Our specialists provide both surgical and non-surgical
treatment for elbow conditions resulting from injury or trauma,
as well as chronic or painful elbow disorders.
Tennis Elbow (lateral epicondylitis)
When the muscles, ligaments, and tendons forming the elbow
joint's structure are over-used, a resulting condition may
occur inflaming the forearm's outside tendons (extensor carpi
radialis brevis (ECRB)) which secure the forearm muscles.
Tennis elbow, as the name suggests, is frequently associated
with racquet sports and similarly repetitive athletic and
occupational motions of the wrist, forearm, and elbow. The
condition, commonly referred to as tennis elbow, may generate
tenderness, or - depending on the extent of over-use -
substantial pain at the external portion of the elbow.
A wide variety of treatment options are available for tennis
elbow with favorable prognosis. Early diagnosis and treatment
may substantially reduce the possibility of advanced joint or
Elbow (Olecranon) Bursitis
Elbow bursitis is a condition in which the slippery sac (bursa)
covering and separating the external elbow bones from the
elbow's loose skin becomes irritated or inflamed. The condition
may become very painful should the bursa sac swell with fluid,
or if infection was the origin of the inflammation, or both.
Additionally, the bursa sac contains nerve endings which are
acutely and painfully reactive to swelling. The swelling of the
normally flat bursa sac in elbow bursitis can range from
visually imperceptible to golf-ball sized and can ultimately
lead to pus pooling or pocketing.
Causes of elbow bursitis include direct impact trauma to the
tip of the elbow, continued and recurring pressure on the elbow
joint for an extended period of months, infection, as well as
other medical conditions such as rheumatoid arthritis or gout.
It is imperative that swollen elbow bursitis be examined by an
orthopedic doctor and treated immediately. Should the swelling
bursa fluid or infection result in the pooling or pocketing of
pus, the pus may become blood-borne spreading throughout the
arm or entire body. Blood-borne pus may lead to very serious
Ulnar Nerve Entrapment
Ulnar nerve entrapment is the result of direction compression
on the ulna nerve. This compression may cause ongoing or
intermittent tingling, sensitivity, numbness, or reduced
performance in the ring and pinky fingers, as well as
limitation of precise hand movements and the forming of a tight
grip by the hand.
The most frequent points of compression include the wrist,
under the collarbone, or at its point of emergence from the
spinal cord at the neck, and in particular, at the elbow. A
variety of conditions or injuries may lead to compression of
various areas of the ulna nerve, such as a previous fracture(s)
of the elbow, joint swelling in the elbow, bone spurs, or
cysts. Additionally, various actions or movement patterns can
lead to further irritation of an already compressed ulna nerve
such as direct impact trauma at the elbow, leaning on the elbow
for extended periods, or repetitive bending of the elbow.
The ulna nerve travels from its origin under the collarbone
down through the arm terminating in the hand on the pinky side.
The nerve's path follows down the interior of the upper arm
through a tunnel of tissue at the interior base of the elbow
joint. At this point the nerve can be felt through the skin and
is frequently referred to as the funny bone.
Professional examination, diagnosis, and treatment of ulnar
nerve entrapment is strongly recommended. Advanced ulnar nerve
compression - with or without clearly defined symptoms - may
lead to irreversible muscle atrophy and failure.