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Experiencing a discomfort in elbow, no pain. What is this? - Online Doctor Chats

Date : 02-Oct-2013
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User:Good morning Doc.
Doctor:Good morning.
User:Hello Dr. XXXXXXX
Doctor:How can I help you?
User:I have been experiencing a discomfort in my right elbow for the last couple of weeks
User:There is no pain when the arm is at rest.
User:However, when picking up any articles, even small lightweighted ones, or with a range of movements, there is a pain in the outer bone/muscle of the elbow.
User:There is no pain if I press or massage the point.
User:The discomfort is more evident when the elbow is within 90degress to 180degrees movement
Doctor:Do you mean the pain is more evident on screwing movements as in loosening/tightning a screw?
Doctor:Do you notice increase warmth, redness or swelling at the affected region?
User:there is a slight warmtn but no redness or swelling
User:infact from last evening the warmth has been radiating gradually into the forearm
Doctor:May I know your age and type of occupation that you do?
User:Age 35
User:Occupation - Desk job
User:typing on the laptop is the maximum activity
Doctor:Do you involve in sport activities?
User:I do have a 13 month old kid, who i do a lot of picking and the usual tom-foolery one does with kids
User:No sports activities for the last few monthly
Doctor:Have you had similar symptoms in the past?
User:No. Never
Doctor:Did you try any treatment?
User:None, presently.
User:Just apply light pressure and do rotating movements, when the pain is a bit too much
User:which kind of relaxes the muscle
Doctor:Let me brief you.
Doctor:The symptoms that you describe suggest that you have inflammed a muscle or one of the structures of elbow.
Doctor:Two common conditions where such kind of inflammation occurs are
Doctor:1. Brachioradialis inflammation
Doctor:2. lateral epicondylitis.
Doctor:Both these conditions are caused by acute strain injuries. You may have sustained this injury while lifting your child.
Doctor:The treatment here is primarily rest.
Doctor:You can alternative icing and heat application on the affected regions.
Doctor:wear an elbow support/splint to avoid elbow movements.
Doctor:Avoid screwing movements.
Doctor:In addition you can also take oral pain killers for 3-5 days.
Doctor:Any pain killer that you have been taking can do.
User:Would a tennis elbow brace suffice or would I require something specific?
Doctor:I write diclofenac sodium tablets twice daily for 3-5 days to my patients.
Doctor:Yes, tennis elbow brace will do.
User:The pain is bearable, thus will skip the pain killers for now.
User:if that is ok in your opinion
Doctor:Pain killers are meant for faster recovery and not for pain.
Doctor:I would encourage you to take it for 2-3 days if that is ok with you.
Doctor:The more you rest the joint, the faster will be the healing.
Doctor:If symptoms do not improve in a week with resting, icing/heat application and pain killer
User:how long would you prescribe the rest period?
Doctor:you should consult an orthopedician who can order for physiotherapy.
Doctor:Depending on the severity of the condition, the rest period can range from a week to month.
Doctor:You need to rest the joint with braces for atleast the next 7-10 days before reexamining the joint.
Doctor:Have you followed?
User:Yes. Dr. XXXXXXX
User:I had one query though.
Doctor:Proceed with your question.
User:How does a tennis elbow brace which just wraps around the forearm below the elbow, help in recovery?
Doctor:The brace is a means to restrict elbow movements.
Doctor:Movements when there is inflammation will worsen the condition and delay healing.
Doctor:The brace is meant only to restrict movements.
Doctor:Hope you understand.
User:Thank you for your guidance.
Doctor:Do you have any other questions?
User:No Dr. XXXXXXX not at the present moment.
User:Thank you. Have a pleasant day.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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