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This page gives some outline treatment and referral advice for common elbow conditions.

[/vc_column_text][vc_tta_accordion active_section=”20″][vc_tta_section title=”Tennis and Golfer’s Elbow” tab_id=”1524751134308-1a2982d7-aea0″][vc_column_text]90% resolve < 1yea

Initial treatment

  • Physio + Activity modification + (splints)

Eccentric exercise programme for at least 6 weeks

  • Steroid

40mg kenalog (1ml) + <5ml chirocaine (0.5%)

Symptoms return in 2/3 within 3 months

When to refer

Traumatic onset
Failed steroid
Severe symptoms
Greater than 1 year[/vc_column_text][/vc_tta_section][vc_tta_section title=”Cubital Tunnel Syndrome (Ulna Nerve compression at the elbow)” tab_id=”1524751134328-a67a0c74-bf83″][vc_column_text]2nd Most common compression neuropathy

  • Management

Severity dependant
Conservative – activity modification

When to refer

Severity or deterioration
Motor symptoms

  • Surgery = Decompression
[/vc_column_text][/vc_tta_section][vc_tta_section title=”Pops, Clicks and Instability” tab_id=”1524751213693-e2ad354e-41f7″][vc_column_text]
  • Symptoms

Catching / Snapping / Locking
Can’t push out of chair
Can’t do press up

  • Ask – History of dislocation
    Think instability
  • Xray reasonable 1st line
  • Locking but no dislocation
    Loose body
    Osteo Chondritis Desicans (typically young girls / gymnasts)

When to Refer

Any troublesome symptoms[/vc_column_text][/vc_tta_section][vc_tta_section title=”Arthritis” tab_id=”1524751250606-00a3f859-c679″][vc_column_text]

  • Osteoarthritis
    Starts at radiocapitellar joint
  • 2 main types

Type 1 – younger patients (40-60 ish)
Hypertrophic – ostephytes

Type 2 – Older
Pain from joint itself

When to refer

Based on symptoms

Type 1 – Respond well to debridement = OK procedure or arthroscopy.

Type 2 – Injections / Interposition / Total Elbow Replacement[/vc_column_text][/vc_tta_section][/vc_tta_accordion][/vc_column][/vc_row]