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When Should I See a Doctor for Elbow Pain?

Understanding when elbow pain needs professional evaluation, from tennis elbow to nerve compression.

Quick Answer

See a doctor if elbow pain persists more than 2 weeks despite rest, interferes with daily activities, or you experience numbness/tingling in your hand. Seek immediate care for severe trauma, visible deformity, inability to bend or straighten elbow, or signs of infection.

🚨 Seek Immediate Medical Care If:

  • Obvious deformity - elbow looks misshapen or dislocated
  • Severe trauma from fall, sports injury, or car accident
  • Inability to bend or straighten elbow at all
  • Rapid severe swelling or large bruise developing quickly
  • Signs of infection: Fever, red streaks, severe warmth, pus
  • Sudden complete hand weakness or inability to make a fist

📅 Schedule an Appointment Within Days If:

  • • Pain lasting more than 2 weeks despite rest and ice
  • • Pain interfering with work or daily activities
  • • Numbness or tingling in ring and pinky fingers
  • • Weakness in grip strength
  • • Pain with simple movements (turning doorknobs, lifting objects)
  • • Swelling that persists for more than a few days
  • • Locking or catching sensation in elbow
  • • Recurring elbow pain after repetitive activities
  • • Visible lump or bump on elbow

Common Causes of Elbow Pain

Overuse Injuries (Most Common)

  • Tennis Elbow (Lateral Epicondylitis): Outside elbow pain from wrist/finger extensor overuse
  • Golfer's Elbow (Medial Epicondylitis): Inside elbow pain from wrist flexor overuse
  • Olecranon Bursitis: Swelling at tip of elbow, “Popeye elbow”
  • Tendonitis: Inflammation from repetitive motions

Nerve Compression

  • Cubital Tunnel Syndrome: Ulnar nerve compression causing numbness in ring/pinky fingers
  • Radial Tunnel Syndrome: Radial nerve compression causing forearm pain
  • Pronator Syndrome: Median nerve compression in forearm

Acute Injuries

  • Fracture: Broken bone in elbow (often from fall on outstretched hand)
  • Elbow Dislocation: Joint surfaces separated (very painful)
  • UCL Tear: Ulnar collateral ligament injury (common in throwing athletes)
  • Triceps or Biceps Tendon Rupture: Complete tear, sudden weakness

Other Conditions

  • Elbow Arthritis: Cartilage wear causing pain and stiffness
  • Osteochondritis Dissecans: Cartilage/bone fragment (often in young athletes)
  • Gout: Sudden severe pain with redness and warmth

Tennis Elbow vs. Golfer's Elbow

Tennis Elbow

Lateral Epicondylitis - Outside of elbow

  • Location: Outer elbow pain
  • Causes: Repetitive wrist extension (typing, tennis backhand, painting)
  • Pain with: Gripping, lifting objects, shaking hands
  • Common in: Ages 30-50, computer workers, racquet sports

Golfer's Elbow

Medial Epicondylitis - Inside of elbow

  • Location: Inner elbow pain
  • Causes: Repetitive wrist flexion (golf swing, throwing, climbing)
  • Pain with: Gripping, wrist flexion, making a fist
  • Common in: Golfers, baseball players, climbers

Home Treatment for Mild Elbow Pain

For tennis/golfer's elbow or mild overuse injuries:

  • Rest from aggravating activities: Avoid repetitive gripping, wrist movements
  • Ice: 15-20 minutes, 3-4 times daily
  • Compression: Counterforce brace just below elbow
  • NSAIDs: Ibuprofen or naproxen to reduce inflammation
  • Gentle stretching: Wrist flexor and extensor stretches
  • Modify activities: Use ergonomic tools, change technique

Expected timeline: Most overuse elbow pain improves in 6-12 weeks with conservative care

What Your Doctor Will Check

Physical Examination

  • • Palpation of tendons and bony landmarks
  • • Range of motion testing
  • • Strength testing of wrist and elbow
  • • Special tests for tennis/golfer's elbow
  • • Nerve testing (Tinel's sign for cubital tunnel)

Imaging (if needed)

  • X-rays: Rule out fractures, arthritis, loose bodies
  • MRI: Evaluate tendons, ligaments, cartilage
  • Nerve conduction studies: For suspected nerve compression
  • Ultrasound: Check tendon tears, inflammation

Treatment Options

Conservative Treatment (First Line)

  • Physical therapy: Eccentric exercises, stretching, strengthening
  • Counterforce bracing: Reduces stress on tendons
  • Activity modification: Ergonomic changes, technique correction
  • Corticosteroid injections: For severe inflammation (limited use)
  • PRP injections: Platelet-rich plasma for chronic tendinitis

For Nerve Compression

  • Avoid leaning on elbows and prolonged elbow flexion
  • Elbow pad or splint at night to keep elbow straight
  • Nerve gliding exercises to improve mobility
  • Surgery (cubital tunnel release) if conservative care fails

When Surgery May Be Needed

  • • Chronic tennis/golfer's elbow not responding after 6-12 months
  • • Severe nerve compression with progressive weakness
  • • Complete ligament or tendon rupture
  • • Elbow fractures requiring fixation
  • • Loose cartilage fragments causing locking

Prevention Tips

  • Proper technique: Use correct form in sports and work activities
  • Gradual progression: Don't suddenly increase intensity or duration
  • Strengthen forearm muscles: Wrist curls, reverse wrist curls
  • Warm up before activity: Gentle stretches and movements
  • Use proper equipment: Correct grip size on racquets, ergonomic tools
  • Take breaks: During repetitive activities (typing, painting)
  • Avoid leaning on elbows: Prevents nerve compression

Medical Review

Reviewed by: Ricardo Hamilton, MD

Last Updated: November 26, 2025

Sources: American Academy of Orthopaedic Surgeons, American Society for Surgery of the Hand, Mayo Clinic Orthopedic Guidelines

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