How Do Doctors Diagnose Elbow Pain?
Published: Jun 02, 2024
Diagnosing elbow pain isn't straightforward, but a thorough clinical examination can help pinpoint the problem. Let's uncover how doctors approach this task.
Contents
Physical Examination Techniques
Doctors start with a detailed physical examination, inspecting for swelling, discoloration, and asymmetry. They palpate the elbow to detect tenderness, especially around the epicondyles, and assess the range of motion to rule out joint involvement. These steps help identify the source of pain and guide further testing.
Special Tests for Specific Conditions
Special tests target specific elbow conditions, such as the Cozen test for lateral epicondylitis or the Tinel sign for ulnar nerve entrapment. These tests apply pressure or movement to provoke symptoms, helping confirm diagnoses. A positive test indicates a particular condition, aiding in accurate treatment plans.

Advanced Diagnostic Tools
When initial exams are inconclusive, advanced tools like ultrasound or X-rays may be used. Ultrasound offers a detailed look at superficial structures, while X-rays help rule out fractures or osteoarthritis. These imaging techniques provide clarity and confirm suspicions from the physical exam.
Frequently Asked Questions
A detailed physical examination is the first step.
The Cozen test diagnoses lateral epicondylitis.
When the initial examination is inconclusive.
It indicates possible ulnar nerve entrapment.
Wrapping Up
A systematic approach to diagnosis ensures effective treatment of elbow pain.
References
- Smith MV, Lamplot JD, Wright RW, Brophy RH. Comprehensive Review of the Elbow Physical Examination. J Am Acad Orthop Surg 2018; 26:678.
- Appelboam A, Reuben AD, Benger JR, et al. Elbow extension test to rule out elbow fracture: multicentre, prospective validation and observational study of diagnostic accuracy in adults and children. BMJ 2008; 337:a2428.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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