Common Causes Of Elbow Pain

by Administrator 25. April 2016 12:35

The elbow is one of the most frequently used joints in the body which allows extension and rotation of the arm. Since the joint is prone to wear and tear, it can get hurt due to many causes, leading to pain and affecting the patient’s ability to carry out routine tasks.

Below is a list of certain reasons that can cause elbow pain:

  • Broken arm: Falling on an outstretched arm is generally the cause behind this injury. It can either involve one or all three bones in the arm- the ulna, radius and humerus. Wearing a cast may be recommended by the doctor to immobilize the elbow joint.
  • Sprains and strains: Overstretching or tearing of ligaments in the elbow can also be one of the reasons behind the pain. Conservative treatment options like RICE therapy and bracing are generally effective but surgical intervention may be required if the condition is severe.
  • Bursitis: The inflammation of small, fluid-filled sacs in the elbow joint bursae is termed as Bursitis. The condition may be caused by repetitive elbow movements and lead to discomfort as well as swelling. Providing proper rest to the elbow and avoiding strenuous activities may help to ease the symptoms. Surgical drainage of the fluid from the bursa may also be required.
  • Tennis Elbow: The condition is caused due to damage of forearm muscles. The pain can even extend to the forearm or wrist and generally felt in the region where the tendons of the forearm muscles attach to a bony bump outside the elbow. People involved in activities that require overuse of elbow muscles such as tennis, swimming, painting, plumbing etc. are prone to this condition. 
  • Rheumatoid Arthritis: This is basically an autoimmune disorder that can affect the lining of the elbow joint. Symptoms include painful inflammation that eventually leads to bone erosion and deformity of the joint. Rheumatoid Arthritis generally affects both elbows at the same time.
  • Golfer’s Elbow: Similar to Tennis Elbow, this condition can be seen in people who make repetitive wrist motions or clasp their fingers frequently. Adequate rest is very effective in treating the condition.
  • Elbow Dislocation: The elbow can get dislocated if a person lands on an outstretched hand during a fall. The condition can cause complications such as trapping of the blood vessels and nerves attached to the lower arm as well as hand. 

For comprehensive diagnosis and treatment of elbow pain, visit Dr. Fagelman in Carrollton, TX. To schedule an appointment with the surgeon, call at (972) 492 - 1334 or visit 4780 North Josey Lane, Carrollton, Texas 75010.

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Cubital Tunnel Syndrome: Causes, Symptoms And Treatment

by Administrator 23. November 2015 11:02

Cubital Tunnel Syndrome is a painful condition that results due to compression of the ulnar nerve where it crosses the inner edge of elbow.  It is one of the most common nerve compressions in the arm.  The condition is more prevalent among people who indulge in activities that require repetitive movements and prolonged flexion of the elbow.


  • Prolonged stretching of nerve
  • Bending the arm for a long time
  • Traction force that reduces the blood flow to the nerve
  • Nerve irritation
  • Trauma or elbow fracture


  • Pain that extends down to the hand
  • Numbness
  • Tingling sensation on the inside of the forearm
  • Inability to grip and hold objects
  • Muscle wasting
  • Hand deformity
  • Loss of strength


To diagnose Cubital Tunnel Syndrome, the orthopedic doctor may thoroughly examine your arm as well as neck. Once it is determined that the ulnar nerve is compressed, he may recommend certain tests to check the mobility of the arm. He may conduct a sensory examination and the Tinel’s sign test that involves tapping the nerve at the elbow. The doctor may also check muscle strength and the gripping ability to confirm the condition.


  • Medication: The physician may prescribe non-steroidal anti-inflammatory medicines to control swelling and reduce pain.
  • Immobilize the elbow: To offer support to the affected elbow, you may be suggested to wear an elbow splint.
  • Elbow pads: The physician may advise you to use an elbow pad while working or performing any activity that may strain the affected joint.
  • Lifestyle alterations: You may also be asked to modify activities and routine to avoid putting undue pressure on the elbow.

In severe cases of Cubital Tunnel Syndrome, the orthopedic doctor may recommend surgery to remove the pressure on the ulnar nerve. The surgeon releases the nerve or moves it to the front of the elbow where it is less exposed to stress.

Physical therapy can help to speed up recovery from the condition. The therapist will guide you on modifying activities and doing some range-of-motion exercises to regain the strength of the elbow. He will design a comprehensive post-surgery rehabilitation program so that you can resume your daily routine as soon as possible.

For comprehensive diagnosis and treatment of Cubital Tunnel Syndrome, consult Dr. Fagelman. To schedule an appointment with the orthopedic surgeon in Carrollton, TX, you can call at (972) 492 – 1334 or visit 4780 North Josey Lane, Carrollton, Texas 75010.

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Golfer's Elbow: Orthopedic Treatment In Carrollton

by Administrator 26. October 2015 10:35

Golfer’s Elbow, also known as Medial Epicondylitis, is a painful condition characterized by swelling in the tendons connecting the forearm and the elbow. It is caused due to repetitive swing motion used by the golfers while playing. However, tennis players and people who repetitively use the wrists or clench fingers can also develop Golfer's Elbow. The condition can hamper the functionality of the forearm and wrist.


  • Overuse of muscles: Excessive use of the forearm or elbow can lead to Golfer’s Elbow.
  • Repetitive activities: Performing certain strenuous activities repeatedly can put strain on the elbow tendons. These activities may include shoveling, gardening, hammering nails, running a chain saw etc.
  • Swimming: Repeatedly pushing the arm to acquire speed while swimming can also strain the flexor tendon in the elbow.


  • Pain and inflammation: The patient may experience pain and tenderness at the inner side of the elbow or forearm.
  • Tingling and lack of sensation: Numbness can be felt in one or more fingers. The ring finger and little fingers are the most affected due to Golfer’s Elbow.
  • Stiffness: The patient may feel stiffness in the elbow, making it difficult to grip and lift objects.
  • Weakness: There may be weakness in the muscles of hands and wrists which can make it difficult to perform daily tasks.


The elbow doctor may conduct a physical examination and inquire about the medical history of the patient. He may put pressure on the affected area and move the arm, hand as well as fingers in different ways to assess pain. An X-ray may be recommended to rule out a fracture or other medical conditions.


Taking a prescribed course of anti-inflammatory medications can help to reduce pain and inflammation. Cortisone injections can also be administered if the patient is experiencing severe pain. Giving proper rest to the affected elbow, applying ice pack, wearing a brace can help to relieve the symptoms. The orthopedic doctor may refer you to a physical therapist to perform light stretching and strengthening exercises. This will help to facilitate restoration of normal joint movement and functionality.
Surgery is usually required in severe cases of Golfer’s Elbow or if conventional methods fail to provide relief. During the procedure, the orthopedic doctor may remove the scar tissue adjacent to the affected tendons.

For treatment of Golfer’s Elbow, visit Dr. Fagelman. To schedule an appointment with the orthopedic doctor in Carrollton, TX, you can call at (972) 492 – 1334.

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Elbow Pain Prevention: Orthopedic Carrollton

by Administrator 23. July 2015 07:09

Elbow pain usually occurs due to sudden injury, severe fall or repeated use of the elbow joint. The condition requires proper medical treatment and if left untreated, the pain can worsen and lead to other severe complications. By following certain measures and precautions, you can prevent elbow pain.

  • Wear Protective Gear: In order to keep yourself safe during sports or recreational activities it is important to wear protective gear such as supportive splints, elbow pads etc. This will reduce the chances of sustaining an elbow injury and provide the necessary protection during a fall or accident. 
  • Avoid Carrying Heavy Objects: It is advisable to avoid lifting heavy weights as it can put undue pressure on the elbow. It is also important to maintain the proper posture when carrying weight to prevent elbow injury and pain.
  • Warm Up: It is advisable to do some stretching exercises before and after physical work out or sports. By doing stretching exercises, warm up and proper cool down, you can prevent stiffening of the elbow muscles and tendons.
  • Avoid Repetitive Motions: You should take regular breaks while performing overhead activities or repetitive motions of the elbow to avoid elbow pain.
  • Use Correct Techniques While Exercising: To avoid straining your elbow muscles, make sure you use the correct techniques while doing exercises. When playing any sport you must ensure that you get proper training from a skilled trainer and use the appropriate training equipment.
  • Preventing Falls: Elbow injuries often occur due to falling on a hard surface or landing on your elbow. You should always wear proper comfortable shoes, avoid heels and use handrails in the shower.
  • Changes To Your Workstation: If your job involves working on the computer for long hours or sitting at a desk, you must ensure that your table and chair is ergonomic. It is advisable to take regular breaks, stretch your fingers and hands to increase blood circulation and give break to your elbow from repetitive stress.

By following the above-mentioned tips and by being cautious, one can avoid elbow pain. However, it is essential to get proper medical treatment if suffering from elbow pain. For comprehensive diagnosis and treatment of elbow pain, you can consult Dr. Fagelman in Carrollton, TX. To schedule an appointment with the shoulder surgeon you can call at (972) 492 – 1334.

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Elbow Pain: Orthopedic Treatment In Carrollton, TX

by Administrator 14. April 2015 08:26

Elbow pain may result due to a number of reasons such as a blow to the elbow, an injury or inflammation of the joint. Elbow joint is made of a number of muscles, tendons and ligaments, which can be injured and cause ebow pain. Elbow pain is quite common among athletes and sports persons, especially those involved in contact sports.


Some of the common causes of elbow pain include

  • Repetitive use of elbow
  • Wear and tear
  • Sports injury
  • Broken bone
  • Arthritis
  • Bursitis
  • Tendonitis
  • Skin growths such as cysts or tumors
  • Infection of the elbow
  • Dislocation
  • Nerve entrapment and compression


Depending upon the disorder, disease or condition, the symptoms of elbow pain vary. However some of the common symptoms include:

  • Redness
  • Bruising
  • Swelling
  • Warm sensation
  • Shoulder, arm, hand or finger pain
  • Muscle weakness
  • Reduced mobility
  • Tenderness
  • Deformity of the elbow
  • Itching feeling
  • Numbness


To diagnose the cause of pain the orthopedic doctor may examine the elbow and ask some questions about the medical history of the patient. The surgeon may also take details like the duration of pain, nature of injury and any other symptoms that you have. The orthopedic surgeon can also prescribe certain imaging tests such as X-ray, MRI, and CT scan to rule out any fracture or bone damage and to diagnose the condition.


The orthopedic doctor devises a treatment plan depending upon the symptoms and the cause of the pain. Ignoring the serious pain symptoms may lead to paralysis or serious damage, immobility and nerve damage.

If the pain is mild, then the doctor may advice resting for some time, using ice packs, compression and over-the-counter pain medications. However for treating serious elbow pain the doctor may prescribe physical therapy, prescription drugs and even surgery. Certain serious conditions such as elbow fracture, bicep tear and tennis elbow are treated surgically. The orthopedic surgeons use an arthroscope, a small instrument with a camera. They insert this instrument into the elbow by making a small incision and repair any damage that causes pain. Patients with ulnar nerve entrapment at the elbow also require surgery to repair the nerves. To recover effectively after the surgery, you may require physical therapy to return the range of motion and strength to the elbow.

For complete treatment of elbow pain, visit Dr. Fagelman in Carrollton, TX. To schedule an appointment, call (972) 492 - 1334 or visit  4780 North Josey Lane, Carrollton, Texas 75010.

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Orthopedic Treatment For Tennis Elbow

by Administrator 14. May 2014 10:50

Tennis Elbow is a painful and debilitating condition of the elbow region most often affecting people who make heavy use of their arms. It is a problem associated with the condition of several small tendons which are attached to the rear part of the elbow joints. They serve to provide the elbow and wrist with a heightened range of motion. This painful condition usually surfaces as a result of prolonged damage to these tendons due to excessive and frequent use without the time interval needed for natural healing. As the name suggests, this condition is frequently seen in tennis players and people who practice similar forms of sport. It can also occur among people who have reason to profusely use their arms on a regular basis due to the nature of their work.

Tennis Elbow is believed to be caused when there are microscopic tears in the tendons attached to the elbow, occurring due to prolonged periods of heavy use. This is the reason why this condition is seen mostly in athletes and people who do physical labor. As a result, minuscule tears form along these tendons which have no time to heal. The excessive use happens on a daily basis and there is no time to repair for the tendons.

The condition of Tennis Elbow manifests itself with acute pain in the elbow region. This pain can be a constant sensation or can sometimes come to surface when you try to use your arm to lift objects. Any action which involves any cocking of the wrist or the attempt to grab something with your hand can make the elbow pain increase substantially. There can also be a marked loss of mobility and strength of the arm in question.

It is usually a complicated procedure to properly diagnose a case of Tennis Elbow, as tests such as x-rays and MRIs very often come out normal. In these cases, there is need for other tests like a nerve conduction test. For any kind of an elbow pain you should consult an orthopedic surgeon. He might look into your medical history and check if you have a precedence of elbow joint problems or arthritis.

Usual treatments include partial or complete immobilization of the affected arm and medication to alleviate the pain. Sometimes orthopedic doctor can also prescribe the use of an elbow brace. Targeted exercise of the area can also bring significant relief from the pain. In extreme cases, doctors might opt for surgical measures which usually involves repair of the damaged tendon by grafting.

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