<s>[INST] I fell on my arm a couple hours ago right below my elbow. It is swollen, tender and tight, but I am mobile. I can move my elbow very little pain, move my fingers no pain just really tight on my forearm, but when I flex my wrist up or any pressure is applied it bring excruciating pain. Could it be a fracture or just sprained? [/INST] Hi Thanks for your query and Welcome to Chat Doctor. I am Chat Doctor. Since you have suggested an injury due to a fall, I will suggest X-Ray of the affected region to rule out a bony injury because the management may be entirely different in case of a bony or a soft tissue injury. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation. Thanks & Regards </s>