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Chiropractic Explainer

Why your elbow pain isn't going away — and how chiropractic can help

Elbow pain can sneak up on you, after a long day at work, a tough workout, or something as simple as lifting a grocery bag. When it lingers for weeks or months, it's more than annoying. Whether it's tennis elbow, inner elbow pain, or pain when bending and straightening, you don't have to just live with it.

Why elbow pain becomes chronic

The elbow involves muscles, tendons, ligaments, and nerve pathways, so when any of these get irritated or overloaded, pain can persist longer than expected. Common contributors include repetitive gripping, lifting, typing, or swinging a racquet; strength imbalances in the shoulder or forearm; irritation referred from the neck; limited mobility in the shoulder or wrist; and rehab that stopped too early. Recovery varies a lot from person to person, and having neck pain alongside tennis elbow is one factor linked to a slower course.[2]

Tennis elbow, golfer's elbow, or something else

Tennis elbow (pain on the outside of the elbow, a burning sensation when gripping) is the most common cause, but not the only one. Golfer's elbow shows up on the inside of the elbow, worse when gripping or flexing the wrist. Nerve-related pain radiates into the upper arm with tingling into the forearm or fingers and weak grip strength. Getting the right diagnosis matters, since the treatment differs for each.

How chiropractic care helps it heal faster

Treatment focuses on restoring movement, calming irritated tissue, and strengthening the structures around the elbow. For tennis elbow, a randomized trial found that physical therapy combining elbow manipulation and exercise beat a wait-and-see approach in the first six weeks and did better than steroid injections after that; by one year, most people in both the treatment and wait-and-see groups had recovered.[1] In practice, that means joint work at the elbow, wrist, shoulder, or upper spine; soft-tissue therapy; corrective exercise for the forearm, wrist, and shoulder; ergonomics coaching; and a whole-arm assessment, since elbow pain rarely happens in isolation.

When to see a chiropractor for elbow pain

Worth booking a visit if you notice pain lasting longer than two weeks, sharp pain with lifting or gripping, pain on the inside or outside of the elbow, or stiffness and weak grip that's affecting daily tasks. Many cases improve over time either way, but the right care can help you feel better sooner.[1]

Sources

Retrieved through PubMed. Numbers in brackets above refer to this list.

  1. Bisset L, Beller E, Jull G, Brooks P, Darnell R, Vicenzino B. Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial. BMJ. 2006;333(7575):939. doi:10.1136/bmj.38961.584653.AE
  2. Coombes BK, Bisset L, Vicenzino B. Management of lateral elbow tendinopathy: one size does not fit all. J Orthop Sports Phys Ther. 2015;45(11):938-949. doi:10.2519/jospt.2015.5841

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