Elbow and Arm Pain Treatment

In the past 10 years there has been a dramatic increase in different wrist and elbow pain conditions. Largely, it has happened due to an increased pressure on the upper extremities. We are always working on our computers, browsing or chatting with our smartphones. Blogging, tweeting, posting, and emailing have become our daily routine. Meanwhile, how often do we stretch and warm up our hands or elbow muscles?

Lateral epicondylitis, more commonly known as tennis elbow.

Is this what is called repetitive overuse injury?

Lateral epicondylitis, more commonly known as tennis elbow, is the result of repeated contraction of the muscles used to extend (straighten) the arm and raise the hand. Pain typically occurs on the outside of the elbow.
Repetitive overuse is only part of the problem. It is truly a combination of factors of equal important some of which are:
Prolonged finger loads
Static forces
Inadequate postural support of the spine and shoulder blades.
Why is that some people develop these musculoskeletal illnesses when colleagues who are doing exactly the same activities do not?
Different risk factors can predispose an individual to develop these musculoskeletal syndromes. They are:

  1. Postural support of the axial organ (Spine, shoulder and pelvic girdle complex) plays a key role in distribution of forces throughout upper extremity. In other words, inadequate support of the shoulder blades on the spine causes further peripheral imbalance into muscles traveling across multiple joints of shoulder, elbow and wrist . Scientific evidence and practical experience shows us that recovery time of treatment for wrist and elbow syndromes are much abbreviated when stability of shoulder blades is addressed.
  2. Tissue texture quality plays an important role in development of musculoskeletal conditions of upper extremities. Women are usually more affected with painful syndromes of wrist and elbow due to different hormonal profile, which negatively affects tissue tensile quality.
  3. Orthopedic structural variations also predispose people to these painful conditions. Some examples are: abnormal shapes of shoulder blade bones, variations in shape of acromium ( hook of the shoulder blade), increased angle of the elbow joint, elbow dysplasias , shallow wrist arch.
  4. Generalized hypermobility, which affects the whole body as well as dynamic support of joint of upper extremity.
  5. There could also be some personal factors like diabetes or obesity.

To reiterate, the repetitive overuse syndromes in upper extremity are multifactorial disorders in which only the synergic action of various risk factors can push the individual over the threshold of clinical symptoms.
What are some of the most common conditions of wrist and elbow pain?
Carpal tunnel syndrome
Flexor tendon tenosynovitis
De Quervain syndrome
Lateral epicondylitis (tennis elbow)
Medial epicondylitis (golfers elbow)
Cubital tunnel syndrome
Ulnar nerve compression (ulnar neuropathy) above the elbow

What elbow pain treatments are effective?
It is of the critical importance that activity moderation and modification is instituted together with physical therapy, as conservative approach is only affective during the early stages of the disease. Frequently patients tend to ignore the symptoms in the early stages further aggravating tendon/muscle dysfunction leading to chronicity and disability.
Unfortunately, surgical approaches in the upper extremity often offer less then satisfactory results due to:
Increased sensitivity of the patient
Complicated anatomy of the region
Increased use of upper extremities
Biological treatments like Extracorporeal Shockwave therapy show good results in combination with rehabilitation and activity moderation for some indications of elbow and wrist pain disorders.
However, best results are truly achieved when elbow pain disorders are treated early on and with best possible compliance to activity moderation.
elbow pain treatment

Leave a Reply


Hip or Groin Pain: Diagnosing and Treatment, Physical Therapy

Hip pain can become debilitating, and this condition affects millions of people every single year. The pain can cause minor difficulties during daily life, or it can be a debilitating pain that severely limits the range of motion. Some people can become incapacitated entirely because of the intensity of the pain. Understanding the sources of […]

Read More (0)

June 7, 2017


Rehabbing the Plantar Fascia: To Stretch or Not to Stretch?

Plantar fasciitis is an overuse injury that causes pain that normally begins in the heel and gradually worsens to affect the entire arch tendon of the foot. Runners, athletes and fitness enthusiasts are all vulnerable to plantar fasciitis, as is anyone required to spend long hours standing. Wearing certain types of shoes like flip-flops and […]

Read More (0)

January 31, 2018

Fields marked with a * are required.

phone: 1-866-311-5889
e-mail: info@nydnrehab.com
address: 130 West 42 Street, Suite 1055, New York, NY 10036

You can call
or Send message