Your friendly Chiropractor in Chandler AZ, Dr. Dan Rae, is back at the computer this morning to write a little bit more about injuries to the elbow. Today, I will be reviewing a condition called Posterior Impingement Syndrome. We hear more about Shoulder Impingement Syndrome, but it can also occur in the elbow as well.
In the image above we have a clear picture of the elbow joint. Posterior Impingement Syndrome is caused by the repetitive extension of the elbow that leads to compression on the back side of the elbow between the ulna, which is the bone on the bottom and the humerus, which is the bone on the top. This may cause what is called a reactive synovitis (Synovitis is the inflammation of a synovial (joint-lining) membrane, usually painful, particularly on motion, and characterized by swelling, due to effusion (fluid collection) in a synovial sac.) or progress to degeneration and the production of osteophytes (bone spurs) or loose bodies as seen in the image above, which is seen by the top arrow.
These patients usually come into my office complaining of sharp pain on the back side of the elbow, especially on rapid extension of the elbow. There may be associated complaints of popping or clicking with extension of the elbow or an occasional locking of the joint.
Management of this condition varies depending on if there are loose bodies or not. If there are loose bodies, the individual will be referred to an orthopedic surgeon for surgical consultation. In all other cases rest and ice is needed, and the patient is taped in a manner so as to not be able to fully extend the elbow.
If you are struggling with Elbow Pain, call my office today (480) 366-4041. We can Help!