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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest A Remedy For Severe Elbow Pain When Fist Is Closed?

I have severe pain in the tip of the elbow, very sensitive to touch. The skin on the elbow is very warm almost hot. I can bend my elbow with little pain but severe pain when I clench my fist or flex. I did not have a injury and it happened for about a week and went away on its own and came back a week later. It has been this way now about a week.
Thu, 10 Mar 2016
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General & Family Physician 's  Response
Hi & Welcome to HCM.
Incomplete data like age, gender, profession?
The symptoms described in your query are suggestive of a painful elbow condition called as Lateral epicondylitis (" tennis elbow") which involves the tendons that attach to the bone on the outside (lateral) part of the elbow. This can then lead to pain associated with activities in which this muscle is active, such as lifting, gripping, and/or grasping. An activity that places stress on the tendon attachments, through stress on the extensor muscle tendon unit, increases the strain on the tendon. These stresses can be from holding too large a racquet grip or from “repetitive” gripping and grasping activities, i.e. meat-cutting, plumbing, painting, weaving, etc.
Had I been your treating doctor I would have advised:
1. To limit the aggravating activity.
2. Brace - a band worn over the muscle of the forearm, just below the elbow, can reduce the tension on the tendon and allow it to heal.
3. Physical Therapy may be helpful, providing stretching & /or strengthening exercises
4. Nonsteroidal anti inflammatory medication like Ibuprofen may help alleviate the pain
If the pain does not subside then you should consult an orthopedic surgeon for possible use of steroid injections into the affected elbow joint or shock wave therapy.
Hope the suggestions given above would be useful.
A feed back is appreciated.

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Suggest A Remedy For Severe Elbow Pain When Fist Is Closed?

Hi & Welcome to HCM. Incomplete data like age, gender, profession? The symptoms described in your query are suggestive of a painful elbow condition called as Lateral epicondylitis ( tennis elbow ) which involves the tendons that attach to the bone on the outside (lateral) part of the elbow. This can then lead to pain associated with activities in which this muscle is active, such as lifting, gripping, and/or grasping. An activity that places stress on the tendon attachments, through stress on the extensor muscle tendon unit, increases the strain on the tendon. These stresses can be from holding too large a racquet grip or from “repetitive” gripping and grasping activities, i.e. meat-cutting, plumbing, painting, weaving, etc. Had I been your treating doctor I would have advised: 1. To limit the aggravating activity. 2. Brace - a band worn over the muscle of the forearm, just below the elbow, can reduce the tension on the tendon and allow it to heal. 3. Physical Therapy may be helpful, providing stretching & /or strengthening exercises 4. Nonsteroidal anti inflammatory medication like Ibuprofen may help alleviate the pain If the pain does not subside then you should consult an orthopedic surgeon for possible use of steroid injections into the affected elbow joint or shock wave therapy. Hope the suggestions given above would be useful. A feed back is appreciated.