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Elbow Problems, Noninjury
At one time or another, everyone has had an elbow problem that may have caused pain or swelling. Most of the time our body movements don't cause problems. But sometimes symptoms develop from everyday wear and tear or overuse.
Elbow problems can be minor or serious. They may include symptoms such as pain, swelling, numbness, tingling, weakness, or changes in temperature or color. Home treatment often can relieve minor aches and pains.
Conditions that may cause elbow symptoms
- Osteoarthritis may cause pain that's worse in the morning but improves during the day. Other types of arthritis, such as rheumatoid arthritis, gout, and lupus, can also affect the elbow.
- A pinched nerve can cause elbow pain with numbness and tingling.
- A problem elsewhere in the body, such as a heart attack, can cause referred pain in the elbow.
Overuse elbow problems
Most people may not remember having a specific injury when their symptoms get worse over time. But these overuse problems are actual injuries. They occur when too much stress is placed on a joint or other tissue. This can happen when you overdo an activity or repeat an activity over and over. Overuse injuries include:
- Bursitis. Swelling behind the elbow may be olecranon bursitis. This affects the olecranon bursa at the back of the elbow.
- Tendinosis. This is a series of microtears in the connective tissue in or around the tendon.
- Soreness or pain felt on the outside (lateral) part of the elbow may be tennis elbow (lateral epicondylitis). This is the most common type of tendinopathy that affects the elbow. It's most often caused by overuse of the forearm muscles. This overuse may occur during sports, such as tennis, swimming, golf, and sports involving throwing. Or it may occur when you do certain jobs, such as carpentry or plumbing, or do daily activities, such as lifting objects or gardening.
- Soreness or pain in the inner (medial) part of the elbow may be golfer's elbow. In children who do sports that involve throwing, the same elbow pain may be called Little Leaguer's elbow.
- Ulnar nerve compression. This is the pinching of the ulnar nerve in the elbow joint. It most often occurs with repeated motions.
Treatment for an elbow problem may include first aid and a brace, splint, or cast. It also may include physical therapy or medicine.
Check Your Symptoms
The medical assessment of symptoms is based on the body parts you have.
- If you are transgender or nonbinary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
- If your symptoms aren’t related to those organs, you can choose the gender you identify with.
- If you have some organs of both sexes, you may need to go through this triage tool twice (once as "male" and once as "female"). This will make sure that the tool asks the right questions for you.
Many things can affect how your body responds to a symptom and what kind of care you may need. These include:
- Your age. Babies and older adults tend to get sicker quicker.
- Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
- Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, herbal remedies, or supplements can cause symptoms or make them worse.
- Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
- Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.
Try Home Treatment
You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.
- Try home treatment to relieve the symptoms.
- Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.
When an area turns blue, very pale, or cold, it can mean that there has been a sudden change in the blood supply to the area. This can be serious.
There are other reasons for color and temperature changes. Bruises often look blue. A limb may turn blue or pale if you leave it in one position for too long, but its normal color returns after you move it. What you are looking for is a change in how the area looks (it turns blue or pale) and feels (it becomes cold to the touch), and this change does not go away.
Pain in adults and older children
- Severe pain (8 to 10): The pain is so bad that you can't stand it for more than a few hours, can't sleep, and can't do anything else except focus on the pain.
- Moderate pain (5 to 7): The pain is bad enough to disrupt your normal activities and your sleep, but you can tolerate it for hours or days. Moderate can also mean pain that comes and goes even if it's severe when it's there.
- Mild pain (1 to 4): You notice the pain, but it is not bad enough to disrupt your sleep or activities.
Pain in children under 3 years
It can be hard to tell how much pain a baby or toddler is in.
- Severe pain (8 to 10): The pain is so bad that the baby cannot sleep, cannot get comfortable, and cries constantly no matter what you do. The baby may kick, make fists, or grimace.
- Moderate pain (5 to 7): The baby is very fussy, clings to you a lot, and may have trouble sleeping but responds when you try to comfort him or her.
- Mild pain (1 to 4): The baby is a little fussy and clings to you a little but responds when you try to comfort him or her.
Pain in children 3 years and older
- Severe pain (8 to 10): The pain is so bad that the child can't stand it for more than a few hours, can't sleep, and can't do anything else except focus on the pain. No one can tolerate severe pain for more than a few hours.
- Moderate pain (5 to 7): The pain is bad enough to disrupt the child's normal activities and sleep, but the child can tolerate it for hours or days.
- Mild pain (1 to 4): The child notices and may complain of the pain, but it is not bad enough to disrupt his or her sleep or activities.
Symptoms of infection may include:
- Increased pain, swelling, warmth, or redness in or around the area.
- Red streaks leading from the area.
- Pus draining from the area.
- A fever.
Certain health conditions and medicines weaken the immune system's ability to fight off infection and illness. Some examples in adults are:
- Diseases such as diabetes, cancer, heart disease, and HIV/AIDS.
- Long-term alcohol and drug problems.
- Steroid medicines, which may be used to treat a variety of conditions.
- Chemotherapy and radiation therapy for cancer.
- Other medicines used to treat autoimmune disease.
- Medicines taken after organ transplant.
- Not having a spleen.
Make an Appointment
Based on your answers, the problem may not improve without medical care.
- Make an appointment to see your doctor in the next 1 to 2 weeks.
- If appropriate, try home treatment while you are waiting for the appointment.
- If symptoms get worse or you have any concerns, call your doctor. You may need care sooner.
Call 911 Now
Based on your answers, you need emergency care.
Call 911 or other emergency services now.
Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.
Seek Care Today
Based on your answers, you may need care soon. The problem probably will not get better without medical care.
- Call your doctor today to discuss the symptoms and arrange for care.
- If you cannot reach your doctor or you don't have one, seek care today.
- If it is evening, watch the symptoms and seek care in the morning.
- If the symptoms get worse, seek care sooner.
Seek Care Now
Based on your answers, you may need care right away. The problem is likely to get worse without medical care.
- Call your doctor now to discuss the symptoms and arrange for care.
- If you cannot reach your doctor or you don't have one, seek care in the next hour.
- You do not need to call an ambulance unless:
- You cannot travel safely either by driving yourself or by having someone else drive you.
- You are in an area where heavy traffic or other problems may slow you down.
Try the following tips to help relieve elbow pain, swelling, and stiffness.
- Remove all jewelry.
Remove rings, bracelets, watches, and any other jewelry that goes around the wrist or fingers of the affected arm. It will be hard to remove the jewelry after swelling starts.
It's important to rest and protect the affected area. Stop, change, or take a break from any activity that may be causing your pain or soreness.
- Use ice.
Ice will reduce pain and swelling. Apply ice or cold packs right away to prevent or reduce swelling. Apply the ice or cold pack for 10 to 20 minutes, 3 or more times a day.
- Wrap the affected area.
Compression, or wrapping the area with an elastic bandage (such as an Ace wrap), will help reduce swelling. Don't wrap it too tightly, because that can cause more swelling below the affected area. Loosen the bandage if it gets too tight. Signs that the bandage is too tight include numbness, tingling, increased pain, coolness, and swelling in the area below the bandage.
- Elevate the affected area.
Try to keep the area at or above the level of your heart to help reduce swelling. Prop up the area on pillows while you apply ice and anytime you sit or lie down.
- Support your elbow.
Wear a sling if it makes you more comfortable and supports your elbow.
Use an elbow support, such as an elbow sleeve or forearm wrap. It may help rest your elbow joint, relieve stress on forearm muscles, and protect the joint area during an activity. A counterforce brace may be helpful for tennis elbow symptoms. Follow the directions on the package for using the brace.
- Avoid things that might increase swelling.
For 48 hours, avoid things that might increase swelling. These things include hot showers, hot tubs, hot packs, and drinks that contain alcohol.
- Apply heat.
After 48 to 72 hours, if your swelling is gone, apply heat. You can start gentle exercise with the aid of moist heat to help restore and keep flexibility. Some experts advise switching between heat and cold treatments.
- Rub the area.
Gently massage or rub the affected area to relieve pain and encourage blood flow. Don't massage the area if it causes pain.
- Don't smoke or use other tobacco products.
Smoking slows healing because it decreases blood supply and delays tissue repair.
If you need to use a wrap or sling for more than 48 hours, you may have a more serious injury that needs to be checked by a doctor.
When to call for help during self-care
Call a doctor if any of the following occur during self-care at home:
- New or worse pain or swelling.
- New signs of infection, such as redness, warmth, pus, or a fever.
- New or worse numbness, tingling, or cool and pale skin.
- Movement or strength decreases.
- Symptoms occur more often or are more severe.
Preparing For Your Appointment
You can help your doctor diagnose and treat your condition by being prepared for your appointment.
Current as of: March 9, 2022
Author: Healthwise Staff
William H. Blahd Jr. MD, FACEP - Emergency Medicine
Kathleen Romito MD - Family Medicine
Adam Husney MD - Family Medicine