Elbow pain

April, 2020 Upper limb pain

The elbow is a complex joint that allows the forearm to bend and straighten and the arm to rotate. Since elbows affect many activities, elbow pain can affect daily activities.

Causes of elbow pain :

Tendonitis

Lateral epicondylitis (tennis elbow): The epicondyle is a pulley-like portion of the humerus bone in which the large tendons of the forearm and arm muscles are attached to this area. However, these tendons may be injured due to repeated movements in the forearm area. Tennis elbows can continue to cause tendon inflammation, cause elbow joint pain, and cause pain in the outer arm with a feeling of warmth and swelling. In this situation, since the elbow joint is not damaged, the elbow can maintain its full range of motion but with pain. The pain caused by this injury is usually felt at the end of the day, usually exacerbated by rotational movements or activities that cause the tendon to stretch.

Internal Epicondylitis (Golf Elbow): Internal epicondylitis is an inflammation at the point where the forearm tendons attach to the bone  inside the arm. For example, this tendon can be stretched as the golf course rotates, but many other repetitive motions can also cause damage to the tendon. The golf elbow feels pain and discomfort in the area of ​​the arm. In this case, the range of motion of the elbow is not restricted, as the internal elbow joint is not damaged. However, activities that require rotating or pulling the forearm tendon can cause elbow pain and exacerbate the symptoms.

Bursitis: Inflammation of the elbow bursa is caused by an injury or mechanical stress or as a result of a systemic disease such as gout or rheumatoid arthritis or infection, and is associated with swelling and inflammation of the elbow bursa.

Ligament tearing :

Stretching and tearing of one or more ligaments can cause damage and in this case the severity of the problems depends on the amount of damage done to a particular ligament and the number of ligaments damaged.

Elbow joint osteoarthritis :

Joint inflammation is caused by a variety of rheumatic diseases (rheumatoid arthritis, gout, psoriatic arthritis, ankylosing spondylitis, and reactive arthritis, etc.).Osteoarthritis is also caused by the destruction of articular cartilage. Symptoms of pain are associated with decreased range of motion.

Ulnar nerve entrapment:

The ulnar nerve entrapment between the elbow head and the inner part of the elbow bone causes it to be pressed, causing numbness and burning sensation in the forearm and fingers, which is usually exacerbated by raising the hand.

Diagnosis

Physical examination is very helpful in clarifying the cause of the problem and is also very useful if you need simple imaging, computed tomography (MRI), arthrography or nerve and muscle function tests.

Treatment of elbow pain

The treatment depends on the cause and the type of pathology of the pain. These methods start with immobilization, physiotherapy, injections of corticosteroids, and if there is no proper therapeutic response, other intrervention methods such as pro-inflammatory factors injection, ozone therapy and platelet enrichment and orthokin in injection and radiofrequency therapy are used.

 

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