Elbow Tendon Clicking: Causes and Solutions for Pain Relief - Orthopedics

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Snapping sound of the elbow tendon?


During my tricep training, my left elbow makes a sound, and when I touch it, I can feel something sliding and rubbing.
After a while, it becomes a bit painful and affects my training.
Is there a solution for this? Can I continue training like this?

O, 10~19 year old female. Ask Date: 2020/08/28

Dr. Chen Bochen reply Orthopedics


The sliding sensation in the elbow is often associated with the ulnar nerve.
It is advisable to change to a pain-free position while training the triceps.
Typically, after one to two months, this issue will improve on its own, reducing improper stimulation, as the human body can usually heal and resolve inflammation naturally.

Reply Date: 2020/08/28

More Info


Elbow tendon clicking, especially during activities like triceps training, can be a common issue that many individuals experience. The clicking sound you hear is often due to the movement of tendons or ligaments over bony structures in the elbow joint. This phenomenon can be associated with several underlying causes, and understanding these can help in managing the pain and deciding whether to continue training.


Causes of Elbow Clicking
1. Tendon Movement: The most common cause of clicking in the elbow is the movement of the tendons, particularly the triceps tendon, over the bony prominences of the elbow. As you flex and extend your arm, the tendon may snap over these structures, creating a clicking sound.

2. Tendinitis: Overuse of the elbow, especially during weight training, can lead to tendinitis, which is inflammation of the tendons. This condition can cause pain and discomfort, particularly when performing repetitive motions.

3. Loose Bodies: Sometimes, small fragments of cartilage or bone can become loose within the joint space, leading to clicking sounds and potential pain during movement.

4. Joint Instability: If there is any instability in the elbow joint due to previous injuries or anatomical variations, this can also lead to abnormal movements and clicking sounds.

5. Bursitis: Inflammation of the bursa (a small fluid-filled sac that reduces friction between tissues) around the elbow can also contribute to pain and clicking.


Solutions for Pain Relief
1. Rest and Ice: If you experience pain, it’s essential to rest the elbow and apply ice to reduce inflammation. Avoid activities that exacerbate the pain.

2. Modify Training: Consider modifying your training regimen. Instead of heavy lifting, focus on lighter weights with higher repetitions to reduce strain on the elbow.

3. Strengthening Exercises: Incorporate exercises that strengthen the muscles around the elbow, including the forearm and shoulder muscles. This can help stabilize the joint and reduce the likelihood of clicking.

4. Stretching: Regular stretching of the triceps and forearm muscles can improve flexibility and reduce tension on the tendons.

5. Physical Therapy: Consulting a physical therapist can provide you with tailored exercises and treatments to address the clicking and pain. They can also help with techniques to improve your form during training.

6. Use of Supports: Wearing an elbow brace or support during training can help stabilize the joint and reduce discomfort.

7. Consult a Specialist: If the clicking persists or worsens, it may be beneficial to consult an orthopedic specialist. They can perform imaging studies, such as an MRI, to rule out any underlying issues like tears or loose bodies.


Continuing Training
Whether you can continue training depends on the severity of your pain and the extent of the clicking. If the clicking is not accompanied by significant pain and does not worsen with activity, you may be able to continue training with modifications. However, if you experience sharp pain, swelling, or a decrease in your range of motion, it’s advisable to stop training and seek medical advice.

In summary, elbow tendon clicking can be a benign issue, but it’s essential to listen to your body. Implementing rest, modifying your training, and possibly seeking professional help can lead to effective management of the symptoms. Always prioritize your health and well-being over training intensity.

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