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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In The Elbow, Stiff Fingers, Swollen Arm. Any Suggestions?

hi i keep getting small pains in my left on the inside of my elbow and just now and then my fingers feel abit stiff i use get a acneing feeling in that arm many years ago but that went away as i went to my gp and he give me cream for arightis which i rub in then it was fine aftear that the top of my arm i think has always looked abit so swollen
Thu, 31 Jan 2013
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Emergency Medicine Specialist 's  Response
hi thanks for your query
as per discussion you might have ulnar nerve entrapment at elbow site
Ulnar nerve entrapment occurs when the ulnar nerve in the arm becomes compressed or irritated. The ulnar nerve is one of the three main nerves in your arm. It travels from your neck down into your hand, and can be constricted in several places along the way.
,common cause are --the nerve slides out from behind the medial epicondyle when the elbow is bent. Leaning on your elbow for long periods of time can put pressure on the nerve.
Fluid buildup in the elbow can cause swelling that may compress the nerve.
A direct blow to the inside of the elbow can cause pain
Treatment includes--
Avoid activities that require you to keep your arm bent for long periods of time.
If you use a computer frequently, make sure that your chair is not too low. Do not rest your elbow on the armrest.
Avoid leaning on your elbow or putting pressure on the inside of your arm. For example, do not drive with your arm resting on the open window.
Keep your elbow straight at night when you are sleeping. This can be done by wrapping a towel around your straight elbow or wearing an elbow pad backwards.
Painkillers for pain ,steroids .,bracing or splinting ,nerve gliding exercise etc.
You may require surgical option if problem persist or worsened
you should consult to your GP for confirmation of it and also rule out ulnar neuropathy and peripheral vascular causes
take care
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Pain In The Elbow, Stiff Fingers, Swollen Arm. Any Suggestions?

hi thanks for your query as per discussion you might have ulnar nerve entrapment at elbow site Ulnar nerve entrapment occurs when the ulnar nerve in the arm becomes compressed or irritated. The ulnar nerve is one of the three main nerves in your arm. It travels from your neck down into your hand, and can be constricted in several places along the way. ,common cause are --the nerve slides out from behind the medial epicondyle when the elbow is bent. Leaning on your elbow for long periods of time can put pressure on the nerve. Fluid buildup in the elbow can cause swelling that may compress the nerve. A direct blow to the inside of the elbow can cause pain Treatment includes-- Avoid activities that require you to keep your arm bent for long periods of time. If you use a computer frequently, make sure that your chair is not too low. Do not rest your elbow on the armrest. Avoid leaning on your elbow or putting pressure on the inside of your arm. For example, do not drive with your arm resting on the open window. Keep your elbow straight at night when you are sleeping. This can be done by wrapping a towel around your straight elbow or wearing an elbow pad backwards. Painkillers for pain ,steroids .,bracing or splinting ,nerve gliding exercise etc. You may require surgical option if problem persist or worsened you should consult to your GP for confirmation of it and also rule out ulnar neuropathy and peripheral vascular causes take care