Whiledoing very heavy maximum weight workout with "overhead layback trianglepulldown" developed pain at medial aspect of elbow. Have had this for 11/2 weeks now. I believe I cause the injury by using my arms to pull more thenthinking scapula retraction.

-Novisible swelling nor ecchymosis

-nonumbness nor tingling distal to injury, circulation to fingers is WNL

-I have full ROM at elbow joint

There is sorenessand localized pain on palpation inside of elbow. Pain extends approx 4"above and below elbow. Pain is most severe right at medial epicondyle anddiminishes the further away from that spot you palpate.

Movementsthat illicit pain now are in line dumbbell fly's, seated row with cables (ithurts to fully extend my arms so I only extend 3/4 of the way to avoid pain,when doing std layback triangle pull down hurts at point of full extension

I amable to still do my weight workouts and Rowing machine workout with caution andat times use tennis elbow band with gel insert. It helps but in some exercisesI have to remove it because it is too restrictive.

I have been icing 4 x /day and using electro stim intermittently. Both seem tohelp. Cannot use NSAIDs D/T ulcer hx. Also doing deep tissue massage withfingers and Ice. But much too painful to rub directly over medial epicondyle.

Whatabout the use of Heat? How and when in conjunction to cold application do I useit?

BTW Ihave injured this area in the past also

Thanks,

MAC-RN