Elbow issues
Hello doctor, I have researched elbow issues and didn't find similar problems, so I am asking a question.
I enjoy playing basketball, and during a game, I landed on my elbow while trying to grab the ball, causing it to bend outward.
Since then, I have experienced pain in my elbow when making a fist or performing actions like pulling down the trunk of my car.
I would like to know the possible cause of this pain and how to manage it.
Thank you.
Zhang, 30~39 year old female. Ask Date: 2018/02/22
Dr. Xie Hongjia reply Orthopedics
Hello Mr.
Chang: Regarding the issue you raised, a simple description does not allow us to clearly identify where the problem lies; it could be related to the bones or the tendons.
We recommend that you visit a hospital for an examination.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.
Reply Date: 2018/02/22
More Info
Elbow pain in athletes, particularly in sports like basketball where physical contact and repetitive motions are common, can arise from a variety of causes. Based on your description, it seems that your elbow pain may be related to a combination of acute injury and potential overuse or strain.
Possible Causes of Elbow Pain
1. Acute Injury: The incident you described, where your elbow was forced into an awkward position while trying to secure the ball, could have resulted in a sprain or strain. A sprain involves the ligaments (the tissues connecting bones to other bones), while a strain involves the muscles or tendons (the tissues connecting muscles to bones). If you felt immediate pain and swelling after the incident, it is likely that you have sustained a mild sprain or strain.
2. Tendinitis: Repetitive motions, such as those involved in basketball (shooting, passing, and dribbling), can lead to tendinitis, which is the inflammation of the tendons around the elbow. This condition is often referred to as "tennis elbow" (lateral epicondylitis) or "golfer's elbow" (medial epicondylitis), depending on the location of the pain.
3. Ulnar Nerve Entrapment: Given that you mentioned pain when gripping or performing certain movements, there is a possibility of ulnar nerve entrapment. This condition occurs when the ulnar nerve, which runs along the inner side of the elbow, becomes compressed. Symptoms can include pain, tingling, or weakness in the hand and fingers, particularly the ring and little fingers.
4. Bursitis: Inflammation of the bursa (a small fluid-filled sac that reduces friction between tissues) around the elbow can also cause pain. This condition can occur due to direct trauma or repetitive stress.
Treatment Options
1. Rest and Ice: Initially, it is crucial to rest the affected elbow and avoid activities that exacerbate the pain. Applying ice to the elbow for 15-20 minutes several times a day can help reduce swelling and alleviate pain.
2. Compression and Elevation: Using a compression bandage can help minimize swelling. Elevating the elbow above the level of the heart can also assist in reducing swelling.
3. Pain Relief Medications: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can help relieve pain and reduce inflammation. However, these should be used as directed and not for prolonged periods without consulting a healthcare professional.
4. Physical Therapy: If pain persists, a physical therapist can provide exercises to strengthen the muscles around the elbow and improve flexibility. This can help prevent future injuries and alleviate current symptoms.
5. Gradual Return to Activity: Once the pain subsides, it is essential to gradually return to basketball and other activities. Start with low-impact exercises and slowly increase intensity while monitoring for any recurrence of pain.
6. Medical Evaluation: If the pain continues despite conservative treatment, or if you experience significant swelling, numbness, or weakness, it is advisable to seek medical attention. A healthcare provider may perform imaging studies, such as X-rays or MRI, to assess for any underlying injuries or conditions.
Conclusion
Elbow pain in athletes can stem from various causes, including acute injuries, overuse, and nerve entrapment. It is essential to listen to your body and take appropriate measures to manage pain and prevent further injury. If symptoms persist or worsen, consulting a healthcare professional is crucial for a proper diagnosis and treatment plan. Remember, early intervention can lead to better outcomes and a quicker return to your favorite sports activities.
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