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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31333
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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Elbow joint severe pain, slight swelling and bruising. Pain

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Elbow joint severe pain, slight swelling and bruising. Pain has moved down arms and into wrists thumbs and knuckles. Little swollen bumps here and there around wrist and elbows.m. Veins extremely engorged and arms feel tight, patches of coldness in places. Right arm s practically useless with it or when used causes greater pain then it's alreadyin. Left arm is the same but not as bad. Felt like my ankles were starting to feel the same yesterday. Originally believed to be tennis elbow and recieved steroid injections. Ow on naproxen but it does seem to be helping and symptoms are getting worse. Mornings are especially difficult to start with and I am being woke up with dead arms which are very painful.



I am sorry about your significant symptoms.


Since when are your elbow pain and other symptoms?

Was there any injury?

What did your MRI and blood work show?

Did the symptoms increase after the steroid shot?

Any significant past medical history or family history?


Dr. Arun

Customer: replied 4 years ago.
Elbow pain started back in November last year, no known injury to either elbows. Steroid injections seemed to help a little but not a lot. No MRI and no blood work. No significant family health issues. No difference whether eating them or trying to use them apart from pain increases with movements.
Customer: replied 4 years ago.
The other thing my arms have become rather thin

You need to consult a rheumatologist, if not yet done and following investigations would be advised;

1) Complete blood count,

2) Erythrocyte sedimentation rate,

3) Thyroid function tests,

4) Muscle enzymes;

5) Anti-nuclear antibodies (ANA)

6) Adrenal function test

7) Anti-dsDNA

8) Anti-Sm

9) Anti-SSA (Ro) or Anti-SSB (La)

10) Coombs test

11) Anti-histone

12) MRI of elbow


This is likely to be some immunological arthritis. Meanwhile following may be helpful;


1) Anti-inflammatory analgesics like Motrin / Advil for around 10-14 days.

2) Elbow brace

3) Physical therapy

4) Warm compresses

5) Local analgesic patch / ointment / spray

6) iontophoresis, phonophoresis

7) electrical stimulation

8) shock wave therapy

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.


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