Pain in the elbow joint: reasons and treatment, why does it hurt?

Causes of pain in the elbow joint and methods of treatment

Elbow joints in terms of the variety and amplitude of movements can be attributed to the most mobile in the human body, regardless of age, gender and social status.

When we work, eat, rest or even sleep, we constantly make different movements with the right or left hand, in which the elbow joint is involved. It is not surprising that often there are unpleasant feelings in it.

To maintain the performance of the joint, and therefore, the quality of life, prevention of complications, it is important to identify the cause of pain in the elbow and promptly conduct the necessary treatment.

The fact that in everyday life we ​​call the elbow joint, in fact, not one, but three whole joints, located in the joint joint capsule. Up from the elbow goes the humerus, and downwards - the radial and ulnar bones forming the forearm. All of them are connected together in pairs, forming three joints:

• adnate;
• the humerus;
• proximal radial.

Each of these joints has a different structure, direction and amplitude of motion.

The pleural membrane is a block-shaped joint with a helical structure of the articulating surfaces. It is formed by a notch (groove) in the block of the humerus and corresponding scallop in the ulnar block.

This joint allows flexion and extension of the arm forearm in the range up to 140 degrees. Plecheluchevoy - a classic joint of spherical shape. It is formed by a rounded head of the condyle of the humerus and a pit in the head of the radius.

Thanks to him, we can not only bend and unbend the arm at the elbow, but also turn the forearm outer or inner side up, increasing the variety of possible movements.

The articular surfaces are covered with hyaline cartilage, which provides softness of sliding. Muscles attached to the joints with the help of tendons, make them capable, and fixation of the joint joint capsule is due to the presence of four ligaments.

Why does it hurt the elbow (causes)

The elbow joint is easily palpable on the arm, it is not surrounded by a large number of soft tissues. And active movements often become a source of painful sensations and traumas.

Everyone knows a sharp pain with an unsuccessful elbow stroke.

In addition, high physical activity, intensity of work can cause states when the pain becomes a symptom of a developing disease.

General systemic diseases, joint and other organ damage can also lead to pain in the elbow area.

Injuries

If we talk about injuries, then experts divide them into 3 categories:

The most serious injury is a fracture. He is accompanied by a severe swelling: the joint increases in size just before the eyes, reddens, one or more hematomas appear, which can merge. When trying to move, there is a sharp pain, and a distinct crunch may appear.

Fracture occurs in the joint itself, then they speak about the U-shaped or T-shaped fracture of the condyle, fracture of the head of the radial or ulnar bone, fracture of the humerus block. There are also combined fractures, when the joint is damaged immediately in several places.

Pain in the elbow can cause and fractures of bones near the joint or detachments of condyles.

Dislocating the elbow is possible if the fall, impact, accident is unsuccessful.

Dislocation is accompanied by severe pain, swelling, loss of sensitivity in the injured limb below the elbow, blood flow may be impaired.

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Often the patient is unable to move his arm. It is not unusual for a specialist to distinguish a dislocation from a fracture after radiographic examination.

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The bruise occurs much more often.

Fall, awkward movement - and now the victim winced with pain, holding on to his elbow. After the first minutes, the bruise is characterized by a swelling in the elbow area. The joint can be hot by touch.

Movement is difficult.

Pain in the elbow often occurs in athletes or people, because of their professional activities, perform a large number of monotonous movements.

In older people, discomfort is often associated with tissue deterioration, in particular, a degenerative change in cartilage.

Acute pain that has arisen without obvious causes or prolonged painful sensations is most likely caused by some kind of disease.

1. Epicondylitis is an inflammation of the tendons. Suprapubic - bony formations near elbow joints. To these tendons of muscles are attached, providing flexion and extension movements of fingers and hands. Frequent monotonous exercises, increased loads, lifting weights can cause undesirable changes in these tendons and provoke the development of the inflammatory process.

Feature epicondylitis - the defeat of only one hand, the most loaded. Usually for right-handers this is right, and for left-handers it is left.

Lateral (external) epicondylitis affects the tendon from the outside of the elbow joint. Often this disease is called "tennis player's elbow because the specific loads in tennis most strongly affect this area.

A vivid sign of lateral epicondylitis is a sensation of pain in the elbow when shaking hands.

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Medial epicondylitis is less common. Inflammation affects the inner region of the elbow joint.

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2. Osteochondrosis. It would seem that there can be a link between the elbow and the disease of the spine. However, with osteochondrosis of the cervical region, pain in the elbow and along the entire arm is one of the characteristic symptoms. Painful sensations are accompanied by numbness of the limb and intensify with fatigue or vice versa, during night rest. 3. Osteoarthritis is an acute or chronic inflammatory process in the cartilage and bone tissue caused by degenerative changes. For arthrosis is characterized not only pain, but also forced limited mobility. Each movement is accompanied by a perceptible crunch in the elbow area. If you do not start treatment, the disease progresses, the joint is deformed, which makes the pain even worse. 4. Arthritis can be a local inflammation or a systemic disease. If the elbow not only hurts, but also reddened, hot touch, noticeable swelling, it can be a question of the onset of a serious illness that affects gradually all joints. Arthritis can be infectious, gouty, rheumatoid and reactive. These terms characterize the causes of the disease.

Pain in the elbow area can also be caused by:

bursitis - inflammation of the synovial bag;

diffuse fasciitis - a chronic inflammatory process in the fascia (membranes covering the muscles).
This rare systemic disease is characterized by pain, swelling and tension, mainly in the muscles of the forearms and legs, the formation as a result of inflammation in the muscles of the fibrous seals, the change in the skin in the lesions to the state orange peel.

If the pain sensations in the elbow area are not caused by obvious causes, do not abate or intensify for several days, it is necessary to consult with a specialist.

Neurogenic and vascular diseases, even myocardial infarction, tumors, salt deposits can also cause pain or numbness in the elbow joints.

The nature of the pain and the attendant symptoms

When determining the cause of pain in the elbow joint and the appointment of treatment, an important role is assigned to the correct characterization of pain:

• Reflected pain is characterized by a aching, pulling character. In this case, the movements of the joint are not violated, and the nature of the pain does not change the intensity during movement or rest. The pain does not increase with pressure. This type of sensation is typical for common systemic ailments, when the pain in the elbow becomes one of the symptoms.
• The projected pain is typical for osteochondrosis, spinal cord injuries and intervertebral hernia. It wears a stupid character and is accompanied by a feeling of numbness, loss of sensitivity of individual parts of the hand.
• Neuropathic pain can be felt like tingling, burning or just a strong pain syndrome. It is associated with the compression of nerve fibers directly in the elbow joint and can occur as a result of trauma or joint deformity due to arthrosis. Almost everyone is familiar with this pain. It is felt literally as an explosion if it is unsuccessful to hit the back surface of the elbow.
• Sharp pain can not be confused with anything. It occurs with fractures, ligament ruptures, as well as in the acute stage of bursitis, arthritis.
• Burning pain can be subjectively perceived as a feeling of heat accompanying severe pain. It is characteristic for fracture, inflammatory diseases, gout.
• The pain that can be described with the words "dull, aching" can be not only a sign of arthritis, but also one of the symptoms of a developing tumor of the elbow joint. And if this pain captures the entire surface of the hand, the thoracic and scapular region, then it can also talk about myocardial infarction.
• If the pain is felt only with the load, but does not disturb at rest - this is the most characteristic sign of epicondylitis.
• Pain syndrome during flexion and extension of the arm at the elbow, even without aggravation, indicates the defeat of tendons or arthritis.
• The pain, equally felt in the left and right elbow, speaks rather about the presence of a systemic disease.

Diagnostics

Having determined the nature of the pain experienced by the patient at rest, during movement and palpation, the doctor also uses other diagnostic methods:

• ultrasonography;
• X-ray of the joint;
• laboratory tests (urine, blood).

In addition, if there is a suspicion that pain in the elbow may be a symptom of a common disease, To be appointed consultation of the narrow expert - the neuropathologist, the oncologist, the rheumatologist, the cardiologist and m.

The main way to treat fractures, dislocations - to ensure the immobility of the arm in the elbow joint. To this end, impose a plaster bandage or a plastic longlet. When dislocations or bruises can be sufficiently tight bandaging.

If there is a fracture with a dislocation or rupture of the tissues, then surgical intervention is required.

The fixation period of the limb in the stationary state is, depending on the severity of the injury, from 2 weeks to 3 months. When plaster is removed, a special gymnastics complex and physiotherapy procedures are required to restore mobility and muscle strength.

Pain syndrome is removed with pain medication.

Medications

Drug therapy for inflammatory diseases is prescribed by a doctor and usually includes:

• drugs for pain relief;
• chondroprotectors, improving the condition of cartilaginous tissue;
• vasodilators that help to improve the blood supply of the patient joint, which contributes to the acceleration of recovery processes;
• muscle relaxants (Tolperisone, Sirdalud, Midokalm), relieving muscle spasm, help relax the muscles and reduce the intensity of pain;
• antibacterial drugs in the infectious nature of the inflammatory process;
• preparations containing hyaluronic acid are injected with a syringe directly into the joint cavity, restoring the amount and composition of the intra-articular fluid. This fluid is a kind of "lubricant providing soft and smooth movements of bones relative to each other.

In addition, ointments, balms for external use are prescribed. They can contain plant components and animal poisons (snake, bee), which have a pronounced anti-inflammatory effect.

For severe pain, drugs like Nurofen, Voltaren, Ketoprofen, etc., which have a local anesthetic effect, are used.

Non-drug therapy

Even in the absence of medical care, it is literally in the first minutes after injury that cold helps. It can be ice wrapped in a towel, a bottle of cold water, even a piece of meat from the freezer.

Cold compress helps reduce the strength of pain, reduces swelling, causing vasospasm, which stops bleeding with open trauma, and also prevents intramuscular and intra-articular hemorrhages.

Subsequently, warming compresses can be recommended to accelerate the recovery processes.

Favorable effect on the injured or sick elbow joint is provided by massage, physiotherapy exercises, sanatorium treatment with mud and sea baths.

Folk remedies

The original way of using beekeeping products for medicinal purposes: pour a glass of dead bees with a liter of vodka and stand for 2 weeks. The resulting infusion is used externally, lubricating an inflamed, painful joint daily.

Celery juice also has an excellent effect on the condition of joints in general and treats inflammatory processes. It is drunk and used for compresses.

Compresses are also made from carnations, bay leaf (bought in the supermarket as a seasoning), juniper berries, and Ledum (harvested in a pharmacy), boiled in boiling water. You can independently collect tansy flowers, wormwood grass, birch leaves (in the winter and spring you can use the kidneys), pine needles.

One tablespoon of the crushed plants is filled with a glass of steep boiling water. When the temperature becomes pleasantly hot, infusion is impregnated with gauze and make a lotion on the sore elbow.

Prevention

Nonspecific prevention includes:

• proper nutrition,
• physical training,
• the right way of life.

People whose professional or sports activities are associated with increased stress on the elbows, you need to perform special exercises.

Help to keep healthy elbows visiting the pool, baths, saunas.

It is necessary to avoid hypothermia and timely treat infectious diseases, not allowing the development of complications.

A source: http://pomogispine.com/bolit-v/konechnosti/bol-v-loktevom-sustave.html

The elbow joint of the right arm hurts: what to treat, what to do

This joint forms the bones of the shoulder, elbow and radius. The articulation of the bones is covered with cartilage, which ensures their soft, smooth movement.

Diagnosis of elbow diseases does not cause difficulties for specialists, although pain occurs in it for various reasons. For the diagnosis of the disease pay attention to the mobility of the elbow and the sensations caused by it.

In this article we will consider the reasons why the elbow joint of the right arm hurts and how to treat the disease.

Pain in the elbow joints

Elbow pain has a different character, it depends on the type or severity of the disease. On such a characteristic sign, you can preset a diagnosis. To determine why the elbow joint of the left or right arm hurts, attention should be paid to the nature of the pain.

For each reason, a certain character of pain is inherent.

Painful sensations are manifested by such types:

• noisy;
• sharp;
• strong;
• acute;
• pulling;
• shooting;
• reflected.

Each species is characteristic of a particular disease.

The painful type is caused by chronic and degenerative changes.

Acute discomfort develops against the background of trauma, inflammation. If there are burning sensations, this is a reflective pain that occurs when an angina or an infarction is present, giving to the left shoulder.

The pulling character of discomfort worries a person with a cubital canal or with neuritis.

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With such a violation there is an additional sign - numbness of the fingers. Lumbar punctures occur when the nerve endings are clamped.

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This phenomenon occurs against the background of a herniated intervertebral disc or spinal cord injury with osteochondrosis.

Causes

The pain in the elbow is due to a number of factors that can be divided into several groups.

Inflammation

Bursitis and other inflammations of the elbow joint are accompanied by pain.

Most cases of pain in the elbow of the arm are associated with the development of such diseases:

• arthrosis;
• arthritis in acute form, including rheumatoid arthritis;
• bursitis;
• tendonitis;
• cyst;
• a purulent infection.

When bending and unbending, the elbow hurts due to various reasons. Extension or flexion of the elbow brings discomfort when there is arthrosis of a deforming nature.

Any movements are accompanied by painful sensations in bursitis or arthritis.

The inflammatory process against the background of a purulent infection is accompanied by pains of an acute nature, which are intensified when touched.

Injuries

If the elbow is swollen and aching, then this is a sign of a trauma or progressive disease.

The injuries include dislocations, subluxations or damage to the integrity of bones (fractures). Often, such damage is accompanied by swelling, bruising, a violation of joint mobility.

Chronic diseases

Among the chronic ailments that cause discomfort, such diseases:

• gout;
• arthritis;
• osteoarthritis;
• disorders of the cervical spine;
• disorders of the heart;
• epicondylitis of the elbow joint.

Such diseases can also provoke swelling, limited movements. In some cases, a person can not even hold a small load by hand.

More about the causes of pain in the elbow joint you will learn from this video:

What to do and how to treat

Therapy of elbow disease in pain is performed by different methods, the best effect is given by such measures in a complex.

Medication Therapy

In severe pain, the patient is prescribed anesthetic. Medications for the treatment of ailments of the elbow joint are taken in tablets and ointments. It can be Naise, Nalgezin, Voltaren and other drugs.

With pain in the elbow, first of all, prescribe NSAIDs.

After anesthetizing the joint, it is rational to eliminate the causes of the disease.

If there is arthrosis or arthritis, then it is necessary to remove the inflammatory process. In this case, prescribe NSAIDs: Diclofenac, Ibuprofen and Piroxicam.

These are effective drugs that are effective in combating inflammation, but one should take into account a lot of contraindications when they are prescribed.

Arthritis, bursitis, osteoarthritis and other ailments are treated with ointments, rubs, gels and medical patches.

In such drugs are painkillers, warming and anti-inflammatory ingredients.

The doctor appoints Camphor alcohol, Diclofenac ointment, Voltaren-gel, pepper and Fastum-gel to patients.

Physiotherapy

The cause of pain in the elbow is treated with physiotherapy.

An additional method of treatment is physiotherapy. For the treatment of pain in the area of ​​the elbow joint appoint:

• magnetotherapy;
• electrophoresis;
• ozokerite;
• barotherapy;
• mud wrapping;
• ozokerite;
• paraffin applications.

Such procedures are carried out by courses. In order to improve the patient's condition, it takes 10 to 12 sessions.

Folk methods

In the treatment of diseases of the elbow joint helps traditional medicine. At home, the patient takes saline baths, sea salts have a positive effect on the joints.

To treat the disease do a simple workout. It is carried out in the case when the doctor did not appoint a complete rest to the sick arm.

The recipes of folk medicine contain broths and infusions of medicinal herbs, which can be used for joint disease. The doctor prescribes the use of decoctions from such plants:

• dandelion;
• sagebrush;
• stellate;
• sabernik.

Prevention

Preventive measures will prevent joint disease.

To prevent the occurrence of pain in the area of ​​the elbow joint, it is necessary to prevent diseases that cause pain. First of all, this refers to injuries and epicondylitis.

If a person performs a monotonous movement with his elbow every day, due to the specifics of his work, he should unload the joint every day for his rest, performing uncomplicated gymnastics. For this purpose, light tissue massage and simple extension and flexion of the hand are carried out.

If a person does sports, then he should take care that the load on the hand is adequate, as well as on the prevention of injuries. To prevent the formation of the syndrome of the cubital canal, try not to rest on your elbow for a long time at work or while resting, reading a book.

Conclusion

Pain, which is formed in the area of ​​the arm's bend in the elbow, is caused by diseases of a different nature. These are inflammatory processes, disorders associated with trauma and chronic ailments.

To get rid of the pain, doctors prescribe to patients the use of analgesics, after which they eliminate the underlying disease with the help of medicines, folk medicine and physiotherapy procedures.

A source: http://SpinaInfo.com/boli-i-simptomy/lokot/pochemu-bolit-loktevoj-sustav-pravoj-ruki-i-chem-ego-lechit

Why hurt elbows: the causes of pain in the elbow joint, to which doctor to consult for pains in the elbows

Pain in the elbows occurs quite often and not always it means that there is a development of the pathological process in the elbow joint.

The danger of this symptom is that the diagnosis of a true disease, which provoked the appearance of pain in the elbows, is late, and this automatically makes the treatment longer and more difficult, in some cases, recovery does not occur and the person becomes disabled.With pains in the elbow joint, first of all you need to contact an orthopedist or a rheumatologist.

The presented material will consider the main causes of pain in the elbows and general principles of treatment.

"Elbow of a tennis player "elbow of a golfer" Osteoarthritis of an elbow joint of a deforming type Diseases of an inflammatory nature The ulnar tunnel syndrome Neuritis of the ulnar nerve Bursitis of the ulnar process Intervertebral hernia and osteochondrosis Injuries of the ulnar joint Sharko's joint (arthropathy of Sharko) Hemophilia Chondromatosis synovial Schulman's disease (diffuse fasciitis) Ulboreal tumor of the joint

"Elbow of a tennis player "elbow of a golfer" - epicondylitis of the outer or inner epicondyle of the shoulder

These pathologies occur against the background of overloads and the main cause will be the same type of repetitive motions - for example, computer mouse control, work in the suburban area, exercise and control in general by any mechanisms that require muscle flexor / extensor muscle tension brushes.

Typical for these diseases will be:

• tenderness when feeling the attachment points of tendons;
• pain with active flexion of the hand (inherent in internal epicondylitis);
• pain with active extension of the hand (inherent in external epicondylitis);
• spreading unpleasant sensations down on the forearm;
• limited movement in the elbow joint.

The general principles of treatment of external and / or internal epicondylitis are as follows:

1. Complete elimination of loads on the elbow joint.
2. Carrying out physiotherapy procedures - laser therapy, magnetotherapy, electrophoresis and ultrasound will be effective.
3. In the case of chronic course of the disease, a course of shock wave therapy is prescribed.
4. Admission of anti-inflammatory drugs in the form of tablets and ointments / gels / creams (topical preparations) - Celebrex, Movalis, Nimesil and Naise.
5. Selection of special therapeutic gymnastics.

If the described methods do not give an effect, the patient may be given a blockade at a particular painful point with an anesthetic and a glucocorticosteroid. Surgical intervention for external and / or internal epicondylitis is extremely rare.

Osteoarthrosis of the elbow joint of the deforming type

Very rarely this disease occurs as an independent pathology (the exception is only the state of posttraumatic arthrosis), most often elbow joints are affected by polyarthrosis.

The pain in this case will bother with the load - for example, when carrying weights.

Characteristic signs of the deforming osteoarthritis of the elbow joint are the restriction of movements and crunching, deformation of the joint.

General principles of treatment of the disease in question:

1. Restriction of physical activity.
2. Massage of the upper limb.
3. The purpose of anti-inflammatory drugs in times of exacerbation of pain in the elbows.
4. The course of physiotherapy - for example, magnetotherapy, UHF or electrophoresis.
5. Selection of a complex of exercises from medical gymnastics.

Please note: with deforming osteoarthritis of the elbow joint, medicines from the group of chondroprotectors that can improve metabolic processes in cartilage tissue. These drugs include Structum, Arthra and Alflutop.

Inflammatory diseases

The elbow joint can be affected by inflammation in many diseases - for example, gout, infectious arthritis, rheumatoid arthritis, psoriasis.

In this case, the patient will complain of pain in the elbow joint, which is amplified even with minor movements to them and at night.

The doctor will note that the patient is trying to keep his hand in a half-bent position, thereby reducing the intensity of the pain syndrome, the elbow joint stiffness develops.

In addition to the characteristic pain in the elbow joint, inflammatory processes will be attended by an increased the temperature of the skin immediately in the joint location, redness of the skin, stiffness after period of rest. And if the pain in the elbows is caused by gout, then they will form specific nodules - tofus.

General principles of treatment of inflammatory processes:

1. Conducting therapy for the underlying disease.
2. Purpose of anti-inflammatory drugs.
3. Complete exclusion of physical activity.
4. The course of physiotherapy is laser therapy and magnetotherapy.

If arthritis is diagnosed purulent, the patient must be prescribed antibacterial drugs. After relief of acute inflammation, patients should engage in therapeutic gymnastics, attend massage courses and receive appointments for the use of chondroprotectors.

Elbow Tunnel Syndrome

This disease develops against the background of compression of the ulnar nerve in the area of ​​its passage in the bone groove of the elbow joint.

The causes of such compression can be very different - for example, too frequent bending / unbending of the elbow, trauma, bony outgrowths.

Pain in ulnar tunnel syndrome starts from the elbow, spreads over the forearm and irradiates in 4 and 5 fingers of the hand. This symptom is always accompanied by numbness of the skin at the site of pain.

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To diagnose "ulnar tunnel syndrome the doctor conducts the simplest test - strikes with a hammer on the ulnar groove, and the patient at this time appears tingling or lumbago on the forearm to little finger.

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General principles of treatment of ulnar tunnel syndrome:

1. The maximum possible restriction of loads, in some cases, the fixation of the joint by orthosis.
2. Purpose of anti-inflammatory drugs, antidepressants and anticonvulsants.
3. Admission of B vitamins.

If the pain is too intense and simple therapy does not work, the patient is given a blockade with an anesthetic and a glucocorticosteroid directly into the area of ​​nerve impairment. It is extremely rare, but there is a place to be, surgical intervention.

Neuritis of the ulnar nerve

It is an inflammation of the ulnar nerve, which can develop as a result of hypothermia, trauma or valgus deformity of the joint.

The pain in this case will be localized directly in the elbow joint, it is, more often than not, aching.

As a secondary symptom of neuritis of the ulnar nerve - numbness of the 4th and 5th fingers of the hand, a decrease in their strength.

Treatment of the pathological process under consideration consists in conducting drug therapy(vascular drugs, diuretics, analgesics, B vitamins, non-steroidal anti-inflammatory drugs). After relief of acute neuritis, the patient is prescribed massage, therapeutic gymnastics and physiotherapy (electrophoresis and phonophoresis).

Bursitis of the ulnar process

At the top of the elbow joint is a subcutaneous bag that is filled with synovial fluid.

If an injury occurs, or there is a permanent rubbing of this area on the table, this bag can become inflamed.

A similar pathological process can develop against rheumatoid arthritis and gout.

Diagnosis of the bursitis of the elbow process is not difficult: with a bent arm, a rounded formation appears on the joint, which has a soft consistency and is not very painful. If bursitis develops purulent, the patient will complain of severe pain in the elbow joint, swelling and redness of the skin at the site of the lesion.

General principles of treatment:

1. Absolute rest is provided to the joint, it is often necessary to apply a fixative bandage.
2. Non-steroidal anti-inflammatory drugs are prescribed that will relieve pain and stop the progression of the pathological process.
3. Local compresses are applied with dimexid or alcohol.
4. In the cavity of the bag is introduced an antibiotic or glucocorticosteroid (with severe bursitis of the elbow joint).

After acute inflammation is stopped, physiotherapy is allowed. If the recurrence of bursitis is too frequent, the doctors prescribe surgical treatment - during the operation the bag is excised.

Intervertebral hernia and osteochondrosis

If a hernia or osteochondrosis develops in the upper thoracic and inferior parts of the spine, then the pain in the elbow joint will be present because of the infringement of the nerve roots.

The pain is very characteristic - burning or constantly aching, which depends on the level of the load on the arm.

The patient can not bend his arm at the elbow, it becomes very weak, and the sensitivity of the skin is broken across the entire area of ​​the forearm.

Treatment for osteochondrosis and / or intervertebral hernia is always complex- acupuncture, medication (non-steroidal anti-inflammatory drugs, blockades with anesthetics, B vitamins, chondroprotectors), massage, medical gymnastics. If the therapeutic treatment does not give a positive result, the doctors recommend surgical treatment - surgery on the spine.

Injuries to the elbow joint

Implications of injuries of the elbow joint, dislocation of the forearm, fractures of bones, rupture of the biceps tendon muscle.

It is worth knowing that in the case of pain, swelling, joint deformities, restriction of movements in the elbow after injury is mandatory You need to see a doctor for an accurate diagnosis, which can only be done by radiography.

Treatment of injuries of the elbow joint is carried out in a strictly individual order, but may include:

1. Dislocation of the dislocation.
2. Surgical intervention for the rupture of the biceps tendon.
3. Comparison of bone fragments by hand at fractures with displacement.
4. Complete immobilization of the joint.
5. Medicamentous therapy - the appointment of analgesics and non-steroidal anti-inflammatory drugs.

Necessarily in the rehabilitation period, rehabilitation is needed - massage, therapeutic gymnastics, physiotherapy.

Sharko's joint (arthropathy of Charcot)

This pathology affects not only the elbow joint, two or three different joints can suffer at once. Most often, Charcot's arthropathy is observed in systemic diseases - for example, against the background of late stage syphilis, diabetes, syringomyelia.

Charcot's arthropathy is characterized by dystrophic changes of the elbow joint, it becomes edematous, unstable, its motor function suffers.

Treatment of the examined pathology consists in therapy of the underlying disease, complete restriction of mobility of the elbow joint with a rigid orthosis. If the symptoms of the pathology are expressed too intensively, the patient undergoes a surgical procedure (endoprosthetics).

Hemophilia

This disease is characterized by poor blood coagulability.

Pain in the elbows can occur with a bruise of the joint - it will form a hematoma, the joint cavity will fill with blood.

The patient will note not only expressed pain, but also puffiness of the elbow joint, restriction of movement in it.

To avoid pain in the elbows with bruises on the background of hemophilia, you need not only to carry out the aspiration of blood from the joint cavity in time, but also to observe the prevention of injuries.

Chondromatosis synovial

This disease of cartilage tissue, when the process of formation of cartilage is broken and free cartilaginous fragments are formed in the joint cavity. The development of this disease begins as early as childhood, the symptoms are deformation of bones and shortening of the upper and lower extremities.

Pain in the elbow joint on the background of synovial chondromatosis will occur when the arm is bent and unbent. Over time, the pain becomes permanent, the elbow joint swells and becomes stiff.

Treatment in this case is appropriate only surgical, which consists in removing cartilaginous bodies.

Shulman's disease (diffuse fasciitis)

This is a disease of connective tissue. In the films that cover the periarticular muscles (fascia), a chronic inflammatory process develops. In addition to constant, pulling pain in the elbow, the patient complains of loss of mobility in the joint.

Treatment will be effective only if the diffuse fasciitis has been diagnosed at an early stage of its development. The patient is prescribed glucocorticoids and cytotoxic drugs as part of the therapy, and after the acute inflammation is stopped, massage, therapeutic gymnastics and physiotherapy.

Swelling of the elbow joint

Pain in the elbows during the tumor process first appears suddenly, is of a short-term nature and disappears without the intervention of doctors.

But as the pathological process progresses, the syndrome becomes more pronounced, it is not removed even by powerful analgesics.

In addition to the characteristic pain, the patient has a sharp weight loss, increased fatigue, minor, but constant increases in temperature - small signs of cancer.

Pain in the elbows is always a symptom of a progressive pathology. The sooner a true disease is diagnosed, the more effective the treatment will be. Therefore, doctors insist on immediate treatment in a medical institution, even with unstable and unexpressed pain in the elbows.

Tsygankova Yana Aleksandrovna, medical reviewer, therapeutist of the highest qualification category

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A source: http://OkeyDoc.ru/boli-v-loktyax-prichiny-i-lechenie/

Why hurt the elbow joints and what to do about it

The elbow joint belongs to complex anatomical structures. It is formed by 3 bones. More precisely, the elbow joint consists of 3 small joints, each of which is prone to pathological changes.

The elbow is enclosed in the synovial membrane, and near it are important nerves, vessels, muscles and tendons are attached.

Therefore, pain in the elbow joint is not always associated only with the lesion of the joint, but also with the diseases of the surrounding structures.

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Contrary to common and erroneous opinion, ulnar joints hurt not only athletes, but also ordinary people, especially those who, due to duty, overload this area of ​​the hand.

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The causes of pain in the elbow joints can be very diverse, but most of them can be attributed to inflammatory, degenerative-dystrophic or traumatic.

Let's consider the basic diseases which proceed with a painful syndrome in the field of an elbow joint.

The elbow joint is complicated

Inflammatory causes of pain in the elbow joint

Perhaps, this is the most common group of causes of pain in the area of ​​elbows.

To cause inflammation of the structures of the joint, several factors may occur: infection, allergic or autoimmune damage.

Depending on which part of the elbow joint is inflamed, several nosological forms are distinguished.

Arthritis

Arthritis is an inflammation of the entire elbow joint, and there may be several reasons. Most often these are pathogenic microorganisms (bacteria, viruses, fungi) or autoimmune systemic diseases (rheumatoid arthritis).

Inflammation can cause and other factors, for example, allergic reactions of the body, the deposition of uric acid in gout (microcrystalline arthritis).

As a rule, the disease is acute, but there are also chronic forms.

Regardless of the cause of arthritis, the symptoms of the pathology are very similar. Patients are concerned about:

• severe pain in the elbow, both under load and at rest;
• changes in the contours of the elbow, which is associated with edema of the periarticular tissues or the accumulation of fluid inside the articulation;
• impaired function of the hand, which is caused by pain syndrome, edema or secondary changes in chronic inflammation;
• redness of the elbow skin, local increase in temperature in this area.

In addition to local signs (articular syndrome), arthritis can occur with a violation of the general well-being of a person.

As a rule, it concerns an acute process, chronic diseases proceed more imperceptibly.

The patient can complain of a fever, pain in the muscles and in the head, general weakness, lack of appetite, sleep disturbance.

Inflammation of the elbow joint

The main danger of chronic inflammation lies in the fact that over time, pathological changes in the elbow lead to its pronounced deformities and persistent loss of the function of the arm.

Among the systemic diseases of connective tissue pain in the elbow joint is most often caused by rheumatoid arthritis. This is a severe chronic autoimmune pathology, which not only leads to pronounced deformations of the affected joints, but also to the disruption of the functions of internal organs.

Find out why the elbows hurt, it is important in every case, because the treatment depends on this. For example, if in the therapy of purulent arthritis the main place is occupied by antibiotic therapy, then for rheumatoid arthritis - immunosuppressants.

Bursitis

The ulnar joint has several folds and burs (articular bags). Inflammation, which affects only the bursa, is called bursitis. Such a lesion is caused mainly by a microbial infection, and a frequent cause is the trauma of the posterior part of the elbow joint.

When bursitis in the articular pouch can accumulate pus

The main signs of bursitis are:

• acute pain in the elbow, which has a pulsating or twitching character, disturbs the person both at rest and with hand movements;
• the posterior surface of the elbow swells, reddens, one can observe the formation of a tumor with a significant accumulation of inflammatory fluid in the bursa;
• movements in the elbow are limited due to pain and swelling;
• At the same time, general signs of the disease may appear (fever, pain in the muscles, in the head, poor health).

If you do nothing with bursitis, pus from the joint bag can spread to surrounding tissue, which threatens the development of septic shock and death. Therefore, bursitis must necessarily be urgently treated, and very often with the help of surgical manipulation (opening and draining of the abscess).

Degenerative and dystrophic lesions of elbow joints

Osteoarthritis

This is the second group of causes of pain in elbows. Most often you have to deal with arthrosis (osteoarthritis) of the elbow joints.

The degenerative-dystrophic process in this articulation is not uncommon, it simply does not have such a serious clinical significance as arthrosis of the knee or hip joints.

Depending on the causes of development, arthrosis of the elbow may be primary (when the cause of development remains unknown, but the patient has risk factors for this pathology) and secondary, which develops as a result of injuries or arthritis elbow.

With complete loss of the elbow joint function, an operation can be performed to replace it with an endoprosthesis

Symptoms of arthrosis of the elbow joint:

• aching, not very strong pain that occurs with physical exertion (extension or bending of the hands in the elbow), and also at the end of the working day;
• specific clicks or crunch when moving with the upper limb;
• slowly progressing limitation of the amplitude of movements in the elbow.

To put the exact diagnosis will help roentgenography, ultrasound of the joint. In extreme and incomprehensible cases it is possible to resort to MRI, CT and arthroscopy.

Epicondylitis

Read more:Acute ulnar bursal

If your elbows are hurt, then you need to remember about such a disease as epicondylitis.

This pathology can affect a person of any age and profession if he has risk factors for permanent damage to the ligaments of the elbow joint.

At the same time, in the place where they are attached to the bones (in the region of the elbow) there is a chronic inflammation with subsequent degeneration of the ligaments and with their possible rupture.

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Depending on what kind of bone in the elbow joint suffers, medial or lateral, distinguish between lateral or medial epicondylitis.

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Lateral epicondylitis is also called an "elbow tennis player because this group of athletes disease is a professional.

At the same time, pain sensations develop or intensify only during exercise. In peace, they do not bother the patient.

As the progression progresses, the pain becomes so pronounced that a person can not even lift a cup of coffee or a spoon.

The medial epicondylitis carries the second name - "the elbow of the golfer as it is often found in people with this hobby. Also suffer people who daily perform numerous and monotonous flexion movements in the elbows.

Pain sensations in this version of epicondylitis are localized in the region of the internal epicondyle and extend to the muscles of the anterior surface of the forearm. The pain is worse when the arm is bent at the elbow.

The origin and spread of pain in epicondylitis

Traumatic injury

Elbow injuries occur quite often, since the joint is superficially located.

Traumatic injury can be obtained by falling on the elbows, striking the articulation area, abrupt and clumsy movement, stretching the elbow area.

The latter mechanism is often observed in young children, whom, when falling, adults are held by the hand. There is a dislocation, which is called "nyankin elbow."

Frequent types of injuries of the elbow joint:

• dislocation of the forearm at the elbow;
• fracture of intraarticular parts of bones;
• stretching or rupture of ligaments, muscles;
• traumatic hemarthrosis (intra-articular hemorrhage);
• bruise of the elbow.

All injuries are accompanied by pain, but it is possible to determine the exact type of damage only by X-ray examination and some other additional diagnostic procedures.

Neurological problems

Pain in the elbow area can be caused by damage to the nerve fibers that pass there. As a rule, it is the ulnar and radial nerves.

Elbow Tunnel Syndrome

It develops when the ulnar nerve is trapped between bone structures, muscles and ligaments along the inner surface of the elbow. It can also occur when the elbow area is injured.

The mechanism of development of ulnar tunnel syndrome

Symptoms:

• the pain begins at the elbow area from the inside and radiates over the forearm along the inside;
• there is numbness of the skin or a feeling of tingling in the area of ​​the innervation of the nerve (the elbow side of the hand and 2 fingers - little finger, anonymous);
• As the progression reduces muscle strength in this area, a person can not bend the affected fingers.

Radiation Tunnel Syndrome

This is a relatively rare disease that occurs when the radial nerve is squeezed or traumatized on the outside of the elbow. Symptoms of this syndrome are very similar to lateral epicondylitis.

Symptoms:

• pain that occurs in the region of the lateral epicondyle and extends to the forearm along the posterior surface;
• weakness of the extensor muscles of the forearm;
• in severe cases, the man's hand hangs, he can not unbend it;
• the sensitivity of the skin does not suffer.

There are many more causes of pain in the elbow joint, which are less common. Many people underestimate such signs, trying to get rid of painful sensations on their own, using a variety of folk remedies.

But the pain in the elbow can be a sign of a very serious illness that can cost you not only health but also life. Therefore, any painful sensations in the elbow area should not be left without medical attention.

A source: http://MoyaSpina.ru/diagnostika/pochemu-bolyat-loktevye-sustavy-chto-s-etim-delat