Elbow pain
Hello, doctor! Last year, I accompanied my mother to rehabilitation, and the physician and therapist taught us that when shoulder soreness occurs after lifting objects, performing reverse pelvic lifts can help alleviate it.
She has been doing that, but now her issue is that the area near the protruding bone at her elbow hurts even when she hasn't lifted anything heavy, and the pain is so severe that she can't sleep.
What should we do to address this situation when it occurs occasionally? Thank you!
Shao Ping, 30~39 year old female. Ask Date: 2008/02/16
Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry.
Here are my responses and suggestions: 1.
Generally speaking, it may be due to lateral epicondylitis (tennis elbow) or medial epicondylitis (golfer's elbow) involving tendon inflammation.
2.
If the symptoms mentioned above are not fully treated, further activities such as lifting objects or doing household chores may lead to re-inflammation.
During the acute phase, it is advisable to apply ice intermittently and use topical analgesics or patches.
Try to use larger joints for lifting rather than relying on the elbow.
Lastly, I wish you peace and happiness!
Reply Date: 2008/02/16
More Info
Elbow pain, particularly around the bony prominence near the elbow joint, can be quite debilitating and may significantly impact daily activities and sleep quality. Based on your description, it sounds like your mother is experiencing discomfort that could be related to several underlying issues, such as tendinitis, bursitis, or even a potential nerve entrapment. Here are some effective solutions and tips from rehabilitation experts that may help alleviate her elbow pain.
1. Rest and Activity Modification
The first step in managing elbow pain is to allow the affected area to rest. Encourage your mother to avoid activities that exacerbate the pain, especially lifting heavy objects or repetitive motions that strain the elbow. Modifying her daily activities can help reduce inflammation and prevent further injury.
2. Ice Therapy
Applying ice to the affected area can help reduce swelling and numb the pain. It is recommended to apply ice for 15-20 minutes every few hours, especially after activities that may aggravate the elbow. Make sure to wrap the ice pack in a cloth to avoid direct contact with the skin, which can cause frostbite.
3. Over-the-Counter Pain Relief
Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen can be effective in managing pain and reducing inflammation. These medications are available over the counter and can be taken as directed on the packaging. However, it’s essential to consult with a healthcare provider before starting any new medication, especially if your mother has underlying health conditions or is taking other medications.
4. Gentle Stretching and Strengthening Exercises
Once the acute pain subsides, gentle stretching and strengthening exercises can help improve flexibility and strength in the elbow. Simple exercises such as wrist flexor and extensor stretches, as well as isometric contractions of the elbow muscles, can be beneficial. It’s crucial to perform these exercises under the guidance of a physical therapist to ensure they are done correctly and safely.
5. Physical Therapy
If the pain persists, seeking the help of a physical therapist can provide tailored rehabilitation strategies. A therapist can develop a personalized exercise program that focuses on strengthening the muscles around the elbow, improving range of motion, and addressing any biomechanical issues that may contribute to the pain.
6. Heat Therapy
Before engaging in physical therapy or exercises, applying heat to the elbow can help relax the muscles and improve blood flow to the area. This can be particularly helpful if your mother experiences stiffness in the elbow joint.
7. Ergonomic Adjustments
If your mother’s pain is related to her daily activities, consider making ergonomic adjustments to her workspace or daily routines. For example, using tools with padded grips or adjusting the height of her work surface can help reduce strain on the elbow.
8. Alternative Therapies
Some individuals find relief through alternative therapies such as acupuncture or massage therapy. These modalities can help alleviate pain and promote relaxation, but it’s essential to consult with a qualified practitioner.
9. Corticosteroid Injections
In cases where conservative treatments do not provide relief, corticosteroid injections may be considered. These injections can help reduce inflammation and pain in the elbow joint. However, this should be discussed with a healthcare provider to weigh the benefits and risks.
10. Surgical Options
If all else fails and the pain significantly impacts your mother’s quality of life, surgical options may be explored. This is typically considered a last resort after conservative measures have been exhausted.
Conclusion
Elbow pain can be complex, and its management often requires a multifaceted approach. Encourage your mother to listen to her body and seek professional guidance if her symptoms persist or worsen. By combining rest, appropriate therapies, and possibly medical intervention, she can find relief and improve her overall function. Always consult with a healthcare professional before starting any new treatment regimen to ensure it is safe and appropriate for her specific situation.
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