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:
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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.
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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.
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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.
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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.
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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.
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