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Dr. Ebraheim’s educational animated video about Elbow pain, describing the conditions associated with the area of the elbow.
Tennis elbow ( lateral epicondylitis)
It is an inflammation, soreness or pain on the outside (lateral) area near the elbow. Injury is usually seen in patients who perform manual labor or sports that require twisting and extension of the wrist against resistance. There is pain with resistant wrist extension. All these symptoms occur because of degeneration, irritation, tears and pain of the extensor tendons. Treatment includes ice, elbow pads, decreased activity, physical therapy, eccentric exercise, steroid injections or surgery as a last resort.
Radial tunnel syndrome
The pain of radial tunnel syndrome is very similar to the symptoms of tennis elbow.
Pain is usually distal to the lateral epicondyle and radiates down the forearm. If the symptoms of tennis elbow are not going away with treatment, rule out the possibility of radial tunnel syndrome. Treatment: ice, elbow pad, decreased activity, physical therapy, eccentric exercise, injections (steroids or PRP), surgery( as a last resort).
Anterior elbow pain ( biceps tendon rupture)
The biceps muscle aids in flexion and supination of the forearm. Symptoms of biceps tendon rupture include pain, bruising, and swelling located infront of the elbow. It occurs in patients who perform manual labor, body builders, etc. rupture may retract the muscle casuing popeye sign. Rupture affects 40% of supination of the forearm and the tendon needs to be reattached to the tuberosity of the radius.
Elbow arthritis
Elbow injuries can lead to loss of cartilage and joint degeneration due to extra wear and tear on the surfaces of the joint. Symptoms include global pain, stiffness and loss of motion. This condition is called osteoarthritis, denerative arthritis or posttraumatic arthritis.Treatment includes anti-inflammatory medications, injections, therapy and rarely surgery.
Golfer’s elbow ( medial epicondylitis)
The flexor muscles of the forearm are responsible for flexion of the wrist. Golfer’s elbow is an inflammation, soreness or pain on the inside area near the elbow. This pain is due to repetitive overuse or overload activities and is aggravated by movement of the wrist. Treatment includes ice, decreased activity, physical therapy, eccentric exercise, steroid injections or surgery as a last resort.
Cubital tunnel syndrome
It is a condition due to compression of the ulnar nerve at the area of the medial ( inside) elbow resulting in pain, swelling and weakness of the hand. This problem occurs due to compression where the ulnar nerve passes around the elbow through the cubital tunnel. Treatment conservative then surgery if conservative treatment fails.
Medial collateral ligament injury
Injury typically occurs in throwing sports such as baseball as seen in pitching ( tommy john injury ).
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