Elbow Pain

By Sydney CBD Osteopath Dr Abbey Davidson

The elbow is a synovial joint which is made up of the arm bone (humerus) and the forearm bones (radius & ulna), with 23 muscles and tendons which contribute to the movement of the elbow, wrist and hand. Elbow pain and conditions are often caused by overuse and trauma, with pain often firstly presenting only during aggravating activities, but worsening when the tissues are overloaded.

What are the common causes of elbow pain?

Some of the common conditions which contribute to Elbow pain include:

  • Tennis Elbow
  • Medial Epicondylitis (Golfer’s Elbow)
  • Triceps Tendonitis
  • Bursitis
  • Panner’s Disease

 

What are the common structures which contribute to elbow pain?The elbow is a synovial joint with 23 muscles and tendons involved in the movement of the elbow, wrist and hand.

  • Bones
  • Joints
  • Tendons
  • Ligaments
  • Bursa
  • Muscles
  • Nerves

 

What you can do to help yourself with your elbow pain?

If your injury is due to overuse or overloading of tissues in the area surrounding the elbow, it is important to give them time to heal and take time to rest.  Acute injuries can progress to chronic issues if not addressed appropriately. Icing of the elbow (with the icepack avoiding direct skin contact) is encouraged in both acute injuries and those from repetitive or overuse micro-traumas. This will aim to discourage inflammation and provide some mild analgesia to the region. Anti-inflammatory gel may also be of benefit.

If your injury is bought on by occupational repetitive motions, it is important to have these addressed. This may mean performing lighter duties, utilising appropriate ergonomic aids or correcting your desk set up to place less stress on the elbow region. Bracing or strapping may be recommended in some cases of elbow pain.

 

When should you seek professional help for your elbow pain?

You should considering seeking professional advice for pain in your elbow if you are experiencing the following:

  • Pain becoming more intense
  • Pain present at rest
  • Inability to perform daily activities/hobbies
  • Redness, swelling or deformity

 

What will a health practitioner do to help with your elbow pain?

A health practitioner, such as an Osteopath, Chiropractor, or Physiotherapist, will take the time to best establish which tissues are responsible for your pain and symptoms. This will involve a process of asking questions, assessing range of motion and tissue texture, and performing provocative testing of the elbow. If after this process it is still unclear what the cause of your pain is, you may be sent for further imaging.

Hands on therapy will attempt to address any biomechanical issues of the arm (considering the shoulder, elbow, wrist and hand) as well as stretching and decreasing tension in the forearm/arm muscles to minimise pain. This will be complemented with advice and adjuncts (such as stretching, rehabilitation, bracing/strapping, etc.) to continue your progress until your next session.

The Osteopathy team at Quay Health are equipped to help you with your elbow pain

 

For more information on other conditions of the arm, click on the following links:

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Nerissa D'Mello​​

Clinical Lead Physiotherapist
Nerissa’s interest in physiotherapy began after experiencing multiple injuries growing up. Being in and out of clinics sparked her curiosity about how the body heals and inspired her to help others return to what they love. Early hands-on experience with a Scottish rugby club during her masters strengthened her passion for musculoskeletal and orthopaedic rehabilitation.
 
Now the Clinical Lead Physiotherapist at Quay Health, she has a strong interest in helping patients recover without surgical intervention when possible. Her treatment style combines hands-on techniques with exercise prescription, grounded in the latest research to promote lasting recovery.
 
Some of the techniques Nerissa uses are dry needling, VALD ForceDecks and Dynamo for data-driven rehab, taping, and shockwave therapy for stubborn tendon injuries.
 
She enjoys treating a broad range of patients, regardless of age, fitness, or background, and is currently expanding her expertise in women’s health.
 
Patients can expect a thorough, personalised approach focused on understanding their goals, hands-on treatment, and education in a supportive environment.
 
Outside work, you can find Nerissa training for her first full marathon, playing tennis, smiling at your dog, and trying to keep up with all her downloaded podcasts.
 
Clinical interests include:
 
  • Shoulder injuries, including rotator cuff and instability
  • Ankle sprains
  • Tennis and racquet sports injuries
  • Neck and upper back pain
  • Rehab from postoperative hip and knee replacements
  • Women’s health 
 
Languages spoken other than English: Conversational Hindi
 
Nerissa is available at Quay Health. Call 1300 782 943 to make an appointment or book online.

Riccardo Erba​

Senior Physiotherapist

Riccardo’s passion for physiotherapy started while working with patients recovering from strokes, multiple sclerosis, and brain injuries. Seeing how vital movement is inspired him to explore the connection between the brain and body. Over seven years, he developed a holistic approach combining manual therapy, education, and sport-focused rehab.

His treatment style is evidence-based and tailored, blending hands-on therapy with corrective exercises and advanced technologies. Riccardo believes every patient deserves a personalised plan that balances pain relief and long-term improvement.

He uses techniques including spinal manipulation, mobilization with movement, dry needling, Class IV lasers, shockwave therapy, and VALD ForceDecks.

Riccardo enjoys helping clients who want to understand their bodies, relieve pain, prevent injury, and improve performance.

Outside work, he loves hiking, climbing, and following ball sports of all kinds.

Clinical interests include:

  • Headaches and neck pain
  • Shoulder and elbow conditions
  • Hip and knee rehab
  • Shockwave and laser therapy

Languages spoken other than English: Italian

Riccardo is available at Quay Health. Call 1300 782 943 to make an appointment or book online.