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SpillWay
February 20th, 2012, 01:00 PM
Great conditions at Laurel Hill yesterday. Hit the table tops with the intent to maximize air. Got some great height but locked up the wheels trying to scrub speed ahead of the hairpin. Both wheels broke loose. Landed left and cheese-grated my left elbow and forearm.

Oddly, it's my right side that's in pain today. Can't raise my right arm more than 45 degrees laterally from the hanging position without pain. If I really try, I can almost get it to shoulder height.

Any armchair diagnoses? I think it just swelling from the impact. If it doesn't get better by Wednesday, I'll have it checked out.

Dr Phil mmkay
February 20th, 2012, 01:44 PM
Feel along your collar bone and see if there's a notch or bump. Typically with broken collar bones, the proximal end will be pulled up by the muscles of your neck while the distal end will be pulled down by the muscles of your shoulder and upper arm which prevents you from raising that arm.

Not sure if a broken collar bone is the case since you said you fell on your left side but from my past experiences, failure to raise arm typically means collar bone. OR (and this is probably more likely), you may have pulled a back muscle when you hit the ground which has affected your right side.

Now if your right side hurts and your left side doesn't, I don't know what to tell you other than maybe walk that sh!t off brother. ;)


disclaimer: I am by no means a doctor, or anything even close to a clinical professional. I get most of my information from the backs of bandage packaging, so I'd take the above 'suggestions' with a heavy grain of salt.

jabrabu
February 20th, 2012, 01:56 PM
Another possibility is a pinched nerve in your cervical spine. The impact likely caused a sideways whiplash effect which can pinch or irritate a nerve in the cervical verterbrae. I had a similar thing happen that resulted in lots of pain around my shoulder blade and a significant loss of strength in one arm. X-rays didn't show any significant damage and it eventually cleared up on its own after several weeks.

brcire
February 20th, 2012, 02:13 PM
My unofficial, non-medical, uncertified, random hmm could it be diagnosis - rotator cuff?

I hope you have some of your preferred vitamin I or M in you and are icing it.

Good luck and see a real medical professional sooner than later.

PunkRock
February 20th, 2012, 02:36 PM
I'm not a Dr. and I don't play one on t.v. either....... but my advice is to get your neck and back checked out sooner rather than later if the problem doesn't go away.

MyOtherBrotherL
February 20th, 2012, 03:02 PM
Like everybody has said below, it's probably shoulder related. Many years ago I had a bike related accident and landed on the shoulder and could not raise it above my shoulder. I spent the next 12 hours like that only to figure out that I had dislocated it. Mine snapped back in after turning my head all the way so it faced the injured shoulder. The sucker rolled right back in.

20 years later I'm definitely paying for that injury.

Go get it looked at!!

bssmith1220
February 20th, 2012, 04:55 PM
I fell at the shed a few months ago on my shoulder and ended up with a partially torn rotator cuff tendon I think it was. I had the same symptom as you are having. It pretty well healed itself after a few weeks of being sore and staying off of the bike.

jabrabu
February 20th, 2012, 05:00 PM
Here is my favorite home remedy:

Add to glass of ice:
1 shot fresh squeezed lime juice or sweetened lime juice
1 shot orange juice
1 shot Cointreau (can substitute Triple Sec if you are cheap, but it's not as good)
1 shot good tequila

Stir or shake, then top with 1 shot of Grand Marnier

If the pain persists, take another dose.

JHarris
February 20th, 2012, 06:02 PM
Like everybody has said below, it's probably shoulder related. Many years ago I had a bike related accident and landed on the shoulder and could not raise it above my shoulder. I spent the next 12 hours like that only to figure out that I had dislocated it. Mine snapped back in after turning my head all the way so it faced the injured shoulder. The sucker rolled right back in.

20 years later I'm definitely paying for that injury.

Go get it looked at!!

Ordinarily, I try to avoid what amounts to a "plus one," but I thought it might be helpful here to add the emphasis. I dislocated my shoulder long ago and had it pop right back in. Couldn't lift it high for about 24 hours after the fact. Never saw a doctor, though, and had all manner of probs until I got it taken care of a year or two later.

Generally speaking, if your body is giving you serious pain it's best to check it out. Trying to "tough it out" can have fairly negative consequences. To wit, I almost killed my unborn kids when I was 17 by trying to tough out a little cut on my heel. When I went to a doc for my annual physical he told me I had blood poisoning, the infection had run up my leg, and I'd have cooked any chance at natural parenthood within a week. Years later, I treated a really bad ankle sprain like a normal one and ended up losing all kinds of range of motion in my foot; took me years to regain it. :bangshead:

Walking it off is exactly the right thing to do when your body can do that. Real pain is a message that usually can't be ignored without paying a price down the line. Feel better!
John

ChrisJ
February 20th, 2012, 07:52 PM
Hows about a Hospital?

pbayne
February 20th, 2012, 08:44 PM
I'm sitting with a wilderness medicine instructor and a room full of wilderness first responders right now. Our thoughts:
Was the arm pain sudden onset? (as opposed to slow onset, over a 24 hour period)
After that 24 hours did the pain/swelling continue to increase?
Is your range of motion compromised? (if it hurts to move through range of motion, thats OK)
Is there any point tenderness? i.e. is there any one spot that is very painful, at least a 6 of 10 on the pain scale when touched.
Do you hear any interested sounds when moving your arm?

If you answered yes to any of these questions then its time to see a professional, and sooner is better. A GP is a good place to start. This is certainly not a case for emergency medicine.

If the pain/swelling is going away a little bit each day then you are most likely fine. The gray area is if it seems to linger for more than a week or two, then you might have some sort of minor damage.

As a side note re: dislocated shoulders. Always have a doctor look at this one. Even if it pops in by itself. It takes significant force to pop a shoulder out of place, and bad things happen inside the joint. A lifetime of problems await those who ignore this one. Went through a long lecture and slideshow then practiced putting them back in place a few days ago.

L8Shift
February 20th, 2012, 11:13 PM
When I tore my should up, my doc at Commonwealth Orthopaedic diagnosed my condition and reassembled my rotator cuff better than I could ever imagine.
http://www.c-o-r.com/ :thumbsup:

When I went to see the doc/surgeon, he saw what range of motion I had, performed various resistance test at different angles with the arm, and questioned me on the amount of pain I was experiencing through the entire process to form a diagnosis. Within 30 mins of that first visit, he knew what was wrong. He actually knew sooner but kept testing me to be sure.

The MRI further confirmed my issues. Then off I went to surgey, and follow-up rehab for a couple months. :bangshead:

I would skip the GP doc if you can, and go straight to the specialist.
I hope your issue is minimal and you have a full and speedy recovery..

Good Luck!

DaveG
February 21st, 2012, 07:14 AM
Hows about a Hospital?

I think he should get the Frederick police to helicopter him to the emergency room.

whale
February 21st, 2012, 11:01 AM
my guess is a shoulder separation (http://www.webmd.com/a-to-z-guides/shoulder-separation-topic-overview) especially if you happened to roll over and smack your right shoulder in the crash. i have a type 2 on one side and a type 3 on the other. i had the same limited movement in my arms and had to really strain through pain and/or use my other arm to lift it up until it healed.