A 5-year-old child's elbow cast was removed after 3 weeks, but she still complains of pain in her elbow. She is asking to use an elbow support pouch to avoid the pain.Is it good to have a pouch for some time and also she is able to do exercises well...But for a long time she is not able to hold the hand normally..please suggest
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If the child has complete range of motion and is able to do some exercise as well, mostly the fracture should have united well.
But to be sure about it, kindly send initial xrays done after the injury and if possible recent xrays too.
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It's okay to use elbow support pouch for 2 more weeks yes and it's a must to do elbow range of motion exercises after 4 weeks for most of fractures of elbow to prevent stiffness in elbow joint which is quite common in children. Also don't neglect shoulder wrist finger movements.
Due to immobilisation in cast for weeksit is common for muscles to be weaker than
Normal just continue doing physio exercises and she will regain strength in no time.
Next Steps
get an x-ray after 1 month to asses healing
of fracture and any redisplacement .
Yes it’s good to have support pouch for another 2 weeks
But regular Physio is the key to range of motion at elbow joint. Please be thorough with Physio .
She will be able to hold hand normally after some muscle strengthening has begun. Due to cast for a long duration it’s difficult to regain full strength immediately.
If you don’t mind kindly share the X-ray after cast removal
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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