ABOUT elbow PAIN TREATMENT
Elbow pain through an occupation, sports or hobbies is most common than arthritic elbow joint pain. This is due to repetitive and excessive overload of the tendons around the elbow leads to painful tendinitis. Degenerative arthritis (also is known as osteoarthritis), rheumatoid arthritis or gouty arthritis are the other less common conditions for elbow joint pain.
Occupations involving repetitive use of the wrist and arm muscles are most likely to develop repetitive strain injuries, such as :
- Tennis elbow: Pain at the outer side of the elbow.
- Golfers elbow: Pain at the inner side of the elbow.
- Triceps tendinopathy: Pain over the tip of the elbow.
If you are experiencing painful joints, muscles, tendons or ligaments please get in touch for a diagnostic scan and or treatment
A few examples of professions prone to develop pain around elbow tendons are builders, butchers, carpenters, chefs, drummers, computers & keyboard users, engineers, housekeepers, plumbers, and painters.
Tendon problems are also common among sports professionals who play badminton, tennis, golf, cricket, and musical instruments.
Our inhouse high-resolution diagnostic ultrasound machine is an excellent diagnostic tool to diagnose the above problems. Diagnostic ultrasound dynamic capability helps to assess the muscle/tendon/ligaments and nerve-related problems in a real-time environment. That means we can assess the above structures when you are carrying out certain movements of the hand.
Ultrasound also guides the injection needle and accurately inject the problematic area and aspirate joint effusion or cysts before steroid shots.
Common Elbow problems we can diagnose and treat at Joint care clinics are:
- Common extensor tendon (Tennis Elbow) – Pain over the outer side of the elbow.
- Common flexor tendon (Golfer Elbow)– Pain over the inner side of the elbow.
- Olecranon bursitis, aspiration, and injection – Pain and lump over the elbow bone.
- Elbow joint rheumatoid / osteoarthritis – Joint stiffness, pain, swelling.
- Distal Biceps / Radio bicipital bursitis. – In front of the elbow joint.
- Cubital tunnel syndrome/ Ulnar nerve problems. Diagnostic and therapeutic injection.
FREQUENTLY ASKED QUESTIONS ABOUT ULTRASOUND GUIDED INJECTIONS
How long does an ultrasound guided injection take?
This will vary dependant on the area and other factors, but an assessment, scan & ultrasound-guided injection will generally take around 60 minutes. Ultrasound guided injection alone is done in a few seconds. Injection alone is carried out in few seconds.
Are ultrasound guided injections painful?
Discomfort from the needle insertion can be minimised by using the local anaesthesia using a very fine small needle. Ram is an experienced and carried out more than 30,000 Ultrasound guided injections sofar. He routinely treats complex patients and patients with needle phobia, through the technique he developed through his experience.
What is an ultrasound guided cortisone / Steroid / Corticosteroid injection?
Cortisone injection is also known as Corticosteroid injection or steroid injection. This is a strong anti-inflammatory medication is used for many of the inflammatory and arthritis conditions to control pain, swelling, stiffness and improve function. Corticosteroid injections are NOT the same used by body builders use. Corticosteroid injections do not cause weight gain. To find out more please visit our ultrasound-guided steroid injections page from the 'Types of Guided injection' menu on the top.
Always, consider having the Steroid injections under ultrasound guidance for accuracy.
What is an ultrasound guided hyaluronic acid (HA) injection?
HA injection is also known as Gel injection or Lubricant injection. This viscosupplementation injection is a natural component of synovial fluid. This tends to increase joint fluid viscosity and restores the joint lubrication. Hence, acts as a shock absorber to control the joint /tendon symptoms. Limits the further damage to the joint and delays or avoids the need for the surgery. Aslo, helps to enjoy your daily activities or your preferred hobbies. To find out more please visit our GUIDED ULTRASOUND HYALURONIC ACID INJECTIONS page from the 'Types of Guided injection' menu on the top.
These injections are very popular, especially for knee joint pain. Any number of injections can be taken in a given period, due to minimal or no side effects from these injections. Usually a course of 3 Injections are preferred, though some may do well just with an injection per year 9 we have patients managing just with 1/year.
What is an ultrasound guided PRP injection?
Platelet Rich Plasma (PRP) injections are rich in growth factors ( helps in repairing the cell and its growth) and prepared from the patient's own blood. Separated growth factors from the patients blood is injected back into the affected area of the same patient. Due to PRP's ability to heal and even regenerate injured or aging tendons, ligaments and joints, providing some patients with an alternative to surgery. PRP therapy may reduce the required healing time for the injuries ( especially for sports injuries and early Arthritis ); otherwise athletes/ sports professionals may require longer periods of rest from their sports related activities. To read more please visit our Ultrasound Guided PRP page.
Always, consider having the PRP injections under ultrasound guidance for accuracy.
can i drive after an injection
You will not be able to drive immediately after the procedure. Bring someone with you Or use other form of transport to return home. This is mainly due to your driving licence policy, rather injection efficacy. Majority of the motor insurance policies will not allow you to drive for 3-5 hours after the injection with Local Anesthesia.
What should i expect after an injection?
After the injection you may feel pain free for couple of hours due to Local anaesthesia. However, pain returns after 2 hours, you may even feel more painful for couple of days due to bruising pain. Usually, you should starts feeling better from third day onwards. Pain relief from the steroid injection may take 1 to 2 weeks.
How to manage bruising pain?
Discomfort from the needle insertion can be minimised by using an ice pack ( wrapped in a towel, to minimise the risk of frostbite from a direct skin contact) to the area of treatment. 3-4 times a day and 10-15 minutes at each time
Will i always feel 100% pain free?
We can accurately inject the treatment area. However, pain relief depends on several factors, such as severity of the problem, body response to the steroid injection, rest period following an injection, rehabilitation and exposing to the risk factors.
how many injections can i receive?
corticosteroid Injections: 3 or 4 per treatment area / year.
Hyaluronic Acid : no limit as long as you are benefiting.
Platelet Rich Plasma (PRP) a course of 3, you can repeat as you like.
What conditions can be treated?
Arthritis, Tendinopathies, Ligament, Muscle and Nerve related problems. We also offer trigger point injections for persistent pain ( usually a course of 2-5 are effective).
How long the injection effect lasts?
It is hard to determine without an assessment. It may be possible to estimate after assessing the patient. Usually, lasts up to 3 months. There are many patients who benefited for more than a year to 2 years.
AREAS COVERED BY JOINT CARE CLINICS
We cover a wide area throughout Warwickshire and surrounds, either by home visit or clinics in the following areas: Rugby, Coventry, Warwick, Aylesbury, Milton Keynes, Leamington Spa, Stratford, Kenilworth, Whitnash, Atherstone, Bedworth, Leicester and Nuneaton. We also have clinics throughout the West Midlands including Birmingham and Solihull. We have a clinic in Newcastle covering the North East.
If you do not see your area listed please still get in touch as we may be able to refer you to another practitioner in your area.