What is Nursemaid’s Elbow (in children)?
Nursemaid's elbow, also known as radial head subluxation, is a common injury in young children, typically occurring when a child's arm is pulled with a sudden force, causing the radial head to slip out of its normal position at the elbow joint. Although this condition is usually quickly resolved by a healthcare professional with a gentle reduction maneuver, physical therapy can play a role in the recovery process and prevention of future occurrences.
Physical Therapy for Nursemaid’s Elbow (in children)
After the initial reduction of nursemaid's elbow, physical therapy may not be necessary unless the child experiences recurrent episodes or has residual symptoms such as pain or hesitancy to use the affected arm. In these cases, the focus of physical therapy is on gentle exercises to maintain range of motion and strength in the arm and to ensure that the child feels comfortable using their arm normally again.
The physical therapist may guide the child through gentle range-of-motion exercises to keep the elbow and wrist joints flexible. Strengthening exercises for the muscles around the elbow, wrist, and shoulder may also be introduced to provide better support for the joint and reduce the risk of future subluxations. These exercises are designed to be fun and engaging for the child, incorporating play and age-appropriate activities.
Education is an important component of the therapy process, both for the child and the caregivers. The physical therapist may provide guidance on how to avoid situations that could lead to nursemaid's elbow, such as lifting the child by the hands or arms, and may demonstrate safer ways to hold and play with the child.
With proper care and precautionary measures, most children recover quickly from nursemaid's elbow and do not experience long-term complications. Physical therapy can be a valuable tool in ensuring a swift recovery and preventing future episodes, helping children return to their playful and active lifestyles.