Elbow Hurts When Straightened

Elbow Pain When Straightening: Causes and Treatment Methods

Elbow pain is a common complaint that can significantly impact our daily activities and hinder our ability to perform simple tasks. One of the most frequent concerns people face is experiencing pain when they try to straighten their elbows fully. This discomfort can have various causes, ranging from mild to severe conditions. In this blog, we will explore the potential reasons behind elbow pain when straightening the arm, its possible implications, and essential steps for managing and preventing further complications.

Understanding the Elbow Joint

Before diving into the reasons for pain, let’s briefly understand the anatomy of the elbow joint. The elbow is a complex joint formed by three bones: the humerus (upper arm bone), the ulna, and the radius (the two forearm bones).

It allows for flexion and extension, meaning bending and straightening the arm, respectively. Ligaments, tendons, muscles, and nerves work together to ensure the joint’s stability and function.

Common Causes of Elbow Pain When Straightening

Common Causes of Elbow Pain When Straightening

These are some of the conditions of elbow pain while straightening:

  • Tennis Elbow (Lateral Epicondylitis): Tennis elbow is a condition caused by repetitive overuse of the forearm muscles, leading to inflammation of the tendons that attach to the lateral epicondyle (the bony prominence on the outer side of the elbow). This inflammation results in pain, particularly when straightening the arm or lifting objects. It is not exclusive to tennis players and can affect anyone engaged in repetitive gripping activities.
  • Golfer’s Elbow (Medial Epicondylitis): Similar to tennis elbow, golfer’s elbow is caused by overusing the forearm muscles, but this time, it affects the tendons attached to the medial epicondyle (the bony prominence on the inner side of the elbow). The pain is usually felt during activities that involve wrist flexion or when straightening the arm against resistance.
  • Bursitis: Bursitis is the inflammation of the bursa, small sacs filled with fluid that act as cushions between bones, tendons, and muscles. When the bursa in the elbow becomes inflamed, it can cause pain, especially when extending the arm.
  • Elbow Arthritis: Arthritis in the elbow joint can cause pain, stiffness, and limited range of motion. When the elbow is affected by arthritis, fully straightening the arm can be particularly painful due to the increased friction and inflammation in the joint.
  • Olecranon Fracture: The olecranon is the bony prominence at the tip of the elbow. A fracture in this area can lead to severe pain when attempting to straighten the arm, as the fractured bone may impede the joint’s movement.

Symptoms of Tennis Elbow

Experiencing pain when straightening the elbow can be a distressing and uncomfortable condition. This symptom can be caused by various underlying issues, ranging from mild to severe.

Recognizing the signs of elbow pain when straightening can help identify the potential cause and seek appropriate medical attention. Here are some common signs and accompanying symptoms:

  • Pain during Extension: The primary sign is pain or discomfort felt specifically when trying to fully straighten the arm. The severity of the pain can range from mild to intense, and it may feel like a dull ache, sharp stabbing sensation, or throbbing pain.
  • Limited Range of Motion: Individuals with elbow pain may notice a decreased ability to fully extend the arm. The elbow may feel stiff and may not straighten to its normal range.
  • Swelling and Inflammation: Inflammation is a typical response to injury or overuse. Swelling around the elbow joint can cause visible or palpable puffiness.
  • Tenderness to Touch: The affected area might be sensitive to touch, and pressing on the elbow may exacerbate the pain.
  • Weakness: Elbow pain can lead to weakness in the arm, making it challenging to perform everyday tasks that involve the use of the affected arm.
  • Warmth and Redness: Inflammation can cause the skin around the elbow to feel warm to the touch and appear red.
  • Pain with Activities: Certain activities that put stress on the elbow joint may worsen the pain. For example, lifting objects, gripping, or engaging in repetitive movements might trigger discomfort.

Diagnosing the Condition

Diagnosing the Condition

If you suspect you have tennis elbow, it’s crucial to seek medical attention for a proper diagnosis. A healthcare professional will evaluate your symptoms and medical history to determine if you have tennis elbow.

Medical Examination

During the examination, your doctor will check for tenderness, swelling, and range of motion in your elbow. They may also ask you to perform specific movements to assess your pain levels and the affected area.

Imaging Tests

In some cases, imaging tests like X-rays or MRI scans may be ordered to rule out other conditions that could be causing your elbow pain.

Differential Diagnosis

Since other conditions can mimic tennis elbow symptoms, your doctor will perform a differential diagnosis to ensure an accurate assessment. This process helps rule out conditions like golfer’s elbow or nerve compression issues.

Treatment of Elbow Pain When Straightening

The treatment of elbow pain when straightening depends on the underlying cause of the pain. It’s essential to consult a healthcare professional, such as an orthopedic specialist or a physical therapist, for an accurate diagnosis and personalized treatment plan.

However, here are some common approaches that may be employed to manage and alleviate elbow pain when straightening:

  • Rest and Avoidance of Aggravating Activities: The first step in managing elbow pain is to give the affected arm sufficient rest. Avoid activities that exacerbate the pain and put additional stress on the elbow joint.
  • Ice and Heat Therapy: Applying ice packs to the affected area can help reduce inflammation and alleviate pain. After the acute phase, using heat packs or warm compresses may promote blood flow and aid in healing.
  • Pain Relief Medication: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can help reduce pain and inflammation. However, they should be used according to the recommended dosage and under the guidance of a healthcare professional.
  • Physical Therapy: A physical therapist can design a customized exercise program to strengthen the forearm muscles, improve flexibility, and promote proper mechanics of the elbow joint. Physical therapy can help speed up recovery and prevent the recurrence of the pain.
  • Bracing or Splinting: Using a brace or splint can provide support to the affected area, reduce stress on the tendons, and aid in healing.
  • Corticosteroid Injections: In some cases, a healthcare professional may administer corticosteroid injections to reduce inflammation and alleviate pain. These injections are usually reserved for short-term use due to potential side effects.
  • Ultrasound Therapy: This non-invasive treatment uses sound waves to promote blood flow and healing in the affected area.
  • Extracorporeal Shock Wave Therapy (ESWT): ESWT involves the use of shock waves to stimulate healing in damaged tissues and is sometimes used for chronic conditions.

Preventing Elbow Pain When Straightening

Preventing Elbow Pain When Straightening

Preventing elbow pain when straightening involves adopting healthy habits and practicing proper techniques during activities. By taking proactive measures, you can reduce the risk of developing elbow issues and maintain the overall health of your elbows. Here are some essential tips to help prevent elbow pain:

  • Proper Warm-up: Always warm up before engaging in physical activities that involve repetitive arm movements or the use of the elbow joint. Gentle stretching and exercises can help prepare the muscles and joints for the upcoming activity, reducing the risk of strain.
  • Strengthen Forearm Muscles: Incorporate exercises that target the forearm muscles into your fitness routine. Stronger muscles can better support the elbow joint and reduce the risk of overuse injuries.
  • Practice Good Technique: Whether you’re playing sports, lifting objects, or performing repetitive tasks, use proper technique and form to avoid putting unnecessary stress on the elbow joint.
  • Ergonomics: Maintain proper ergonomics at work and home. Adjust the height of your workstation, chair, and computer keyboard to promote a natural arm position and reduce strain on the elbows.
  • Avoid Overuse: Be mindful of repetitive motions that strain the elbow joint. If possible, take breaks during activities that involve frequent bending and straightening of the arm.
  • Alternate Hands: When performing tasks like carrying heavy bags or lifting objects, alternate between your left and right hands to distribute the load evenly.
  • Use Proper Sports Equipment: If you participate in sports, use the appropriate equipment, such as well-fitted tennis rackets or golf clubs. Ill-fitting equipment can contribute to elbow injuries.
  • Maintain a Healthy Weight: Excess body weight can put additional stress on the joints, including the elbows. Maintaining a healthy weight can reduce the load on your elbows and help prevent pain.


Experiencing elbow pain when straightening your arm can be a sign of tennis elbow, a condition caused by overuse of the forearm muscles. Understanding the causes, symptoms, and treatment options can help you manage the pain effectively and prevent future occurrences.

Remember, seeking professional medical advice is essential for an accurate diagnosis and tailored treatment plan.

If you’re experiencing Elbow pain, physical therapy for elbow pain at PhysioMantra can help: Book an online physical therapy session.