Physical exam for tennis elbow


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Exam Overview


During the physical exam for tennis elbow, your health professional may examine both of your arms, as well as your:

  • Elbow and the muscles, tendons, nerves, and blood vessels in your arm and wrist, to check for tendon and nerve or vascular problems, including pain, weakness, or tingling.
  • Neck. (Pain in your elbow may be referred from the nerves in your neck.)

If it is clear that there are no broken bones, your health professional will move your arm around to check for range of motion, flexibility, and strength.


Why It Is Done


A physical exam of the elbow is done when the elbow is sore and painful.


Results


Normal

Results from the physical exam don't show any serious problem in the elbow. Your doctor may suggest resting your arm and applying ice at home, or further tests.

Abnormal

Abnormal results from the physical exam may include:

  • Pain in the elbow, either at rest or while moving through a normal range of motion.
  • Pain in the elbow when pressure is applied while extending the wrist (in the “stop traffic” position) and holding against resistance, or when pressure is applied while twisting the forearm.
  • Tenderness to the touch (palpation).
  • Inability to move the arm through a normal range of motion.
  • Grinding sensation when the elbow is moving.
  • Muscle weakness in the arm, wrist, or hand.
  • Tingling when a nerve area is tapped (Tinel's sign) or difficulty pinching with fingers (possible nerve damage).
  • Altered or decreased sensation in the arm, wrist, or hand.

What To Think About


Tennis elbow can usually be diagnosed with a medical history and a physical exam. Your health professional may recommend treatment without doing X-rays to see whether the problem gets better. If it does, no more tests are needed.

Complete the medical test information form (PDF) (What is a PDF document?) to help you prepare for this test.


Credits


Author Monica Rhodes
Editor Kathleen M. Ariss, MS
Associate Editor Denele Ivins
Associate Editor Pat Truman
Primary Medical Reviewer Martin Gabica, MD

- Family Medicine
Specialist Medical Reviewer David Pichora, MD, FRCSC

- Orthopedic Surgery
Last Updated February 14, 2007

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Last updated: February 14, 2007
Author: Monica Rhodes
Reviewed By: Martin Gabica, MD - Family Medicine, David Pichora, MD, FRCSC - Orthopedic Surgery
Editors: Kathleen M. Ariss, MS, Pat Truman

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