Persistent Pain During Right Forearm Supination
Hello, I’m an 18-year-old male weighing 150 pounds. On June 11th, I had an accident while riding my scooter (not electric) at a relatively high speed. I underwent an X-ray on June 13th, which showed no fractures. Approximately a month later, I had an MRI that provided somewhat ambiguous results, indicating inflammation of the supinator muscle and possibly a bone bruise near my wrist. Since then, I have been engaged in physical therapy for over a month, yet the pain I experience when I rotate my arm remains unchanged from the day of the fall, more than two months ago. The therapy has helped prevent muscle weakness, but the sharp discomfort persists, particularly on the outer side of my wrist and slightly above. The most intense pain is localized around my wrist area. Additionally, I have noticed a bump and a sensation of something clicking (without any sound) when I attempt to rotate my arm. While I do experience an increase in my range of motion with practice, the pain remains consistent throughout. Occasionally, after extensive rotation, the pain feels less intense, likely due to prior discomfort from the repeated movements. I can achieve a little over halfway rotation without any force without discomfort. I am feeling perplexed and deeply concerned, as despite my efforts, the pain continues to persist.
Answers (1)
8/26/2025, 7:02:54 AM
OpenHealth AI
It sounds like you are dealing with persistent pain and discomfort in your forearm following an accident, which can be frustrating. You're experiencing inflammation in the supinator muscle and possibly a bone bruise, along with a clicking sensation and localized pain around your wrist. It's understandable to feel worried about these ongoing symptoms.
Understanding Your Situation: The symptoms you're describing, particularly the sharp pain during forearm rotation, could suggest ongoing inflammation or irritation in the muscles and tendons around your wrist. This can occur even when there are no fractures visible on an X-ray and may not resolve quickly. Repeated movements can indeed agitate these structures further.
Next Steps to Consider:
-
Pain Management:
- Ice Therapy: Apply ice packs to the wrist for 15-20 minutes, several times a day to help reduce inflammation, especially after activities that provoke pain.
- Over-the-Counter Pain Relief: Consider taking nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (if you are not allergic and have no contraindications) to help manage pain and reduce swelling.
-
Activity Modification:
- Gentle Range of Motion Exercises: While it’s good that you're working on increasing your range of motion, be mindful not to push through intense pain. Focus on gentle, pain-free movements and avoid activities that exacerbate your symptoms.
- Avoid Repetitive Strain: Minimize activities that involve repeated wrist rotation or gripping, as these may hinder your recovery.
-
Physical Therapy Adjustment:
- Communicate with Your Therapist: Discuss your persistent pain with your physical therapist. They may suggest modifications to your current exercises or incorporate different techniques such as ultrasound therapy or massage to promote healing.
- Review Treatment Plan: If you've been doing the same exercises without improvement, your therapist might consider updating your therapy plan to focus more on muscle strengthening around the affected area or adjusting the intensity.
-
Monitor Changes:
- Keep a Symptom Diary: Track your pain levels, activities, and any changes in your symptoms. This could provide valuable insight for you and your healthcare provider regarding what activities help or worsen your pain.
-
Patience and Mindfulness:
- Emotional Support: It’s completely normal to feel worried or frustrated about prolonged symptoms. Consider talking to friends, family, or a counselor if you feel overwhelmed.
While it can be disheartening to see little progress despite your efforts, it’s essential to continue with your physical therapy and follow these steps. Your body may just need more time to heal, especially from muscular and soft tissue injuries. If symptoms persist or worsen, further investigations or adjustments to your treatment may be necessary. I'm here to help if you need further advice or adjustments to your approach.
Related Questions
Understanding the Reality of End-Stage Pancreatic Cancer
Navigating the complexities of end-stage pancreatic cancer can be overwhelming, and I'm seeking clarity on what lies ahead. My mother, who is 59 years old and weighs about 115 pounds, received her diagnosis of terminal pancreatic cancer in October 2025. Unfortunately, she has largely rejected the option of chemotherapy and is consuming her pain relief medications—specifically oxycodone and morphine—at an alarming rate. While I’m not worried about the dosage, the severity of her pain has reached a level that is becoming unbearable. Despite this, she is adamant about avoiding any hospital treatment, even though that's where she would receive the most effective pain management. I’ve attempted multiple times to get her medical attention, calling both hospitals and emergency services. However, due to her refusal for assistance, they have also turned us down. It was explained to me that taking her against her will could be considered kidnapping. After consulting with various healthcare professionals, I have been informed that her time may be measured in days or weeks. There’s also a chance that she could slip into unconsciousness, leaving me deeply unsettled. I am already in a state of mourning, yet I am desperate to understand what to expect in the coming days. It is crucial for me to prepare myself—emotionally and mentally—so that I can help ensure her comfort in these final moments. Plans are underway to engage hospice care, but the uncertainty fills me with apprehension. This is my mother, and I want to alleviate my fear so I can provide her with the support she needs as she nears the end of her journey. I yearn to be present for her without being entirely consumed by grief before she passes away. Any guidance or insight you could provide would be invaluable. I'm at a loss for what steps to take next and truly desire to navigate this situation with as much grace and readiness as possible.
Navigating Ear Infections While Traveling in Thailand
**Age:** 23 **Height:** 6'3" **Weight:** 88 kg **Medication Taken:** 1000mg Bactoclav - Amoxicillin with Potassium Clavulanate, along with pain relief and antihistamines. **Summary:** I’m hesitant to consult a doctor overseas only to receive a prescription for the same antibiotics available at a local pharmacy for a fraction of the price. What strategies can I employ to effectively manage this persistent ear infection? Am I being too hasty in my expectations? I have a long history of ear infections, often triggered by exposure to water or any activity impacting my ears. I regularly use a specialized oil before showering to prevent water from entering my ears. While backpacking in Thailand, I've developed a particularly severe ear infection over the last several days. Initially, a course of 500mg amoxicillin seemed effective, but significantly, just yesterday my condition took a downturn, shifting from nearly healed to painfully inflamed. Now, my ear is not only swollen but also incredibly sore. In an attempt to combat this, I’ve been taking 1000mg Bactoclav - Amoxicillin and Potassium Clavulanate, having consumed seven tablets in the last two days; unfortunately, there's been no noticeable improvement. I’m reluctant to seek medical attention, fearing I would be prescribed the same medication I could acquire from a pharmacy, albeit at a much higher cost. Yet, I’m also starting to question the efficacy of the pharmacy’s medication. I’ve only recently begun the stronger treatment since my symptoms returned. Any advice would be greatly valued! In addition, I’d like to share that just a week into my four-month journey, I feel as though my ongoing ear issues are gradually dominating my life. I am incredibly grateful for this travel opportunity, and while my health isn’t at risk in a serious way, these ear complications are becoming quite overwhelming. Could there be surgical options available? Might there be an underlying health concern that I’m unaware of? It doesn’t seem normal to be plagued by constant ringing, popping sounds, and wax buildup in my ears. Moreover, it feels excessive to have to apply products in my ears every time I shower.
Injury to the Sciatic Nerve
At 25 years old and weighing 135 pounds, I am currently taking naproxen and Lyrica to manage my sciatic nerve injury. The pain in my right leg has made it incredibly difficult for me to remain upright. It’s been two weeks since I first sought treatment; I consulted a physician who advised medication and attended a physiotherapy session. Initially, I experienced some relief after the appointment, but unfortunately, the pain returned the following day—even the prescribed home exercises exacerbated my discomfort. Just yesterday, I attempted the cobra pose, along with the flossing technique, which only heightened my pain. I find it nearly impossible to stand for more than a few seconds before the discomfort becomes intolerable. Additionally, I have an appointment with an osteopath on Tuesday, but I can't shake off my worries— is it normal to still struggle with walking after two weeks? Although I am experiencing some numbness in my toes, I haven’t encountered any loss of bladder or bowel control, worsening numbness, or weakness in my legs, so I feel stable in that regard. Nonetheless, I fear the possibility of never fully recovering and being left with a lasting disability. The pain is overwhelming, adding to my anxiety about the future.
Inquiry Regarding Metronidazole Use for Recurrent Bacterial Vaginosis
I am a 32-year-old female, measuring 5 feet 5 inches tall and weighing 248 pounds. My current medications include Vyvanse at a dosage of 40mg, a medication for asthma, vitamin D, a 325mg iron supplement, and as of now, I am also taking amoxicillin to treat strep throat. I am about to begin using Metronidazole 0.75% Vaginal Gel, with a total of 70 grams available. The instructions indicate that I should administer 5 grams vaginally twice a day for seven days, followed by twice a week for a period of two months. During the initial treatment phase when I will apply the gel twice daily, I anticipate abstaining from sexual activity. However, once I transition to the twice-weekly application, is it permissible to engage in sexual intercourse? I would normally consult my physician about this matter, but she is currently unavailable, and the nurse is also out of the office, which is quite frustrating.
Understanding the Increased Pain in My Foot While Reclining
At 30 years old, I am nearing the five-week mark since undergoing surgery on my metatarsals. I've encountered a troubling issue: I can’t seem to find comfort when lying down, whether it’s with my foot raised or lying flat. My pain level escalates to a severe 10 out of 10, unless my foot is making contact with the floor or I dangle my leg off the side of the bed so that my toes touch the ground. Is this situation typical for someone in my circumstances? Are there any suggestions that might assist me in getting a better night's sleep?