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ELBOW PAIN

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Elbow pain is an extremely common complaint, and there are many common causes of this problem. It is important to make an accurate diagnosis of the cause of your symptoms so that appropriate treatment can be directed at the cause. If you have elbow pain, some common causes include:

 

 

· Lateral Epicondylitis
The most common cause of elbow pain is lateral epicondylitis, also called tennis elbow. Patients with lateral epicondylitis have pain over the outside of the joint and difficulty gripping objects. Interestingly, most patients with lateral epicondylitis are not tennis players.

· Medial Epicondylitis
Similar to lateral epicondylitis, medial epicondylitis, or golfer's elbow, causes discomfort around the joint. However, the symptoms of medial epicondylitis are on the inner side of the joint. Again, most patients with this condition are not golfers.

· Olecranon Bursitis
Bursitis is most common behind the elbow joint. When a patient has olecranon bursitis, they usually have swelling and tenderness behind the joint over the bony prominence called the olecranon. Infections of the bursa can complicate the treatment of olecranon bursitis.

· Tendonitis
Tendonitis can occur in any of the tendons that surround the joint. The most common types of tendonitis that cause elbow pain are biceps tendonitis (in front of the joint) and triceps tendonitis (in the back of the joint).

· Cubital Tunnel Syndrome
Cubital tunnel syndrome occurs when there is compression of the ulnar nerve as is wraps around the inside of the joint causing elbow pain. Cubital tunnel syndrome can also cause shooting pains along the forearm and numbness and tingling of the fingers.

· Radial Tunnel Syndrome
Radial tunnel syndrome is an uncommon condition that causes nerve compression of the radial nerve. Most often, this diagnosis is considered in patients who are thought to have
lateral epicondylitis, but do not improve.

· Elbow Fractures
Broken bones can occur abound the elbow after injuries such as falls, sports injuries, and car accidents. The most common elbow fractures are
olecranon fractures and radial head fractures.

What are the best treatments for elbow pain?
The treatment of elbow pain depends entirely on the cause of the problem. Therefore, it is of utmost importance that you understand the cause of your symptoms before embarking on a treatment program. If you are unsure of your diagnosis, or the severity of your condition, you should seek medical advice before beginning any treatment.

Not all treatments listed here are appropriate for every condition, but may be helpful in your situation.

· Rest: The first treatment for many common conditions that cause elbow pain is to rest the joint, and allow the acute inflammation to subside. It is important, however, to use caution when resting the joint, because prolonged immobilization can cause a stiff joint.

· Ice and Heat Application: Ice packs and heat pads are among the most commonly used treatments for elbow pain.

· Stretching: Stretching the muscles and tendons that surround the joint can help with some causes of elbow pain. A good routine should be established.

· Physical Therapy: Physical therapy is an important aspect of treatment of almost all orthopedic conditions. Physical therapists use different modalities like IFT,SWD,US to relieve pain and advise exercises to increase strength, regain mobility, and help return patients to their pre-injury level of activity.

· Anti-Inflammatory Medication: Nonsteroidal anti-inflammatory pain medications, commonly referred to as NSAIDs, are some of the most commonly prescribed medications, especially for patients with elbow pain caused by problems such as arthritis, bursitis, and tendonitis.

· Cortisone injections: Cortisone is a powerful medication that treats inflammation, and inflammation is a common problem in patients with elbow pain. Discuss with your doctor the possible benefits of a cortisone injection for your elbow pain condition.

· Arthroscopic Elbow Surgery: Some causes of elbow pain require a surgical treatment for relief of symptoms. One surgical option is arthroscopic elbow surgery. While not useful for all causes of elbow pain, arthroscopic surgery is a treatment option for several common conditions.

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