[55F] Experiencing elbow pain and weakness post-fall with dizziness

Patient Description

A 55-year-old female presents with pain, tenderness, and weakness in the elbows, which began 5 days ago following a fall where she used her arms to break her fall. The pain is localized to the inside of the elbows and is exacerbated by arm use. There is no associated swelling, bruising, numbness, or tingling in the hands or fingers, and no fever or visible deformity. The patient also reports lightheadedness since the fall, which is worse at night and when exhausted, but improves upon sitting down. Past medical history includes a fall 5 weeks prior, bilateral pulmonary embolism in 2022, bilateral total knee replacement in 2013, bilateral shoulder surgery in 2017, and diagnoses of major chronic depression, anxiety, PTSD, OCD, and ADHD since 2017. The patient has allergies to penicillin, sulfa antibiotics, and erythromycin. Current medications include N-acetyl-l-cysteine, nexium, duloxetine, escitalopram, fenofibrate, topiramate, ferrous gluconate, vitamin d3, melatonin, pramipexole, prazosin, trazadone, lamotrigine, clonipin, and quetiapine.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Elbow Sprain or Strain: This can occur when the muscles or ligaments in the elbow are stretched or torn, often due to a fall or other injury. Symptoms typically include pain, swelling, and difficulty moving the elbow.

    • Treatment usually involves rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers may also be helpful. Physical therapy can be beneficial in some cases.
  • Elbow Fracture: This could be a possibility given the fall you experienced. Although you didn't mention any visible deformity or swelling, the persistent pain and weakness could be indicative of a fracture.

    • Treatment for an elbow fracture typically involves immobilization with a cast or splint. In some cases, surgery may be required.
  • Postural Orthostatic Tachycardia Syndrome (POTS): This is a condition that affects circulation and can cause lightheadedness or fainting upon standing up. Given your history of pulmonary embolism, it's possible that you could be experiencing some circulatory issues.

    • Treatment for POTS often involves lifestyle changes, such as increasing fluid and salt intake, and may include medication.

Please note that these are potential explanations for your symptoms, but only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Rest and protect your elbows. Avoid activities that cause pain.
  2. Apply ice to your elbows for 15-20 minutes every 2-3 hours for the first 24-48 hours to help reduce pain and swelling.
  3. Use over-the-counter pain relievers as needed, but be sure to follow the package instructions.
  4. Make an appointment to see a healthcare provider as soon as possible. They may need to perform imaging tests, such as an X-ray, to determine the extent of your injury.
  5. For your dizziness, try to stand up slowly and hold onto something for support. Increasing your fluid and salt intake may also be helpful, but you should discuss this with your healthcare provider first.

What you should look out for

Seek immediate medical attention if:

  • Your pain or weakness worsens
  • You notice any deformity in your elbow
  • You experience severe dizziness or fainting
  • You develop a fever or other signs of infection, such as redness, warmth, or swelling around your elbow

Remember, while I strive to provide accurate information, I'm an AI and not a substitute for professional medical advice. Always consult with a healthcare provider for a definitive diagnosis and treatment.

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1 yr ago

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People Also Ask


What are the common symptoms of an elbow sprain or strain?

Common symptoms of an elbow sprain or strain include pain, tenderness, swelling, and difficulty moving the elbow. The pain is often localized to the area of injury and can be exacerbated by movement.


How can I differentiate between an elbow sprain and a fracture?

An elbow sprain typically involves pain and swelling without visible deformity, while a fracture may present with severe pain, possible deformity, and inability to move the elbow. An X-ray is usually required to confirm a fracture.


What is Postural Orthostatic Tachycardia Syndrome (POTS) and what are its symptoms?

Postural Orthostatic Tachycardia Syndrome (POTS) is a condition that affects circulation and can cause symptoms like lightheadedness, fainting, and rapid heartbeat upon standing. It is often related to issues with blood flow and can be managed with lifestyle changes and medication.


What should I do if I experience lightheadedness after a fall?

If you experience lightheadedness after a fall, it's important to sit or lie down immediately to prevent fainting. Ensure you stay hydrated and consider increasing your salt intake, but consult with a healthcare provider for personalized advice. If symptoms persist or worsen, seek medical attention.


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