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Chiropractors/Elbow clicking and grinding while pronating forearm
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Question
Hi,
I had a work injury years ago when my forearm flexed at 90 degree was suddenly over pronated with a strong force. I had pain in my forearm and elbow for a few weeks and everything healed up fine except for the sound of clicking and grinding that I have now when pronating forearm in a flexed position. The distinctive clicking happens only when I press the middle bottom of my forearm onto the top of a table and pronate it while sitting and fully flexing my forearm (30 degree angle between the upper arm and forearm). When I palpate my elbow I feel some movement under my fingers on the lateral (outer) side of my elbow (ulna region) at the time when the clicking sound occurs.
The MRI images I took twice over period of three years didn't show any abnormalities in elbow structures.
What is the cause of my problem?
Thanks,
Alex
Alex,
If the MRI did not show signs of fracture, cartilage fragments or other "osteochondral defects", or signs of rupture or avulsion, then you most likely have a mechanical/dyfunction problem. Find a provider of Graston Technique (www.grastontechnique.com) and see if some manual therapy will solve the problem. You'll likely know in a few treatment sessions if it's working. Some people get joint clicking after an injury, with the clicking often being painless, and there is nothing that can be done about it. It's just a result of injury, and likely has to do with altered mechanics.
'Regards,
Dr. G
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Scott F. Gillman, DC, DACBSP
Expertise
21 Years in practice: I can answer any question regarding chiropractic and sports medicine treatment. Mostly, I can help the unknowing public understand what is safe, valid, reasonable and evidence-based, and what kinds of unscrupulous chiropractors and fraudulent methods to stay away from. I have an advanced specialty degree in Chiropractic Sports Medicine. I have experience treating elite and Olympic athletes.
Experience
Experience:
- 21 years in practice;
- Pan American Games, 2011: Official Medical Staff for the Pan Am Games.
- Beijing 2008 Olympic Games: World Olympians Associan and International Sports Chiropractic Association Healthcare Team;
- International Chiropractic Sports Sciences Diploma;
- Official Provider: Jamaican Track and Field team for Penn Relays (2009-2011)
- Experience with USA Gymnastics Healthcare team and International Powerlifting Association Medical Staff;
- 300 hour chiropractic sports medicine diplomate degree (DACBSP); International Chiropractic Sports Sciences Diploma (ICSSD)
- Healthcare Consultant: Century, Ty-Wood Corp. Holliston, MA (2005-2007)
- Team Chiropractor: Boston Bulldogs USL D-3 & Boston Renegades USL W-1 League (1999-2004)
- Independent Examiner: Scope Medical and The Physician's Network
- Professional/Clinical Monitor: Affiliated Monitors, Inc.
- Board of Directors: MetroWest Chamber of Commerce (Massachusetts)2000-2006
- "The Impact of Chiropractic Manipulative Therapy on Chronic Recurrent Lateral Ankle Sprain Syndrome in Two Young Athletes" J. of Chiro Med , Fall 2004
- "Work Related Injury;" The Hanover Report, June, 1993
- "Long Lasting Analgesic Effect of Oxymorphonazine in Rats;" Agonists and Antagonists III, n.7675, 1985
- BS Biology, Doctor of Chiropractic: Northwestern College of Chiropractic,
- Diplomate: American Chiropractic Board of Sports Physicians (DACBSP)
Education/Credentials
Doctor of Chiropractic Diplomate: American Chiropractic Board of Sports Physicians
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