[36F] With severe elbow pain and urinary incontinence

Patient Description

A 36-year-old female presents with severe pain on the inside of the elbow, which started suddenly three days ago. The pain is described as dull and deep, almost feeling as if it is inside the bone, and is exacerbated by any movement of the elbow. There is noticeable swelling and warmth in the area. The patient also reports experiencing fatigue, back pain, urinary incontinence, and pain, numbness, and tingling in the buttock area. She has a medical history of spinal stenosis, a bulging disc, and hip degeneration, diagnosed two years ago. The urinary incontinence is more pronounced during the day. No recent injuries or incidents were noted, and there are no known allergies to medications, although she is allergic to sulfa. The patient is not currently on any medications and has not found relief from over-the-counter pain medications like ibuprofen.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing:

  1. Elbow Pain and Swelling: The sudden onset of severe elbow pain, along with swelling and warmth, could suggest an inflammatory condition such as bursitis or tendinitis. It could also be due to an infection or gout, although these are less common. An evaluation by a healthcare provider is necessary to determine the exact cause and appropriate treatment.

  2. Back Pain, Fatigue, and Urinary Incontinence: Given your history of spinal stenosis and a bulging disc, these symptoms could be related to nerve compression in your spine. This can sometimes lead to a condition called cauda equina syndrome, which is a medical emergency. It is important to seek immediate medical attention if you experience worsening symptoms, especially urinary incontinence.

  3. Pain, Numbness, and Tingling in the Buttock: These symptoms may also be related to your spinal condition, potentially indicating nerve irritation or compression.

What you can do

Elbow Pain and Swelling:

  • Rest your elbow and avoid activities that exacerbate the pain.
  • Apply ice packs to the affected area for 15-20 minutes every few hours to reduce swelling.
  • Keep your elbow elevated to help reduce swelling.
  • Over-the-counter pain relievers like ibuprofen can help, but consult a healthcare provider if there's no relief.

Back Pain, Fatigue, and Urinary Incontinence:

  • Given the potential seriousness of these symptoms, seek medical attention as soon as possible.
  • Keep track of your symptoms using MDandMe to provide detailed information to your healthcare provider.

Pain, Numbness, and Tingling in the Buttock:

  • Gentle stretching and physical therapy exercises may help, but consult a healthcare provider for personalized advice.
  • Avoid prolonged sitting or standing, and change positions frequently.

What you should look out for

  • Worsening of urinary incontinence or difficulty urinating.
  • Increased weakness or numbness in your legs or buttocks.
  • Severe or worsening back pain.
  • Any signs of infection in your elbow, such as increased redness, warmth, or pus.

Please remember that while I can provide information, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. If your symptoms worsen or you experience any of the concerning signs mentioned, seek medical care immediately.

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29 d ago

People Also Ask


What could be causing the sudden severe pain and swelling in my elbow?

The sudden severe pain and swelling in your elbow could be due to an inflammatory condition like bursitis or tendinitis. It might also be an infection or gout, though these are less common. A healthcare provider can help determine the exact cause.


How serious is urinary incontinence when associated with back pain and spinal issues?

Urinary incontinence, when associated with back pain and spinal issues, could indicate nerve compression, potentially leading to a condition called cauda equina syndrome, which is a medical emergency. Immediate medical attention is necessary if symptoms worsen.


What are the potential causes of pain, numbness, and tingling in the buttock area?

Pain, numbness, and tingling in the buttock area may be related to nerve irritation or compression due to your spinal condition, such as spinal stenosis or a bulging disc.


What should I do if over-the-counter pain medications are not relieving my symptoms?

If over-the-counter pain medications are not providing relief, it's important to consult a healthcare provider for further evaluation and to discuss alternative treatment options.


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