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Elbow pain, pain with elbow movement, or pain at the elbow with wrist movement. Burning sensation in the forearm. Diminished grip strength. Treatment: Rest, ice, physical therapy, steroids, and NSAIDs. Prognosis: Usually well managed with conservative treatment within 6-12 months depending on duration and severity of symptoms.
Elbow pain generally refers to discomfort in the joint between the upper arm and forearm. Elbow pain is a common complaint in both the emergency department and in primary care offices. The CDC estimated that 1.15 million people visited an emergency room for elbow or forearm-related injuries in 2020. [1]
The theory is that the radial nerve becomes irritated and/or inflamed from friction caused by compression by muscles in the forearm. [1]Some speculate that radial tunnel syndrome is a type of repetitive strain injury (RSI), but there is no detectable pathophysiology and even the existence of this disorder is questioned.
During the exam of the arm, wrist, and hand, the doctor will look for: difficulty straightening the arm at the elbow; trouble turning the arm outward; difficulty lifting the wrist; muscle loss or atrophy in the forearm; weakness of the wrist and/or fingers. [7] In addition, tests may need to be conducted to confirm the doctors findings.
The sensory changes can be a feeling of numbness or a tingling, pain rarely occurs in the hand. Complaints of pain tend to be more common in the arm, up to and including the elbow area, which is probably the most common site of pain in an ulnar neuropathy. [1] [2]
To emphasize the muscle's longest head, you must perform elbow-straightening movements with your arm held up by your head rather than at your side. This is where the cable overhead extension shines.