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The most common sources of
localized elbow pain stem form either nerve pressure or tendonitis. Nerves
which exit the cervical spine travel through a bundle called the brachial
plexus and run through the shoulder, wrist and fingers. Irritation to
these nerves can lead to referred pain anywhere along this nerve path.
Nerve pain is typically a sharp, radiating, “tooth ache” type of pain.
Tendonitis is very common in the elbow and is commonly referred to as
tennis elbow (tendonitis on the outside or lateral epicondylitis) and
golfer’s elbow (tendonitis on the inside or medial epicondylitis). The
damage that tennis or golfer’s elbow incurs consists of tiny tears in the
tendon and muscle covering. This usually results from trauma, repetitive
motion, or overuse. The small tears may heal and tear repeatedly leading
to hemorrhaging and the formation of rough, granulated fibrous tissue
(scar tissue) and calcium deposits within the surrounding tissues.
Collagen, a protein, leaks from the injured area causing inflammation. The
resulting pressure can result in pinching of the radial or ulnar nerves
which run through the elbow. Tendons, which attach muscles to bones, do
not receive the same amount of blood and oxygen as muscle does and
consequently heals more slowly. Symptoms of tendonitis include pain in the
upper forearm just below the bend of the elbow, reduced range of motion,
and increased pain with lifting or bending the arm or grasping objects.
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Elbow
Pain