Elbow Pain

Did you know that the elbow pain most people casually refer to as “tendonitis” is not true tendonitis at all? Most elbow pain is actually due to joint instability due to weakened or sprained ligaments. This can present itself as tenderness along the ligament and tendon attachments of the elbow joint. The pain can even radiate down the forearm into the wrist, leading some people to believe they have developed carpal tunnel syndrome.

Symptoms caused by Elbow Instability

  • Crepitation with movement
  • Elbow pain
  • Elbow popping
  • Loss of motion
  • Loss of muscle strength
  • Numbiness in fingers
  • Muscle spasms
  • Referral forearm pain

These symptoms can be signs of the following elbow pain conditions caused by elbow instability that we commonly treat with Prolotherapy.


Ankle pain most often occurs because the bones and joints are moving too much – hence the diagnosis of joint instability. Why are they unstable? Because the support structures, the ligaments and tendons, are weak. These symptoms can be signs of the following ankle pain conditions caused by ankle instability that we commonly treat at Caring Medical.

Prolotherapy Treatment for Elbow Pain

Eighty percent of chronic elbow pain is due to a sprain of the annular ligament. This ligament is rarely examined by a family physician or an orthopedic surgeon. Most patients with chronic elbow pain tell us they were told they have tennis elbow. Tennis elbow is also known as lateral epicondylitis and is commonly treated with the dreaded cortisone shot in traditional medicine! Cortisone weakens tissue, whereas Prolotherapy strengthens tissue. Cortisone provides temporary pain control whereas Prolotherapy has permanent effects. However, cortisone does have one permanent effect: continual use will permanently weaken tissue. Anyone receiving long-term prednisone or cortisone shots will confirm this fact.

Excessive movement or soft feel compared to the non-painful side is indicative of joint instability. We also verify this using high velocity musculoskeletal ultrasound and DDR Motion x-ray at Caring Medical FL.

If medial epicondylitis (golfer’s elbow) or lateral epicondylitis (tennis elbow) is causing elbow pain, the muscles that attach to these areas are attempting to repair themselves, causing inflammation. The treatment should not be to “anti-inflame,” as is the case with cortisone or with anti-inflammatories like ibuprofen. The correct treatment is to strengthen the muscle attachments that are inflamed due to the body’s attempt to strengthen the area. The muscles that extend the wrist attach at the lateral epicondyle and the muscles that flex the wrist attach at the medial epicondyle. Prolotherapy to strengthen these muscle attachments is very effective in eliminating chronic elbow pain.


Annular ligament and radial collateral ligament injuries are frequent causes of chronic elbow pain. The good news is that these are effectively treated with Prolotherapy.

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You deserve the best possible results from your treatment. Let’s make this happen! Talk to our team about your case to find out if you are a good candidate.