elbow

onset

hours days weeks months years
sudden gradual

new?

new issue previously known issue

side

left right

pain

none mild mild-moderate moderate moderate-severe severe

neuro

numbness paresthesia hand weakness

frequency

single episode constant intermittent daily few times a week few times a month

duration

few minutes less than an hour few hours most of the day few days

status

improving unchanged resolved gradually worsening significant worsening

context

+ trauma/fall – + repetitive movement –

location

lateral medial olecranon whole joint

radiation

none hand/fingers median nerve ulnar nerve biceps

quality

debilitating dull pressure superficial sharp throbbing stabbing

timing

daytime upon awakening night time

aggravated by

nothing flexion extension all movements elbow pressure

relieved by

nothing flexion extension stretching OTC meds
prescription meds massage heat ice

other/negative

vitals

BP:/

HR:

side

left right

inspection

normal swelling

palpation

normal
tender: medial epicondyle lateral epicondyle olecranon

ROM

full active ROM decreased + instability –

neuro

normal C5-T1 cubital tunnel pain

shoulder/wrist

normal

other

Assessment:

olecranon bursitis lateral epicondilitis medial epicondilitis osteoarthritis contusion
cubital tunnel syndrome

red flags

no red flags

details

Plan:

imaging/EMG

none Xray US EMG

medication

tylenol topical NSAIDs PO NSAIDs opioids

physiotherapy

– private coverage + self referral MFP physio

other therapy

massage therapy

off work

yes (1-2 weeks) no

follow-up

2-4 weeks PRN only

RTC

instructions given

other

ELBOW

S/

O/

A/

P/