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Dr Amir Neupane: Things to know if you have elbow pain

2022 Jul 02, 9:45,
Representative Image (Photo: Pinterest)

Do you have elbow pain? If you do, here are some of the reasons why!

Many elbow conditions are caused by overuse and sports injuries. Elbow problems are common in golfers, tennis players, and boxers.

Elbow disorders may involve any of the following:
• arm muscles
• elbow ligaments
• tendons
• bones in the arm
• bursae

The treatments for elbow disorders depend on the underlying cause. Now, talking about the types of elbow disorders, there are at least seven different types of elbow disorders and they are:

  • Medial epicondylitis

Medial epicondylitis affects the inner tendons in the elbow and is commonly called golfer’s elbow and little leaguer’s elbow. The repetitive throwing motion used in baseball and the downward swing of a golf club are common causes.

Medial epicondylitis can also be the result of a repetitive hand motion, such as swinging a hammer every day at work. This disorder can cause pain along the inside of the elbow. Wrist movements in particular can trigger pain.

This condition usually improves with rest and conventional treatment methods, such as icing the area or using over-the-counter anti-inflammatory drugs.

  • Lateral epicondylitis

Another name for lateral elbow tendinopathy is tennis elbow.

It affects the tendons on the outside of the elbow. Playing racquet sports or working in certain professions that use the same sort of motion can cause this condition.

Professionals who commonly experience lateral epicondylitis include:

• cooks

• painters

• carpenters

• autoworkers

• plumbers

Symptoms such as pain or burning occur along the outside of the elbow. You also may experience problems with gripping.

These symptoms usually improve with:

• physiotherapy

• the use of a brace or tennis elbow strap

Olecranon bursitis

Common names for olecranon bursitis are:

• student’s elbow

• miner’s elbow

• draftsman’s elbow

Bursitis affects bursae, small sacs of fluid that help protect the joints. Olecranon bursitis affects the bursae protecting the pointy bone of the elbow.

It may be caused by:

• a blow to the elbow

• leaning on the elbow for a prolonged period of time

• infection

• medical conditions such as arthritis

Symptoms include:

• swelling

• pain

• difficulty moving the elbow

Redness and warmth may occur in the case of an infection.

Medication and elbow pads treat this condition. Surgery may be necessary in severe and chronic cases.

  • Osteoarthritis

Osteoarthritis (OA) is a condition that affects the cartilage, a type of connective tissue found in the joints. OA causes this tissue to wear down and become damaged. Elbow OA may be caused by an elbow injury, or wear and tear on the joints.

Symptoms include:

• pain

• difficulty bending the elbow

• a locking sensation in the elbow

• a grating sound during movement

• swelling

OA is usually treated with medication and physical therapy. Surgery, including joint replacement, is an option in more severe cases.

  • Dislocation or fracture of the elbow

An injury to the elbow, such as a fall on an outstretched arm or elbow, can cause dislocation or a fracture. A dislocation occurs when a bone moves from its usual position. A fracture occurs when a bone cracks or breaks.

Symptoms include:

• visual changes to the elbow, such as swelling and discoloration

• inability to move the joint

• pain

A healthcare provider can move the dislocated bone back into place. They’ll place the dislocated or fractured elbow in a splint or cast, and give you medication for pain and swelling. Physical therapy helps restore the range of motion after the splint or cast is removed.

  • Ligament strains and sprains

Ligament problems can occur in any of the ligaments located in the elbow joint. Ligament sprains may be the result of trauma or repeated stress. It might cause because of:

• stretched

• partially torn

• completely torn

Sometimes you’ll hear a popping noise upon injury.

Symptoms include:

• pain

• joint instability

• swelling

• problems with range of motion

Treatment may include:

• pain relief methods such as icing the area

• bracing the elbow

• physiotherapy

  • Osteochondritis dissecans

Osteochondritis dissecans, also called Panner’s disease, occur when small pieces of cartilage and bone become dislodged in the elbow joint. It’s often the result of a sports injury to the elbow and is most often seen in young men.

Pain and tenderness on the outside of the elbow, trouble extending the arm, and a feeling that the joint is locking could indicate this condition. You can treat this injury by immobilizing the elbow joint and undergoing physiotherapy treatment

Investigation for elbow joint.

 Doctors can diagnose elbow disorders through:

• physical examination and medical history

• X-rays

• CT scan

• MRI scan

• electromyography (EMG)

• biopsy of bursa fluid


Treatment varies depending on the elbow disorder and symptoms you experience. Most elbow disorders require conservative treatment. Surgery is a last resort if your symptoms don’t improve.

 Treatment options include:

• ice

• nonsteroidal anti-inflammatory drugs (NSAIDs)

• Physiotherapy

• braces or immobilization

• steroid injections

• elbow padding

Elbow pain exercises:

Depending on the cause of your elbow pain, exercise may help you recover and prevent the condition from recurring.

Exercises and stretches may:

• relieve pain

• increase range of motion

• reduce inflammation

• strengthen muscles around the joint to help you avoid future injury

Exercises for pain relief:

Research supports the following types of exercises as helping to reduce pain and improve outcomes for people with tennis elbow:

• Eccentric exercises: Muscles lengthen under tension when performing eccentric exercises. A 2014 study found that these exercises reduced pain in people with tennis elbow. Wrist extensor strengthening, a specific type of eccentric exercise, may help lessen tennis elbow pain, according to a 2015 research review.

• Isometric exercises: In isometric exercises, muscles tense up and contract without visibly moving. A 2018 study found that isometric wrist extension exercises reduced tennis elbow pain. However, this exercise alone may not otherwise improve the condition.

• Static stretching exercises: For most effective treatment and pain relief, a 2013 comparison study noted that eccentric exercises should be combined with static stretching exercises.

Multiple studies have indicated that aquatic exercises and strength training may be effective for reducing osteoarthritis pain in the knees and hips. However, more research is needed on exercises to reduce pain from elbow osteoarthritis and other elbow disorders.

Exercise safety

It’s important to talk to your healthcare provider about what types and level of exercise will work best for you before starting any exercise program.

Once you begin, keep the following tips in mind:

• Be gentle and stop if you feel sharp pain.

• Avoid overstretching or exercising too much when recovering from an injury.

• Talk to your healthcare provider if your pain doesn’t improve or gets worse, or if there’s increased swelling or redness around your elbow.

Exercise often plays an essential role in recovering from an elbow disorder.

Learn how to perform exercises to help:

• tennis elbow

• golfer’s elbow

• olecranon bursitis

How do you prevent elbow disorders?

Most elbow disorders are the result of overuse and injury. You can prevent them by:

• correcting improper sport techniques

• using a proper-sized grip on sports equipment

• using correct tension on racquets

• warming up and stretching properly

• using elbow padding

It’s also important to take breaks from repetitive tasks. Practice exercises that can help strengthen the muscles around your elbow joint.

Talk to your healthcare provider for advice and recommendations.

Contact Details: 

Dr. Amir Neupane

Managing Director at Aashas health care

Address: Jawalakhel Rd, Lalitpur

Phone No: 01-5554999


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