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Chapter-079 Approach to Elbow Pain

BOOK TITLE: Ramamurthy's Decision Making in Pain Management: An Algorithmic Approach

Author
1. CM Meizinger
2. Kennedy Professor, Department of Orthopedic Surgery, Pain Medicine and Rehabilitation Stanford University, Redwood City, CA, USA
ISBN
9789386261458
DOI
10.5005/jp/books/14128_80
Edition
3/e
Publishing Year
2018
Pages
3
Author Affiliations
1. Stanford University, Palo Alto, CA, USA
2. DJ
Chapter keywords
Elbow pain, extensor tendinopathy, medial (ulnar) collateral ligament, MCL, soft tissue pain, magnetic resonance imaging, MRI

Abstract

This chapter gives an approach to elbow pain. If pain is on the lateral aspect of the elbow, extensor tendinopathy is most common. This is associated with repetitive forearm pronation and supination with the elbow in near extension. Initial treatment typically consists of activity modifications, counterforce bracing, anti-inflammatory medications, and physical therapy. Advanced imaging with ultrasound or MRI may be obtained if pain does not resolve. Refractory cases or cases of pain more than 18 months can be referred for surgery, and most approaches involve excision of degenerative tissue and/or release of extensor carpi radialis brevis tendon.

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