Elbow issues
Hello doctor: My left elbow makes a sound when I move it, and it also hurts when I press on it.
What could be the problem, and which specialist should I see...
orthopedics or surgery?
Xiao Mei, 40~49 year old female. Ask Date: 2008/04/10
Dr. Huang Zhihui reply Surgery
1.
First of all, it is recommended that you see an orthopedic specialist.
2.
There are many causes of left elbow pain, such as tennis elbow and bursitis, which are often related to daily activities.
For athletes, such as baseball pitchers, common issues include damage to the ulnar collateral ligament on the inner side of the left elbow, joint degeneration, and bone spur formation.
Additionally, poor healing of fractures can also lead to pain or noise in the joint.
It is advisable to visit a hospital for a more thorough evaluation.
This question has been answered on behalf of Dr.
Hsieh Chi-Hsien, the head of orthopedics.
Reply Date: 2008/04/10
More Info
Elbow pain can be a common issue, especially if you are experiencing sounds (like popping or cracking) during movement, along with pain when pressing on the area. These symptoms can indicate a variety of conditions affecting the elbow joint, including tendinitis, bursitis, ligament injuries, or even issues related to the cartilage or bones in the joint.
Given your symptoms, it is advisable to consult an orthopedic specialist. Orthopedic doctors specialize in diagnosing and treating musculoskeletal disorders, which include injuries and conditions affecting the bones, joints, ligaments, tendons, and muscles. They can perform a thorough examination, which may include imaging studies like X-rays or MRIs, to determine the exact cause of your elbow pain.
Here are some common conditions that could be causing your symptoms:
1. Tendinitis: This is an inflammation of the tendons around the elbow, often caused by repetitive motion or overuse. It can lead to pain and discomfort, especially during movement.
2. Bursitis: The bursa is a small fluid-filled sac that reduces friction between tissues. Inflammation of the bursa (bursitis) can cause pain and swelling in the elbow.
3. Ligament Injuries: The elbow has several ligaments that can be strained or torn, especially if there has been a recent injury or if you engage in activities that put stress on the elbow.
4. Osteoarthritis: This degenerative joint disease can cause pain, stiffness, and sometimes a grinding sensation in the joint due to the wear and tear of cartilage.
5. Loose Bodies: Sometimes, small fragments of bone or cartilage can break off and float within the joint space, causing pain and noise during movement.
When you see an orthopedic specialist, they will likely conduct a physical examination and may ask about your medical history, including any previous injuries or conditions. They may also inquire about your daily activities to understand better how your elbow is being used.
In terms of treatment, it will depend on the specific diagnosis. Common approaches include:
- Rest and Activity Modification: Avoiding activities that exacerbate the pain can help reduce inflammation and allow healing.
- Physical Therapy: A physical therapist can provide exercises to strengthen the muscles around the elbow and improve flexibility, which can alleviate pain and prevent future injuries.
- Medications: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and reduce inflammation.
- Injections: In some cases, corticosteroid injections may be recommended to reduce inflammation.
- Surgery: If conservative treatments do not provide relief and the condition is severe, surgical intervention may be necessary to repair damaged structures in the elbow.
In conclusion, if your elbow pain persists or worsens, it is essential to seek medical attention from an orthopedic specialist. They can provide a comprehensive evaluation and develop a tailored treatment plan to address your specific condition. Early intervention can often lead to better outcomes and a quicker return to normal activities.
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