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Published on: 5/15/2025

What Might Cause Elbow Pain During a Twisting Motion?

Elbow pain during twisting motions commonly stems from overuse injuries, tendon inflammation, or nerve compression. These conditions typically improve with simple treatments.

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Explanation

Elbow pain during a twisting motion may be related to several factors that affect the tendons, muscles, and nerves in the elbow joint. Common causes include overuse injuries from repetitive motions, inflammation of the tendons (tendinitis), and nerve compression syndromes that worsen with twisting movements. The stress on these structures can be particularly noticeable during activities that require rotational movements of the forearm, such as turning a doorknob, using a screwdriver, or opening a jar. Athletes who participate in sports involving throwing or racquet movements may be especially susceptible to this type of pain due to the repetitive nature of their activities. Key treatments for this type of pain include rest, modifying activities, and targeted strengthening exercises. Over-the-counter anti-inflammatory medications (NSAIDs) can reduce pain and swelling, while physical therapy — including stretching and eccentric exercises — helps restore function. Applying ice or heat can also offer temporary symptom relief. If you have ongoing pain or discomfort, consult a healthcare professional for a proper evaluation and treatment plan.

(References)

  • Kazi F, Patil DS. Effects of the Tyler Twist Technique Versus Active Release Technique on Pain and Grip Strength in Patients With Lateral Epicondylitis. Cureus. 2023 Oct 10;15(10):e46799. doi: 10.7759/cureus.46799. PMID: 37954758; PMCID: PMC10634653.

  • Mitchell B, Whited L. Anatomy, Shoulder and Upper Limb, Forearm Muscles. 2023 Jun 5. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 30725660.

  • Booth SM, Abosala A, Peach C. Anterior Elbow Pain Caused by Compression of the Lateral Antebrachial Cutaneous Nerve. J Orthop Case Rep. 2017 Sep-Oct;7(5):63-66. doi: 10.13107/jocr.2250-0685.898. PMID: 29242798; PMCID: PMC5728002.

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