Elbow/knee/shoulder pain

Medial Epicondylitis

The common name for the condition is golfer’s elbow. This is irritation of the wrist flexors. This causes pain anytime the wrist flexors are activated and normally has pain on the inside portion of the elbow where the origin of the tendon is located and many times into the forearm.

Lateral Epicondylitis

The common name for the condition is tennis elbow. This is irritation of the wrist extensors. This pain anytime the wrist extensors are activated. The pain is normally most focal on the outside part of the elbow.

Joint Dysfunction

This is typically painful in extension or when rotating the hand palm up/palm down. This is due to altered biomechanics often due to overuse of specific muscles causing a misalignment of the joint.

Patellar Tendinitis

Often times an overuse injury. This is typically worse with prolonged activities with pain often just below or above the patella (kneecap)

Meniscus Tear

The meniscus is a shock absorber of the knee. Pain is often associated along the outer to inner edge of the knee. This is often associated with a quick rotation of the knee often times with the knee bent.

Chondromalacia Patella

Commonly known as runner’s knee. This is when the cartilage under the knee deteriorates and causes pain and a grinding sensation. This is often associated with muscle imbalance (abnormal knee tracking), blunt trauma, or repetitive knee stressors.

Knee Bursitis

The bursae is a fluid filled sac to help reduce friction. There are four bursae sacs in the knee. Often times this becomes swollen warm and tender due to inflammation of the bursae. This is typically caused by excessive friction or motion of the joint.

A-C joint pain

Typically at a minimum there is ligament laxity associated due to trauma or excessive use. This pain source will be at the outside end of the clavicle (collar bone).

Rotator Cuff

The shoulder consists of four rotator cuff tendons. Many times there is a strain to varying degrees to the tendon of the shoulder. This is a very common condition due to overuse of the shoulder and the fact the with a big range of motion of the shoulder also comes instability. These rotator cuff muscles are the main movers of the shoulder in internal and external rotation and often times injured with throwing, overuse injuries, and traumas.

Bicipital Tendinitis

This is a condition what often mimics shoulder pain due to the insertion of the bicep in the anterior or the shoulder. This is aggravated with elbow flexion (bicep curl).

Frozen Shoulder

This is an overall decrease in all ranges of motion with pain associated. No major finding on x-ray/MRI other than severe restriction of motion with pain.

Shoulder Bursitis

Focal tenderness with heat and inflammation. Pain associated when moving the elbow outward.

Shoulder Impingement

Rotator cuff muscles become impinged as they pass through the joint. This will be most problematic with overhead activities such as throwing, swimming, and racket sports.