Conversation: The conversation between human and AI assistant.
[|Human|] I fell backward landing on both hands and butt. I had serious pain in my right elbow and back that passed after few minutes. Mr right elbow has intense pain depending on how it moves. i don y see any bruise and my hand functions. I have been icing it for 8 hours and i still get intense pain when i move some directions. At wha point do i stop ice and see a doc. I have a high pain threshold, but when it flares i can t use my arm
[|AI|]  Hi, Thanks for your query. An initial X-ray of the injured part is mandatory to rule out any bony injury (fracture). If the X-ray is negative for a fracture, then the other possibility is soft tissue injury either to the ligaments, tendons etc. The initial management for your condition is as follows -- Give adequate rest to the injured part and avoid any movements that produce pain-Apply ice wrapped in a damp towel to the injured area for 15 to 20 minutes every two to three hours during the day-Compress or bandage the injured area to limit any swelling and movement that could damage it further. You can use a crêpe bandage or a simple elastic bandage - Keep the injured area raised and supported on a pillow to help reduce swelling. - Gentle massage with a painkiller cream over the injured area might be helpful If your symptoms are still persisting after the above measures, consult an orthopedic surgeon for further evaluation and management. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care