Elbow Sprain

Written by: Dr. Popovitz.

Board-Certified Orthopedic Surgeon | Fellowship-Trained Sports Medicine, NYU Langone Medical Center | FAAOS

Co-Founder, NY Bone & Joint Specialists | Lenox Hill Hospital - Northwell Health

Recognized: New York Magazine Best Doctor | New York Times Super Doctor | IAOS Leading Physician of the World | IAOS Top Orthopedic Surgeon in New York

Date Published: July 27, 2018

Last Updated: August 12, 2020

Last Medically Reviewed: August 12, 2020

This page has been written and reviewed by a fellowship-trained, board-certified orthopedic surgeon with over 20 years of clinical experience. All clinical claims are supported by peer-reviewed literature and current AAOS and AOSSM guidelines. See References section below.

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An elbow sprain is a common injury that occurs from over-stretching or tearing the ligaments that support the elbow.

CAUSES

The elbow joint is supported and protected by ligaments that stretch to accommodate normal range of motion. When the elbow is twisted or turned beyond its normal range of motion, the ligament is also stretched beyond its normal capacity causing a sprain. If the sprain is severe enough, tearing of the ligament fibers can occur.

Elbow sprains can occur at any age and although commonly seen as a sports injury, elbow sprains can occur to non-athletes as well.

RISK FACTORS

The factors that increase the risk of elbow sprain include participation in sports activities, forceful twisting of the arm, falling on an outstretched arm, a blow or trauma to the elbow, previous history of elbow sprains, and lack of warm-up or stretching before exercise.

SYMPTOMS

Symptoms of an elbow sprain include pain, swelling, bruising, and impaired mobility.

How to treat sprained elbow

DIAGNOSIS

Your doctor will evaluate your condition by physical examination and medical history. Diagnostic tests such as X-ray and MRI scan may be required to confirm the condition and provide treatment.

CONSERVATIVE TREATMENT OPTIONS

Immediately following an injury and before being evaluated by a medical doctor, you should initiate the R.I.C.E. method of treatment.

  • Rest: Rest the elbow as more damage could result from putting pressure on the injury.
  • Ice: Ice packs applied to the injury will help diminish swelling and pain. Ice should be applied over a towel to the affected area for 15-20 minutes four times a day for several days. Never place ice directly over the skin.
  • Compression: Wrapping the elbow with an elastic bandage or compression stocking can help to minimize the swelling and support your elbow.
  • Elevation: Elevating the affected arm above heart level will also help with swelling and pain.

Your doctor may prescribe non-steroidal anti-inflammatory drugs to reduce the pain and inflammation. Your rehabilitation program may include massages and various strengthening, stability, and stretching exercises which should be carried out on a regular basis.

SURGERY

If the pain persists over a long time, then surgery may be needed to repair the torn ligaments. Elbow arthroscopy is a surgical procedure done to repair the torn ligament.

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Medically Reviewed by Dr. Popovitz.

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