Orthopaedic Surgeon Questions Orthopaedic Surgeon

Elbow pain?

I have been having pain in my elbow and was told it’s tennis elbow. I had an X-ray and it shows a large degenerative enthesophyte in the medial collateral ligament complex attachment on the ulna. What does that mean?

Female | 45 years old
Complaint duration: 1.5 weeks
Medications: Supplements
Conditions: None

6 Answers

Tennis elbow is lateral epicondylitis.
Golfer’s elbow is medial epicondylitis.
Spur or enesothapthy is a result of chronic tension / stress or muscle tightness.
Usually stretching & flexibility exercises will resolve the pain.
Occasionally an injection or surgery is required.
It means you have had a similar process of tendon degeneration on the medial side. The body replaced bad tendon with bone. If it doesn’t hurt, don’t mess with it.
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Hello and thanks for sharing your elbow issue with the FATD community. I offer you my thoughts, tips, and suggestions regarding your problem. From the history you provided, it seems as if there was no traumatic event. Therefore, I assume the pain came on insidiously (for no specific reason). Often times x-rays reveal incidental extra bone growth or bone changes around a joint, but these findings do not correlate to the area of pain in a person. You describe a benign (non-cancerous) growth along the inside aspect of the elbow, along with the beginning of one of your forearm bones (the one that is the tip of your elbow as you lean on a counter). This extra bone growth is along the area of the ligament (the rope-like structure that connects the ulna bone to the humerus bone (arm bone). The pain that may be associated with this is not near where the pain would be if you had a tennis elbow.
Like most other joint problems, a thorough history and good physical examination from a competent bone doctor will help you (or any patient) be more understanding of what is going on. And then, if there is a caring and empathetic provider you are working with, they will enlighten you about what to do to get better (feel less pain and become more functional). It is my strong opinion that regaining and maintaining a full range of motion and flexibility is an important treatment modality. I like this link:
https://www.pop-doc.com/browse.cgi?&action=browse_results&category1=Elbow&category2=Motion
In addition, strengthening the muscles around the elbow can also help lower your feelings of pain and increase the function of the elbow and arm. I like this link:
https://www.pop-doc.com/browse.cgi?&action=browse_results&category1=Elbow&category2=Condition/Strength
I am happy to read that it has been ongoing for such a short period of time. The inflammatory process is ongoing (can lead to pain, warmth, redness, and/or stiffness), and may last 2-6 weeks. Once this sets in, the best thing to do is rest, take anti-inflammatory medications (after speaking with your doctor), and then use heat around the area. There should be a slow recovery over the next 2=4 months, and if you create a routine of motion and strengthening exercises, you can prevent the pain from returning for a very long time.
Finally, be mindful of the things you do (and be lucky and not suffer from an accident). I am optimistic that you will begin to and continue to feel better. I hope this helps.


If your elbow pain is lateral, it most likely is tennis elbow. The medial degenerative enthesophyte is insignificant. Unless it is symptomatic, nothing would be done about it. It likely is indicative of an old injury either acute or more likely repetitive microtrauma.
The tendon is damaged(medial elbow tendinosis with calcification.If pain control (possibly cortisone injection,physio,and counterforce bracing don’t do the job might need surgery(Nirschl procedure).
Tennis elbow usually implies pain on the lateral side of the elbow. What you are describing is abnormality on the medial or inside the elbow. So that finding may not be the source of her pain.