness of this message, as I’m typing with my non-dominant hand. I'm a young woman, and an incident occurred while I was drinking. To keep it brief, I managed to accidentally slice the tip of my thumb off about two hours ago. Thankfully, it wasn’t an extensive injury, but enough to cause bleeding that lasted for roughly 30 minutes, even with pressure applied and my hand elevated. (For context, the cut extends a few millimeters deep, penetrating beyond just the surface layer of skin.) Following the accident, I visited the hospital where they applied medical glue, wrapped it up, and discharged me. As I was leaving, I began experiencing some pain, which persists. Upon returning home, I noticed some blood on the gauze covering the injury, which appeared roughly an hour after I got back. Is this typical? The hospital did not provide any pain relief, which I’m not overly concerned about since it is only my finger, but my tendency to be a bit of a hypochondriac is making me anxious. This is my first experience with such an injury. What’s the recommended method for cleaning it once I change the dressing? Thanks in advance!
Injury from a Fall
A 44-year-old female, standing at 5 feet 2 inches and weighing 111 pounds, has no pre-existing medical conditions. Recently, I experienced a mishap two days ago while wearing platform crocs that led to a fall on a tiled surface. In my instinctive reaction, I landed on my palm. Although I can still move and utilize my hand as usual, I’ve noticed significant swelling and considerable pain in the soft area just below the thumb joint. Moreover, when I apply pressure to this spot, I experience a sharp, pinching sensation radiating up my arm. On several occasions, my thumb has also felt momentarily numb but returns to its normal state shortly thereafter. Should I simply allow more time for recovery? I’d prefer to avoid wasting anyone's time if all that’s required is a few days of rest. I appreciate your assistance!
Seeking Guidance on Long-Term Shoulder Muscle Loss After Dislocation
I am a 25-year-old male, and five years ago, I experienced a dislocation of my left shoulder. While the joint has healed well and I have regained a good range of motion, the muscle in my shoulder has not recovered. There is a noticeable difference in muscle mass when compared to my right shoulder. Additionally, I have lost sensation in the area where the muscle has atrophied. When I touch that spot, I feel almost nothing at all. I recall being informed that sensation might return within six months to two years, but unfortunately, that hasn’t happened. In the gym, I've also realized that my left shoulder functions improperly during workouts. While performing chest and shoulder exercises, it seems as though my triceps compensate excessively, rather than the shoulder muscle engaging as it should. This leads to a very frustrating and unbalanced training experience. At this juncture, I’m concerned that the issue may stem from lasting nerve damage caused by the dislocation. I’m curious whether it’s still feasible to rebuild the muscle or regain sensation after such a lengthy period, or if this condition is likely permanent. Have others found themselves in similar situations years later, and did they manage to make any progress or uncover the root cause of their issues? I’m not seeking a diagnosis; I simply wish to understand if the muscle damage is irreversible or if there remains a possible pathway to recovery. What steps should I consider taking next? I would greatly appreciate any advice or insights regarding my situation. Thank you!
Urinary Retention and Lower Back Discomfort
A 38-year-old male weighing 237 pounds has been experiencing urinary issues over the past five days, noting significantly reduced urine output with a very feeble flow—occasionally just a dribble. Yesterday, he began feeling discomfort in his flank region, near where he suspects his kidney is located. Today, that discomfort continued but intensified. He sought help at a prompt care facility where a urinalysis was conducted, revealing no abnormalities. The medical advice he received was to increase his fluid intake. While at the facility, he began to experience severe pain in the lower part of his back, right in the center, making bending a challenge. Currently, he is applying ice to the affected area; however, it's uncomfortable for him to lie down or stand. He wonders if the urinary issues and the back pain are connected and is reluctant to visit the emergency room due to financial concerns. Additionally, he recalls a couple of relevant incidents: last Saturday marked the first time he had gone roller skating in many years, during which he noticed some discomfort in the perineum. He has also been dealing with a cyst in his pubic region for a month, which is gradually improving.
Understanding Injuries: Distinguishing Between Tibial Stress Fracture and Anterior Tibial Tendonitis
Recently, I've ramped up my workout regimen significantly since early December, but I keep facing setbacks with injuries. During December, my routine involved daily outdoor walks and a brief incline walking session, complemented by 30 to 45 minutes of exercise. I noticed a bony protrusion appeared at the back of my right heel, and a similar one started to develop on my left heel as well. When I returned home over the holiday break, my mom arranged for me to see a podiatrist, who diagnosed the right heel bump as a pump bump. On the other hand, the left heel had become a source of greater discomfort and noticeable swelling, to the extent that my Achilles tendon was not visible. The diagnosis for that was Achilles tendonitis. The podiatrist recommended a change of footwear, a steroid treatment plan, anti-inflammatory medications, and a course of physical therapy lasting 4 to 6 weeks. Upon returning to college and anticipating starting physical therapy, I noticed improvements in my ankle discomfort with the new shoes. As a result, I delayed my therapy sessions and resumed a more regular workout routine. Since then, I have been free from significant pain, and both heels are feeling better. My regimen over the last two to three weeks involves about an hour of strength training followed by a two-hour treadmill session—beginning with an incline of 10 at a speed of 3.5, progressively lowering the incline and raising the speed every 10 to 12 minutes. During this treadmill time, I generally study, so I remain engaged. On days when I don’t use the treadmill, I aim to walk several miles outdoors, taking advantage of the hilly terrain on my campus. Sundays serve as my primary rest day, but I still try to complete my fitness rings and take longer walks. Just this past Sunday, I undertook a 10-mile walk that lasted around 2.5 hours, and I noticed the following day that I had discomfort in my right shin. Initially, I assumed it was shin splints and continued my usual activities throughout the week. However, by yesterday, I recognized that the pain was persistent and not improving. Upon closer examination, it seemed like it wasn’t typical shin splint pain; instead, I have localized pain the size of a quarter on the front area of my shin that is tender to the touch and during movement. Mornings tend to be slightly better, but the pain worsens at night after a day spent on my feet. Routine activities aggravate it, and when I walk, it feels akin to a hammer striking my shin. Moreover, if I walk normally and push off with my toes at the end of my stride, a sharp pain radiates up my shin. I have also noted moments where my gait has altered slightly, and I’ve started limping without realizing it, though I can correct my stride when I concentrate. The most discomfort was felt last night after I returned home to my apartment. While lying on my stomach with my legs hanging off the bed, I could still sense the pain even without any movement. Although the pain escalates with weight-bearing activities or when walking, I also experience pain if I sit down with my feet flat and then lift my leg. Driving is particularly challenging as switching between pedals causes significant discomfort. In trying to pinpoint the issue online, I found that my symptoms seemed more closely aligned with a stress fracture rather than the shin splints I initially presumed. I read concerning accounts of stress fractures evolving into full breaks and potentially leading to longer recovery times. Not wanting to prolong my downtime unnecessarily, I decided to visit urgent care today for a professional evaluation. They conducted x-rays but found no visible abnormalities. The doctor performed a few movements and suspects I might have anterior tibial tendonitis, as there was some crepitus noted. However, fears of a stress fracture still linger. This pain feels distinct from the previous Achilles tendonitis; whereas that felt like a stretching tension, this current sensation resembles a hammer striking my leg when I walk. In contrast, I experience a pulling feeling only when rotating my ankle without weight. I'm uncertain if this all articulates my situation clearly, but I am planning to attend physical therapy soon and will limit incline walking for the time being. Still, I am left wondering if my concerns about a potential stress fracture are warranted, or if this seems more characteristic of tendonitis?