| Arm Injuries
		
			| Topic OverviewMinor arm injuries are common. Symptoms often develop from everyday
		wear and tear, overuse, or an injury. Arm injuries are often caused by: Sports or hobbies.Work-related
		  tasks.Work or projects around the home.
 Your child may injure his or her arm during sports or play or
		from accidental falls. The chance of having an injury is higher in contact sports (such as wrestling, football, or soccer) and in high-speed sports (such as biking,
		in-line skating, skiing, snowboarding, and skateboarding). Forearms, wrists,
		hands, and fingers are injured most often. An injury to the end of a long
		bone near a joint may harm the growth plate and needs to be checked by a
		doctor. 
		   Older adults have a greater chance for injuries and broken bones because
		they lose muscle mass and bone strength (osteoporosis)
		as they age. Older adults also have more problems with vision and balance,
		which increases their chances of having an accidental injury. Most
		minor injuries will heal on their own, and home treatment is usually all that
		is needed to relieve symptoms and promote healing. Acute injuriesAcute injuries come on suddenly and
		  may be caused by a direct blow, a penetrating injury, or a fall or from
		  twisting, jerking, jamming, or bending a limb abnormally. Pain may be sudden
		  and severe. Bruising and swelling may develop soon after the injury. Acute
		  injuries usually require prompt medical evaluation and may include: Bruises (contusions), which occur when small
			 blood vessels under the skin tear or rupture, often from a twist, bump, or
			 fall. Blood leaks into tissues under the skin and causes a black-and-blue color
			 that often turns purple, red, yellow, and green as the bruise
			 heals.Injuries to the tough, ropey fibers (ligaments) that
			 connect bone to bone and help stabilize joints (sprains).Injuries to the tough, ropey
			 fibers that connect muscle to bone (tendons).Pulled muscles (strains).Muscle ruptures, such as a
			 biceps or triceps rupture.Broken bones (fractures). A
			 break may occur when a bone is twisted, struck directly, or used to brace
			 against a fall.Pulling or pushing bones out of their normal
			 relationship to the other bones that make up a joint (dislocations).
 Overuse injuriesOveruse injuries occur when stress
		  is placed on a joint or other tissue, often by "overdoing" an activity or
		  repeating the same activity. Overuse injuries include: Pain and swelling of the sac of fluid that
			 cushions and lubricates the joint area between one bone and another bone, a
			 tendon, or the skin (bursitis). Pain and swelling of the
			 tough, ropey fibers that connect muscles to bones (tendinitis).Pain and swelling from tiny
			 tears (microtears) in the connective tissue in or around the tendon
			 (tendinosis). Other symptoms of this type of tendon injury include loss of
			 strength or movement in the arm.Hairline cracks in bones of the
			 arm (stress fractures).Pressure on nerves in
			 the arm, such as
			 carpal tunnel syndrome. 
 TreatmentTreatment for an arm injury may include
		  first aid measures (such as using a brace, splint, or cast), "setting" a broken
		  bone or returning a dislocated joint to its normal position, physical therapy,
		  medicines, and in some cases surgery. Treatment depends on: The location, type, and severity of the
			 injury.When the injury occurred.Your age, health
			 condition, and activities (such as work, sports, or hobbies).
 Check your symptoms  to decide if and when
		you should see a doctor.Check Your SymptomsDo you have an arm injury?How old are you? Less than 5 years Less than 5 years5 years or older 5 years or olderHas it been more than a month since the arm injury? Yes Arm injury over a month agoNo Arm injury over a month agoHave you had arm surgery in the past month? If a cast, splint, or brace is causing the problem, follow the instructions you got about how to loosen it. Yes Arm surgery in the past monthNo Arm surgery in the past monthHave you had a major trauma  in the past 2 to 3 hours?Yes Major trauma in past 2 to 3 hoursNo Major trauma in past 2 to 3 hoursDo you have symptoms of shock?Are you having trouble moving your arm? Pain or swelling can limit movement.Can you move the arm at all?Have you had trouble moving your arm for more than 2 days? Yes Difficulty moving arm for more than 2 daysNo Difficulty moving arm for more than 2 daysHow bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine? 5 to 10: Moderate to severe pain Moderate to severe pain1 to 4: Mild pain Mild painHas the pain: Gotten worse? Pain is increasingStayed about the same (not better or worse)? Pain is unchangedGotten better? Pain is improvingDo you have any pain in your arm?How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine? 8 to 10: Severe pain Severe pain5 to 7: Moderate pain Moderate pain1 to 4: Mild pain Mild painHas the pain: Gotten worse? Pain is getting worseStayed about the same (not better or worse)? Pain is unchangedGotten better? Pain is getting betterHas the pain lasted for more than 2 days? Yes Pain for more than 2 daysNo Pain for more than 2 daysIs the arm blue, very pale, or cold  and different from the other arm?If the arm is in a cast, splint, or brace, follow the instructions you got about how to loosen it. Yes Arm blue, very pale, or cold and different from other armNo Arm blue, very pale, or cold and different from other armWas the arm twisted or bent out of its normal position, even if it is back in place now? Yes Arm is or was out of its normal positionNo Arm is or was out of its normal positionIs there any swelling or bruising?Did you have swelling or bruising within 30 minutes of the injury? Yes Swelling or bruising within 30 minutes of injuryNo Swelling or bruising within 30 minutes of injuryHas swelling lasted for more than 2 days? Yes Swelling for more than 2 daysNo Swelling for more than 2 daysDo you have weakness, numbness, or tingling in your arm or hand that has lasted more than an hour? Weakness is being unable to use the arm or hand normally no matter how hard you try. Pain or swelling may make it hard to move, but that is not the same as weakness. Yes Numbness, weakness, or tingling for more than 1 hourNo Numbness, weakness, or tingling for more than 1 hourDo you think that the injury may have been caused by abuse? Yes Injury may have been caused by abuseNo Injury may have been caused by abuseDo you think the problem may be causing a fever?  Some bone and joint problems can cause a fever.Are there red streaks leading away from the area or pus draining from it?Do you have diabetes, a weakened immune system , peripheral arterial disease, or any surgical hardware in the area?"Hardware" includes things like artificial joints, plates or screws, catheters, and medicine pumps. Yes Diabetes, immune problems, peripheral arterial disease, or surgical hardware in affected areaNo Diabetes, immune problems, peripheral arterial disease, or surgical hardware in affected areaHave you had symptoms for more than a week? Yes Symptoms for more than a weekNo Symptoms for more than a weekMany things can affect how your body responds to a symptom and what kind
	 of care you may need. These include: Your age. Babies and older
		adults tend to get sicker quicker.Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart
		disease, you may need to pay closer attention to certain symptoms and seek care
		sooner.Medicines you take. Certain
		medicines, herbal remedies, and supplements can cause symptoms or make them
		worse.Recent health events, such as surgery
		or injury. These kinds of events can cause symptoms afterwards or make them
		more serious.Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug
		use, sexual history, and travel. 
Try Home TreatmentYou have answered all the questions. Based on your answers, you may be
		able to take care of this problem at home. Try home treatment to relieve the
		  symptoms. Call your doctor if symptoms get worse or you have any
		  concerns (for example, if symptoms are not getting better as you would expect).
		  You may need care sooner.
Symptoms of infection may
	 include: Increased pain, swelling, warmth, or redness in or
		around the area.Red streaks leading from the area.
		Pus draining from the area. A fever.
Pain in adults and older children Severe pain (8 to 10): The pain
		is so bad that you can't stand it for more than a few hours, can't sleep, and
		can't do anything else except focus on the pain. Moderate pain (5 to 7): The pain is bad enough to disrupt your
		normal activities and your sleep, but you can tolerate it for hours or days.
		Moderate can also mean pain that comes and goes even if it's severe when it's
		there.Mild pain (1 to 4): You notice the pain,
		but it is not bad enough to disrupt your sleep or activities. 
When an area turns blue, very pale, or cold, it can mean that there has been a sudden change in the blood
	 supply to the area. This can be serious.  There are other reasons
	 for color and temperature changes. Bruises often look blue. A limb may turn
	 blue or pale if you leave it in one position for too long, but its normal color
	 returns after you move it. What you are looking for is a change in how the area
	 looks (it turns blue or pale) and feels (it becomes cold to the touch), and
	 this change does not go away.Major trauma is any event that can
	 cause very serious injury, such as: A fall from more than
		10 ft (3.1 m)  [more than
		5 ft (1.5 m) for children under
		2 years and adults over 65].A car crash in which any vehicle
		involved was going more than
		20 miles (32 km) per
		hour.Any event that causes severe bleeding that you cannot
		control.Any event forceful enough to badly break a large bone (like an arm bone or leg bone).
Pain in children under 3 years It can be hard to tell how much pain a baby or toddler is in. Severe pain (8 to 10): The
		pain is so bad that the baby cannot sleep, cannot get comfortable, and cries
		constantly no matter what you do. The baby may kick, make fists, or
		grimace.Moderate pain (5 to 7): The baby is
		very fussy, clings to you a lot, and may have trouble sleeping but responds
		when you try to comfort him or her.Mild pain (1 to 4): The baby is a little fussy and clings to you a little but responds
		when you try to comfort him or her. 
Pain in children 3 years and older Severe pain (8 to 10): The pain
		is so bad that the child can't stand it for more than a few hours, can't sleep,
		and can't do anything else except focus on the pain. No one can tolerate severe
		pain for more than a few hours. Moderate pain (5 to 7): The pain is bad enough to disrupt the child's normal activities and
		sleep, but the child can tolerate it for hours or days. Mild pain (1 to 4): The child notices and may complain of the pain,
		but it is not bad enough to disrupt his or her sleep or activities.
Shock is a life-threatening condition that may quickly occur
	 after a sudden illness or injury.  Symptoms of shock (most of which will be present) include: Passing out (losing consciousness).Feeling very dizzy or
		lightheaded, like you may pass out.Feeling very weak or having
		trouble standing.Not feeling alert or able to think clearly. You
		may be confused, restless, fearful, or unable to respond to questions.
Shock is a life-threatening condition that may occur quickly
	 after a sudden illness or injury.  Symptoms of shock in a child may include: Passing out (losing consciousness).Being very sleepy or hard
		to wake up. Not responding when being touched or talked to.
		Breathing much faster than usual. Acting confused.
		The child may not know where he or she is. 
Certain health conditions and medicines weaken the immune system's ability to fight off infection and
	 illness. Some examples in adults are: Diseases such as diabetes, cancer, heart disease,
		and HIV/AIDS.Long-term alcohol and drug
		problems.Steroid medicines, which may be used to treat a variety
		of conditions.Chemotherapy and radiation therapy for
		cancer.Other medicines used to treat autoimmune
		disease.Medicines taken after organ transplant.Not
		having a spleen.
With severe bleeding, any of these may
	 be true: Blood is pumping from the wound.The
		bleeding does not stop or slow down with pressure.Blood is quickly soaking through bandage after bandage.
 With moderate bleeding, any of these may
	 be true: The bleeding slows or stops with pressure but
		starts again if you remove the pressure.The blood may soak through
		a few bandages, but it is not fast or out of control.
 With mild bleeding, any of these may be
	 true: The bleeding stops on its own or with
		pressure.The bleeding stops or slows to an ooze or trickle after
		15 minutes of pressure. It may ooze or trickle for up to 45 minutes.
Seek Care NowBased on your answers, you may need care right away. The problem is likely to get worse without medical care.Call your doctor now to discuss the symptoms and
		  arrange for care.If you cannot reach your doctor or you don't have
		  one, seek care in the next hour.You do not need to call an
		  ambulance unless: 
		  You cannot travel safely either by driving
				yourself or by having someone else drive you.You are in an area
				where heavy traffic or other problems may slow you down.
Call  911  NowBased on your answers, you need
		emergency care.Call911or other emergency services now.Seek Care TodayBased on your answers, you may need care soon. The
		problem probably will not get better without medical care.Call your doctor today to discuss the symptoms
		  and arrange for care.If you cannot reach your doctor or you don't
		  have one, seek care today.If it is evening, watch the symptoms and
		  seek care in the morning.If the symptoms get worse, seek care
		  sooner.
Make an Appointment Based on your answers, the problem may not improve without medical
		care.Make an appointment to see your doctor in the
		  next 1 to 2 weeks.  If appropriate, try home treatment while you
		  are waiting for the appointment.If symptoms get worse or you have
		  any concerns, call your doctor. You may need care sooner.
Call  911  NowBased on your answers, you need
		emergency care. Call911or other emergency services now.Put direct, steady pressure on the
		wound until help arrives. Keep the area raised if you can.Postoperative Problems Arm Problems, NoninjuryHome TreatmentFirst aid for a suspected broken boneControl bleeding with direct pressure to the wound.  Remove
			 all bracelets and rings. It may be hard to remove the jewelry if your arm
			 or hand swells. Swelling without removal of jewelry can cause other serious
			 problems, such as nerve compression or restricted blood flow. Do not try to straighten the injured
			 arm. If a bone is sticking out of the skin, do not try to push it back into the
			 skin. Cover the area with a clean bandage, and use a
			 splint to support the arm in its current
			 position.Splint an injured arm to protect it from further injury.
			 Loosen the wrap around the splint if you have numbness, tingling, increased
			 pain, swelling, cool skin, or other symptoms. The wrap may be too
			 tight.Use a
			 sling to support the injured arm.
 Cast and splint careIf your arm is in a cast or
			 splint, your doctor will give you instructions on how to
			 care for your cast or splint. Try to move the
			 uninjured parts of your arm as normally as possible to help maintain muscle
			 strength and tone. Home treatment for a minor injuryIf you have a minor
		  injury and do not need to be checked by a doctor, you may be able to use home
		  treatment to help relieve pain, swelling, and stiffness. Rest and protect an
			 injured or sore area. Stop, change, or take a break from any activity that may
			 be causing your pain or soreness.Ice will
			 reduce pain and swelling. Apply
			 ice or cold packs immediately to prevent or minimize swelling. Apply the ice
			 or cold pack for 10 to 20 minutes, 3 or more times a day. 
			 For the first 48 hours after an injury,
				  avoid things that might increase swelling, such as hot showers, hot tubs, hot
				  packs, or alcoholic beverages.After 48 to 72 hours, if swelling is
				  gone, apply
				  heat and begin
				  gentle exercise with the aid of moist heat to help
				  restore and maintain flexibility. Some experts recommend alternating between
				  heat and cold treatments.
Compression, or wrapping
			 the injured or sore area with an elastic bandage (such as an Ace wrap), will
			 help decrease swelling. Don't wrap it too tightly, since this can cause more
			 swelling below the affected area. Loosen the bandage if it gets too tight.
			 Signs that the bandage is too tight include numbness, tingling, increased pain,
			 coolness, or swelling in the area below the bandage. Talk to your doctor if you think you need to use a wrap for longer than 48 to 72
			 hours-a more serious problem may be present.Elevate the injured or sore area on pillows while applying ice
			 and anytime you are sitting or lying down. Try to keep the area at or above the
			 level of your heart to help minimize swelling.Remove rings, bracelets, watches, or any other jewelry from your hand and arm.
			 It will be more difficult to remove the jewelry later if swelling
			 increases. Wear a
			 sling for the first 48 hours after the injury if it
			 makes you more comfortable and supports the injured area. If you feel you need
			 to use a sling for more than 48 hours, discuss your symptoms with your doctor.Gently massage or rub the area to relieve pain and
			 encourage blood flow. Do not massage the injured area if it causes
			 pain.Do not smoke or use other tobacco products. Smoking slows
			 healing because it decreases blood supply and delays tissue repair. For more
			 information, see the topic
			 Quitting Smoking.
 Medicine you can buy without a prescription| Try a nonprescription
			 medicine to help treat your fever or pain: | 
|---|
 | Talk to your child's doctor before switching back and
				forth between doses of acetaminophen and ibuprofen. When you switch between two
				medicines, there is a chance your child will get too much medicine. |  Safety tips| Be sure to follow these
				safety tips when you use a nonprescription medicine: | 
|---|
 | Carefully read and follow all directions
					 on the medicine bottle and box.Do not take more than the
					 recommended dose.Do not take a medicine if you have had an
					 allergic reaction to it in the past.If
					 you have been told to avoid a medicine, call your doctor before you take
					 it.If you are or could be pregnant, do not take any medicine other
					 than acetaminophen unless your doctor has told you to.Do not give aspirin to anyone younger than age 20 unless your doctor tells you to.
 |  Symptoms to watch for during home treatmentCall your doctor if any of the following occur during home
		  treatment: Pain or swelling develops.Symptoms of infection develop.Numbness,
			 tingling, or cool, pale skin develops.Symptoms become more severe or more
			 frequent.
PreventionThe following tips may prevent arm
		injuries. General prevention tipsWear your seat belt.Don't carry
			 objects that are too heavy.Use a step stool. Do not stand on
			 chairs or other unsteady objects.Wear protective gear during
			 sports or hobbies, such as roller-skating or soccer. Supportive splints, such
			 as wrist guards, may reduce your risk of injury.Warm up well and
			 stretch before any activity. Stretch after exercise to keep hot muscles from
			 shortening and cramping.Use the correct techniques (movements) or
			 positions during activities so that you do not strain your
			 muscles.Try not to overuse your arm doing repeated movements that
			 can cause an injury. In your daily routines or when doing hobbies, think about how
			 often you make repeated arm movements. Try to find other ways of using your
			 arms.Take lessons to learn how to do sports correctly. Have a
			 trainer or person who is familiar with the sport check your gear to make sure
			 it is right for your level of ability, body size, and body
			 strength.If you think that something you do at work is causing
			 pain or soreness from overuse, call your human resources department for
			 information on other ways of doing your job or to discuss equipment
			 modifications or other job assignments.
 Reduce fallsKeep your bones strongEat healthy foods such as milk, cheese, yogurt,
			 and dark green, leafy vegetables like broccoli. For more information, see the
			 topic
			 Healthy Eating.Exercise and stay active.
			 Talk to your doctor about an exercise program that is right for you. Begin
			 slowly, especially if you have been inactive. For more information, see the
			 topic
			 Fitness.Don't drink more than 2 alcoholic
			 drinks a day if you are a man, or 1 alcoholic drink a day if you are a woman.
			 Drinking alcohol increases your chances of having weak bones (osteoporosis). It also increases your chances of
			 falling.Do not smoke or use other tobacco products. Smoking
			 increases your chances of having osteoporosis. It also causes problems with the
			 blood supply in your arms and slows healing. For more information, see the
			 topic
			 Quitting Smoking.
 Possible abuseArm injuries such as bruises, burns,
			 fractures, cuts, or punctures may be caused by
			 abuse. Suspect possible abuse when an injury cannot be
			 explained or does not match the explanation, repeated injuries occur, or the
			 explanations for the cause of the injury change. You may be able to prevent
			 further abuse by reporting it and seeking help.Preparing For Your AppointmentTo prepare for your appointment, see the topic Making the Most of Your Appointment. You can help your
		doctor diagnose and treat your condition by being prepared to
		answer the following questions: What are your main symptoms?How long
		  have you had your symptoms?How and when did an injury occur? How
		  was it treated?Have you had any injuries in the past to the same
		  area? Do you have any continuing problems because of the previous
		  injury?What activities, related to sports, work, or your
		  lifestyle, make your symptoms better or worse?Do you think that
		  activities related to your job or hobbies caused your
		  symptoms?What home treatment measures have you tried? Did they
		  help? What nonprescription medicines have you tried? Did they
		  help?Were alcohol or illegal drugs involved in your
		  injury?Do you have any
		  health risks?
CreditsByHealthwise StaffPrimary Medical ReviewerWilliam H. Blahd, Jr., MD, FACEP - Emergency Medicine
 Kathleen Romito, MD - Family Medicine
 Specialist Medical ReviewerAdam Husney, MD - Family Medicine
Current as ofMarch 20, 2017Current as of:
                March 20, 2017 Last modified on: 8 September 2017  |  |