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
Persistent Pain in Right Shoulder and Arm After Lifting
Hello, everyone! I’m a 23-year-old male and have been engaged in weightlifting for several years now. Recently, I’ve been struggling with ongoing discomfort in my right shoulder and arm, which I haven’t been able to accurately identify. The pain manifests during particular movements, especially with lateral raises or when my arm is raised to shoulder level while rotating my wrist. Certain pressing and pulling activities can also provoke this discomfort. Rather than feeling sharp, it’s a deep, nagging sensation that sometimes seems localized in the front area of the shoulder or at the biceps tendon, and at other times it feels more like it’s situated between the shoulder and upper arm. Fortunately, there’s no numbness or tingling involved. This issue began while I was working out. I decided to take a break for around two months, but when I returned, the pain persisted. After consulting a physician, I was diagnosed with bicipital tendinitis. Since then, I’ve reduced my upper-body workouts, completely steering clear of shoulder exercises and heavy lifting, and have begun a gentle rehabilitation regimen focusing on external rotations, pendulum movements, and scapular exercises. Despite adhering to this routine for about a week, I haven’t experienced any noticeable improvement. Is it typical for this type of tendon injury to require an extended period for recovery? At what point should I consider diagnostic imaging, such as an ultrasound or MRI? Additionally, are there frequent rehabilitation errors that might impede the healing process? I appreciate your insights in advance!
INTENSE Spine Discomfort, Breathing Difficulties, Muscle Twitches, and Sweating
To elaborate on the situation mentioned in the title, I’ve been experiencing unusual muscle twitches and spasms for the past few days, along with some discomfort in my back. However, today, I felt an unexpected sharp pain shoot through my spine, which has left my legs feeling numb and made it impossible for me to sit up straight. Additionally, I’ve been dealing with cold sweats for the last hour and struggling to breathe properly. Perhaps I’m just overanalyzing things and it’s a common occurrence, but the intensity of the pain is overwhelming—it's truly unbearable. I’m shaking quite a bit, and unfortunately, my parents aren’t responding to my attempts to reach them for help. I have a history of a chronic heart condition and arthritis, yet I’ve never experienced pain this severe, especially in my spine. For context, I am nearly 15 years old and female. My current medications include pain relievers, anxiety medication, beta blockers, and some vitamins, though those specifics may not be particularly relevant. I don’t smoke; however, I have tried vaping a few times, which might not matter much, but I thought it was worth mentioning as it was requested.
Concerns About My Toes
Age: 30, Female Currently, I am on the lookout for a reputable podiatrist in my vicinity. However, I've encountered a perplexing issue with my foot. Just last night, I noticed a growth on the side of my toe, something entirely new to me. I maintain a nutritious diet and have a demanding job that requires me to be on my feet quite often. My footwear includes brands such as Brooks Ghost Runners, Hoka Bondi 9’s, and Nike Motiva’s, and I don’t opt for restrictive socks. I also apply Vick’s Vaporub to my feet, a practice handed down from my family, and stick with simple, non-fragrant lotions like Vanicream and CeraVe SA Cream for my skin. In addition, I am curious about the my big toenail's change in color. What might be the underlying reasons for this? Also, I have these persistent dark spots on my toes that I've struggled with since my days on the runway. Despite my efforts, nothing has succeeded in lightening or diminishing their appearance. I'm just looking to determine if there might have been a factor from the past that could have contributed to these issues. I’m not sure what else to include, but I’m open to answering any questions you might have. Thank you for your attention! Best wishes from a worried soul!
Strange Jelly-Like Substance Observed from Wound
I’m a 21-year-old female living with an auto-inflammatory condition known as hidradenitis suppurativa (HS). Recently, I've experienced a concerning issue with one of my wounds. This particular wound causes significant pain and excessive bleeding. However, whenever I attend to it, I tend to find this unusual jelly-like substance present within it. Interestingly, this phenomenon has only occurred with this one wound and not any of the others I have. The bleeding seems to persist until I manage to remove this jelly substance, after which it typically slows down and comes to a halt completely. I’m seeking insights into what this might signify so that I can effectively discuss it with my healthcare provider.
Understanding Tuberculosis Exposure Risk
A 26-year-old male, who neither drinks alcohol nor smokes, seeks to understand the implications of exposure to tuberculosis (TB). As an anesthesia technician, I became concerned after I encountered a TB-positive patient about a month ago. I had to enter the patient’s room several times to perform blood gas tests. On my first entry, I mistakenly wore my N95 mask incorrectly due to the hectic nature of attending to multiple rooms. From my research, it appears that TB is quite transmissible; direct exposure can pose a serious risk of infection. Transmission usually requires prolonged contact with an infected individual, particularly in a close or face-to-face setting. In this case, the patient was lying face down and appeared to be sleeping when I entered. I have already undergone testing for TB, but I am eager to deepen my understanding of the risks involved in these situations.