Inner Elbow Pain After Volleyball Practice: Causes and Solutions

Sharp pain on the inner side of the elbow after playing sports?

Hello, doctor.
I am a member of the school volleyball team and have been training professionally since junior high school.
During my time in the A team, I never experienced this kind of issue after practice.
In college, the intensity of training is not as high, but after the most recent practice, I noticed that the inner side of my elbow had a very swollen tendon the next day, and it hurts sharply when pressed.
I have applied a topical analgesic patch similar to Salonpas, but it still hasn't helped the next day.
What could this situation be?

Liu Chenghao, 20~29 year old female. Ask Date: 2017/05/18

Dr. Li Weiqiang reply Rehabilitation

Hello, since I started playing basketball in middle school, I may have sustained injuries due to overuse, and because of insufficient rest, I haven't been able to fully recover.
I can undergo physical therapy and then engage in strength training to enhance my power.
Wishing you peace and health.
Sincerely, Dr.
Li Wei-Chiang, Attending Physician, Department of Rehabilitation, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/05/18

More Info

Inner elbow pain, particularly after engaging in activities like volleyball, can be indicative of several underlying issues, most commonly related to overuse injuries. Given your background as a volleyball player and the sudden onset of pain after practice, it is essential to consider the mechanics of your sport and the specific movements involved.

Possible Causes
1. Golfer's Elbow (Medial Epicondylitis): This condition is characterized by pain on the inner side of the elbow, which can occur due to repetitive wrist flexion and forearm pronation, common in volleyball when serving or spiking. The pain is often due to inflammation of the tendons that attach to the medial epicondyle of the humerus.

2. Tendon Strain: The muscles and tendons around the elbow can become strained from the repetitive motions involved in volleyball. This strain can lead to micro-tears in the tendons, resulting in pain and swelling.

3. Nerve Compression: The ulnar nerve runs near the inner elbow and can become compressed or irritated, leading to pain, tingling, or numbness in the ring and little fingers. This is often exacerbated by repetitive elbow flexion and extension.

4. Bursitis: Inflammation of the bursa (a small fluid-filled sac that reduces friction) around the elbow can also cause pain and swelling. This can occur due to direct trauma or repetitive motion.

Recommended Solutions
1. Rest and Activity Modification: The first step in managing your elbow pain is to rest the affected area. Avoid activities that exacerbate the pain, particularly those involving repetitive arm movements.

2. Ice Therapy: Applying ice to the affected area can help reduce inflammation and numb the pain. Ice should be applied for 15-20 minutes every few hours, especially after activities that aggravate the pain.

3. Compression and Elevation: Using a compression bandage can help reduce swelling. Elevating the elbow above heart level can also assist in minimizing swelling.

4. Physical Therapy: Engaging in a physical therapy program can be beneficial. A therapist can provide specific exercises to strengthen the muscles around the elbow, improve flexibility, and address any biomechanical issues contributing to the pain.

5. Medication: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help alleviate pain and reduce inflammation. However, consult with a healthcare provider before starting any medication.

6. Gradual Return to Activity: Once the pain subsides, gradually reintroduce volleyball practice. Focus on proper technique and consider working with a coach to ensure that your form does not contribute to further injury.

7. Ergonomic Adjustments: If you are using specific equipment (like a volleyball or knee pads), ensure that they are suitable for your size and skill level. Sometimes, improper gear can lead to undue stress on the joints.

8. Consult a Specialist: If the pain persists despite these measures, it may be necessary to consult with a sports medicine physician or an orthopedic specialist. They may recommend imaging studies, such as an MRI or ultrasound, to assess for any underlying injuries that may not be apparent through physical examination alone.

Conclusion
In summary, inner elbow pain following volleyball practice can stem from various causes, primarily related to overuse. Implementing rest, ice therapy, and physical therapy can significantly aid in recovery. If symptoms persist, seeking professional medical advice is crucial to rule out more serious conditions and to receive tailored treatment. Remember, early intervention is key to preventing chronic issues and ensuring a swift return to your sport.

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