Wednesday, June 24, 2009

Nursemaids Elbow? A Do It Yourself, Fix-it/Reduction Lesson!

This a dramatization of a familiar scene around these parts. This is just a Mama's advice (albeit a Mama who is nurse and the daughter of a pediatrician) on how to solve this problem at home....in hopes of avoiding an ER visit! You'll be so proud of yourself if you can do it yourself!

Reeves, our 7 year old, was around 18 months old when his elbow popped out of place for the first time (I think it happened a few more times, and this trick worked every time)! Dad said that as long as it's not out for too long, they shouldn't even need any pain medicine after it's back in place. A little Motrin probably wouldn't hurt, though. Remember, Motrin (i.e. Ibuprofen) is an anti-inflammatory & pain reliever, and it will probably help more than Tylenol. I personally only use Tylenol for fevers (along with Motrin)....I just think Motrin works better, but I digress....

Chris and I were swinging sweet Reeves between us when it popped out the first time. I had no idea why he was crying when I loaded him into the car. I thought he was just mad that Chris was leaving us to head back to work, but when his screams escalated....I knew something was wrong. I took one look at his arm in the rearview mirror, and I knew it was messed up. It dangled limp and lifeless while he grabbed for me with his good arm. I pulled over into the BP parking lot and frantically called my dad. To say I was hysterical is an understatement!

My ever calm father walked me through this little technique, and it worked like a charm. I have performed this maneuver more times than I can count and just yesterday I had to do it on Greer for the first time. I was pulling a floatie (or water wing...whatever you like to call it) onto her chubby little arm when I felt that little click. She immediately started wailing and I instinctively knew what I would see when I pulled off the floatie. Sure enough, her forearm dangled motionless as she flailed her good arm towards me. I jumped into action, and in 2 seconds flat she was good as new!

Here's what you do.....


Firmly grasp the arm just above the elbow with your left hand. Grasp the wrist with your other hand. You don't have to hold it very tightly, just a gentle firmness (does that make sense?)....


Gently rotate the wrist (while holding your left hand steady) toward her body...


And then back to the outside. You will probably feel a gentle "pop" as it goes back into place. The crying should end and she's good as new....


See? Sure....the popsicle helps, too!

It's that simple, friends! Now, I sure hope you'll seek adequate medical assistance if you think something else is going on. I just got so many requests for advice (after my tweet about it) that I had to post a "how to". Hope you never have to do it, but if you do.....

You're Set!!!

20 kind words:

Dana said...

Thanks for sharing this!!! With mine, her arm wasn't limp but she wouldn't use it- not even to pick up her binky which is huge!! After a nap she was all better though so it must not have popped out but just hurt a bit.

It's good to know this if it ever does happen though!

Jeanne said...

Baker had nursemaids elbow about 6mo ago. I had never even heard of it and the dr. fix w/ your simple proceedure. Thanks for posting in case it happens again.

Dana said...

Thanks for stopping by my blog! I wondered if maybe she might have popped it back in on her own. At least now I know what to do if it happens again :)

Thanks again!!

Emily said...

i love your lil model for the how too:) I think I will be emailing you lots of questions after cate comes.. u will probably get sick of me:)

Together We Save said...

I have never heard of this. Thanks for the info. I love your blog.

TheOldPostRoad said...

We raced to the hospital for that, once. Cute blog. Heard Rick and Bubba discussing it! How cool!

Southerner said...

We had this happen to my son. My husband stayed home from church and was going to take him into the ER and when I got to church a DR friend asked where my husband was. He went to our house and did this. It is amazing how they are perfectly normal with no pain after. His arm has come out of joint a couple of times and my husband can do this after watching the Dr.

Lindsay said...

Oh - that's SO good to know, thanks!! My daughter's shoulder popped out of joint but somehow (and not by us) got back in before we were able to get to the doctor....got any advice on an out of whack shoulder??

Anonymous said...

Thank you so much for this post. It was a lifesaver for my niece after I lifted her up by her arms while playing a game. We were on a vacation in coastal Oregon and my sister had no health insurance! Your how to was a life saver and my three year old niece is as good as new!! thank you a million times over.

Anne said...

I just wanted to thank you for posting this. My son was taken to the ER by his Dad this morning and they told him it was either Nursemaid's Elbow or a sprained wrist. They suspected a sprained wrist. By the time he arrived to me, there had been no improvement and I found somewhat scary information about what can happen if it was Nursemaid's Elbow left untreated. My son had the exact symptoms so I followed your directions (and very helpful pictures). I can not tell you how grateful I am! It popped right back in and now my son is pain free for the first time since yesterday. Thank you! Thank you! Thank you! :)

Lesley said...

I found your blog after googling "how to fix nursemaid's elbow"! I was able to fix her arm by reading your blog while my husband was on the phone with the doctor. You saved us several hours and most importantly our daughter's arm is better!

Anonymous said...

I wasn't thinking today and tried to pull my two year old on to my bed, up by her arms. I felt a pop and she started screaming immediately. I panicked and called the doctor. He said it should heal on it's own but everything I've read said it won't and can't. I found your blog and my husband and I tried it. He felt "the pop" and after a few minutes our baby girl was right as rain!!!! Thank you, from the bottom of our hearts for posting this. You've saved my princess pain and I would kiss you if that wouldn't be weird. haha Have a fantastic day.

Souj said...

Thanks a ton for sharing this.My 1yr old daughter had nursemaid elbow on this Sunday and your blog did the fix.
As this is her second time, I didnt want to take her to the ER (first time bill was $700) but also couldnt see her in pain.Google search brought up your webpage and I followed everything you mentioned and felt confident seeing the demonstrative pics.
My little one was back smiling in few minutes...thank you soooo much.

Rick H. said...

Thanks you for sharing this. I linked to this post for my friends to see. My oldest daughter had this and we were sent to a specialist, had xrays, etc....This time, my son was better in 10 minutes thanks to your blog.

Marie said...

Wow! I'm a nurse too but not sure I'm brave enough to do this on my kiddo. Think I'd probably be too upset.
Very cute model!

Daz said...

Thanks - you just stopped me from a full scale 'worry-mode' - I followed your advice very gently and now our little 'un has a functioning arm again.
Super, thanks again.
Daz, Uk

becky... said...

You know, I wish I would have seen this blog yesterday! It would have saved us 4 hours in the ER! :) But you live and learn! What a cute blog and precious family you have!

Marie said...

This step by step was awesome, my 2 year old just gave me a huge scare and I looked this up and followed your instructions and "poof" good as new! Thank you tahnk you thank you!

Amy said...

Did this tonight and am praising the Lord for finding your blog, for it going just as you described, and that my sweet girl can sleep through the night without it bothering her. Thank you for publishing this.
jaredandamy.com

Wendy said...

THANK YOU MEGAN!!!

Your post allowed me to pop my little girl's arm in place while she was sleeping at home instead of rushing her to the ER late in the evening after a long day with no nap.

God Bless!!!

Much Love,

Wendy