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Elbow Problems & Pain

What Are Elbow Problems & Pain?

There are many different conditions and injuries that can cause pain and problems in the elbow. The elbow is made up of bone, cartilage, ligaments, fluid, muscles and tendons to help it move throughout the day and when playing sports. When the elbow becomes injured or damaged, it can cause pain and limit the movement of the arm.

There are many different causes of elbow pain and problems, including:

  • Dislocation or fracture – Falling on an outstretched arm or dislocating the elbow can cause pain and limit movement at the elbow.

  • Distal biceps injuries – The bicep muscle runs from the top of the shoulder to below the elbow. Injury to the biceps tendon at the elbow is caused by a sudden injury or force that rapidly extends the elbow straight, such as attempting to lift or catch a heavy object.

  • Ligament injuries – There are three ligaments in the elbow. The most common elbow ligament injury is to the ulnar collateral ligament, also called the Tommy John ligament.

  • Olecranon bursitis – Bursae are small fluid-filled sacs that lubricate and facilitate movement of muscles and tendons over skin and bone joints. Olecranon bursitis affects the bursae at the tip of the elbow.

  • Osteoarthritis – Cartilage can become worn down and damaged in any joint, including the elbow joint. Osteoarthritis is often caused by age, but can also a result from an elbow injury or overuse from sports or work.

  • Osteochondritis dissecans – Stress on the elbow, such as high-level sports in adolescents, can lead to damage to the cartilage in the elbow called osteochondritis dissecans or OCD, creating pain and in some instances clicking and locking if the injured cartilage flakes off the bone.

  • Tendinitis – Repetitive movements, including throwing a ball, swinging a golf club, playing tennis or overuse at work can cause inflammation along the tendons in the elbow. Inflammation of the medial epicondylitis, which is the tendon coming off the inside of the elbow, is often calls golfer’s elbow. Inflammation of lateral epicondylitis, which is the tendon coming off the outside of the top of elbow, is often called tennis elbow.

Contact an orthopedic or sports medicine provider if your elbow pain doesn’t improve after a few days of self-care and rest at home. A specialist can order tests to diagnose your pain and create a comprehensive treatment plan that addresses your injury and restores function to your elbow and arm.

Symptoms

Symptoms of elbow pain and problems can vary widely, depending on the source of your injury or condition.

Dislocations or Fractures
  • Swelling and discoloration
  • Inability to move the elbow
  • Pain
Distal Biceps
  • Weakness, including when rotating the forearm and bending the elbow
  • Bruising in the elbow creases or forearm, retraction of the biceps muscle up the arm
Ligament Injury
  • Pain
  • Joint instability
  • Swelling
  • Limited range of motion
Olecranon Bursitis
  • Swelling
  • Pain
  • Difficulty moving the elbow
Osteoarthritis
  • Pain at elbow joint
  • Loss of motion in the elbow
  • Grating or locking sensation at the elbow joint
  • Numbness, tingling and swelling at joint
Osteochondritis Dissecans
  • Pain and tenderness at the elbow
  • Difficulty extending the arm
  • Clicking and/or locking
Tendinitis
  • Pain during movement
  • Tenderness in the area

Treatment Options

There are many different treatment options that can safely and effectively treat and manage elbow pain.

Treatment options include:

  • Physical therapy – A physical therapist will work closely with your physician to develop exercises to help restore strength and function in your elbow.

  • MedicationAnti-inflammatories help reduce swelling.

  • Injections – Corticosteroids may be utilized to reduce inflammation and pain. Biologic or PRP injections may be beneficial for some elbow injuries to promote healing response.

  • Surgery – If a non-surgical approach isn’t relieving your pain, your provider may discuss surgical options. Temple Health is pleased to offer a wide range of procedures, including:

    • Reconstruction surgery, including “Tommy John” surgery

    • Elbow arthroscopy

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