Elbow Pain Treatment

Elbow pain refers to any pain caused by an injury or condition of the elbow joint. Because the elbow joint is a complex hinge joint critical to the movement and function of the arm, elbow pain can severely impair the body’s ability to function by affecting the bones, cartilage, or ligaments of the elbow. Some common causes of elbow pain are tennis elbow, bursitis elbow, and pinched nerve in elbow. However, New York Dynamic Rehabilitation clinic (NYDNRehab) treats pain in elbow by getting to the very roots of elbow injuries. Our clinic combines conventional treatments with breakthrough technologies to provide comprehensive pain-in-elbow treatment.

Bursitis elbow (olecranon bursitis) is a condition afflicting the olecranon bursa, one of many thin, slippery sacs located throughout the body that lubricate the joint regions and prevent friction. Bursitis elbow is typically characterized by swelling around the elbow that can the arm an odd, lumpy appearance. Patients suffering from bursitis elbow may experience limited range of motion and pain in the elbow.

Weight-lifting elbow pain may result from elbow tendonitis, which typically manifests in two different ways: through tennis elbow or through golfer’s elbow. Tennis elbow (lateral epicondylitis) is a painful overuse condition causing inflammation of the tendons on the outside of the elbow. This condition frequently occurs in people who are constantly using their forearm muscles, and is characterized by swelling and outer elbow pain. Symptoms may also include pain when playing tennis or racquetball and elbow pain when weightlifting.

Golfer’s elbow (medial epicondylitis), by contrast, is a condition causing inner elbow pain (or inside elbow pain) at the exact spot where the tendons of the forearm muscles attach to the bony protuberance on the inside of the elbow. Golfer’s elbow develops from overuse of the muscles and tendons of the forearms and elbow. This can occur because of repetitive activities like shoveling or hammering nails. Golfer’s elbow is characterized by tenderness, and inside elbow pain that can be exacerbated by bending, twisting, or grasping objects. Patients may also experience left-sided arm and elbow pain, or left elbow pain. (By contrast, bilateral pain is pain in both elbows simultaneously).

Pain in the elbow is also one of the chief characteristics of pinched nerve in elbow, a condition in which a nerve in the elbow (most often the ulnar nerve) becomes pinched or entrapped. Pinched nerve in the elbow is characterized by numbness, a burning sensation, and pain in the elbow radiating outward from the site of injury. Pinched nerve in elbow can normally be treated with conventional treatments like rest, stretching exercises, and anti-inflammatory medications.

Patients suffering from bilateral elbow pain, left elbow pain, inner elbow pain or other ailments will find comprehensive treatment at NYDNRehab. Extracorporeal shockwave therapy (ESWT) has been demonstrably effective in relieving painful conditions like tennis elbow, golfer’s elbow, and elbow bursitis. A patient undergoing ESWT receives a high-frequency pressure wave at the site of injury. This pressure wave passes through the skin at near-supersonic speeds, restoring blood circulation, bringing oxygen and nutrients, and regenerating damaged tendons. It is one of several advanced methods for elbow pain treatment available at NYDNRehab.

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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

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Complete tear of rectus femoris
with large hematoma (blood)

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Separation of muscle ends due to tear elicited
on dynamic sonography examination

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