Symptoms

The pain is sometimes described by those affected as very strong. Depending on the cause, the pain can change from weaker pain to quickly dominant pain, if it is only irritation of the periosteum etc. If fractures have occurred or if the arthrosis has been developing for years, the pain can be so severe that it can only be controlled with pain plasters or similar.

The pain is usually described as pain that originates at the elbow and then extends into the upper and lower arm. First of all, the examiner interviews the patient extensively in order to find out exactly where the pain is at the elbow, when it started, whether a corresponding trauma has occurred or whether one of the sports causing the pain has been practiced. This is followed by the physical examination, which aims to detect swelling and redness on the surface of the elbow, and to filter out any movements that may still be possible on the elbow.

The examiner will first have the patient move the forearm against the upper arm (passive movement) and then move it himself. It is interesting to know when the patient reports pain and what movement impairments are present. Depending on the presumed cause, x-rays of the elbow will be taken.

Fractures or arthritic changes can be seen in them. A magnetic resonance tomography can make soft tissues and nerves visible and highlight corresponding constrictions. If a so-called joint effusion has occurred, a puncture and a microbiological examination of the fluid obtained can provide information about its origin.

Injuries

Strains or tears in the ligaments, but also muscle tension or muscle injuries can be traumatic and cause pain. In the course of an accident or fall, the humerus or forearm bones can break. But also the elbow joint itself can break and limit the movement in the joint.

In addition, strong pain is caused. As a result of a wrong movement or an accident, the elbow joint can slip out of the socket (dislocation). This also leads to acute pain and the need for a quick therapy to relieve the pain. A rupture of the capsule at the elbow, primarily caused by external force, also leads to severe pain.