Elbow Injuries

At Orthopaedic Sports Specialists, Dr. Alex G. Dukas and Dr. Christian A. Merrill provide personalized care for elbow pain and injuries—from tennis elbow and tendon tears to throwing injuries and ligament reconstruction.

Elbow problems can interfere with lifting, gripping, work, and sports. Our fellowship-trained orthopedic surgeons evaluate the source of your symptoms and develop a treatment plan around your injury, activity level, and goals. We prioritize nonsurgical care whenever appropriate and offer arthroscopic and open surgical treatment when needed.

Our Glastonbury office offers on-site X-ray, ultrasound, and physical therapy, allowing coordinated care from diagnosis through rehabilitation.

Our Training & Expertise in Elbow Care

Dr. Alex G. Dukas, MD Dr. Dukas completed his Orthopaedic Sports Medicine fellowship at the University of Utah, with advanced training in arthroscopic and reconstructive surgery. His practice includes elbow arthroscopy, UCL reconstruction—commonly known as Tommy John surgery—and treatment of tendon injuries and sports-related elbow conditions.

Dr. Christian A. Merrill, MD/MBA Dr. Merrill completed his Orthopaedic Sports Medicine fellowship at the American Sports Medicine Institute with the Andrews Sports Medicine group in Birmingham, Alabama. His training included the care of throwing athletes and surgical treatment of elbow ligament and tendon injuries. One of the premier centers for pitching injuries. His practice includes UCL injuries, elbow tendinopathy, and sports-related elbow conditions.

Common Elbow Conditions We Treat

Tennis Elbow—Lateral Epicondylitis

Tennis elbow affects the tendons along the outside of the elbow, often causing pain with gripping, lifting, or wrist movement. It can develop from repetitive activities at work, during exercise, or in everyday life. Most patients improve with activity changes and targeted rehabilitation; surgery may be considered for persistent symptoms despite appropriate nonsurgical care.

Golfer’s Elbow—Medial Epicondylitis

Golfer’s elbow involves the tendons along the inside of the elbow. Symptoms may worsen with gripping, lifting, or repetitive wrist motion. Treatment typically begins with activity modification and physical therapy, with additional options based on the severity and duration of symptoms. Surgery may be considered for persistent symptoms despite appropriate nonsurgical care.

Ulnar Collateral Ligament—UCL—Injuries

The UCL helps stabilize the inner elbow during throwing and other activities that stress the joint. Injuries may develop gradually from repetitive throwing or occur suddenly during trauma. Treatment ranges from rest and structured rehabilitation to ligament repair or reconstruction, depending on the tear, tissue quality, instability, and athletic demands.

Distal Biceps Tendon Tears

The distal biceps tendon attaches the biceps muscle to the forearm near the elbow. A tear may cause a sudden pop, bruising, and weakness, particularly when turning the palm upward or lifting. Complete tears warrant prompt evaluation because surgical repair may be recommended to restore strength in active patients.

Triceps Tendon Injuries

The triceps tendon connects the muscle at the back of the upper arm to the elbow and helps straighten the arm. Tears can cause posterior elbow pain, swelling, and weakness with pushing. Treatment depends on the extent of the tear and loss of strength, with surgical repair considered for complete or substantial injuries.

Elbow Instability & Dislocation

A fall or sports injury can damage the ligaments that stabilize the elbow. Some injuries heal with protection and guided motion, while others cause persistent looseness or repeated giving way. Treatment focuses on restoring stability while limiting stiffness.

Elbow Arthritis, Bone Spurs & Loose Bodies

Joint wear, prior injuries, and repetitive stress can contribute to pain, stiffness, catching, or locking. Nonsurgical care may help manage symptoms. Selected patients benefit from arthroscopic removal of loose fragments or bone spurs and treatment of restricted motion.

Cartilage Injuries & Osteochondritis Dissecans—OCD

Young throwing athletes and gymnasts can develop injury to the cartilage and underlying bone on the outer side of the elbow. Symptoms may include activity-related pain, loss of motion, or catching. Treatment depends on skeletal maturity and the size and stability of the injured area.

What to Expect at Your Visit

Your evaluation begins with a discussion of your symptoms, injury history, and activities, followed by an examination of elbow motion, strength, and stability.

X-rays may be used to assess the bones and joint. Ultrasound or MRI may help evaluate tendons and ligaments when indicated. We also assess symptoms such as numbness or tingling that may suggest nerve involvement.

Your surgeon will explain the findings, review treatment options, and outline a plan for recovery.

Treatment Options

Nonsurgical Care

  • Activity modification and temporary rest from aggravating activities

  • Targeted physical therapy

  • Bracing or splinting when appropriate

  • Medication when appropriate

  • Selected injections based on the diagnosis

  • Progressive strengthening and a guided return to activity

Surgical Care

  • Elbow arthroscopy

  • Removal of loose bodies and selected bone spurs

  • Treatment of elbow stiffness

  • Surgery for persistent tennis or golfer’s elbow

  • UCL repair or reconstruction—Tommy John surgery

  • Distal biceps or triceps tendon repair

  • Ligament repair or reconstruction for instability

  • Treatment of selected cartilage injuries

The surgical approach depends on the condition. Some problems can be treated through small arthroscopic incisions, while tendon and ligament repairs may require an open procedure.

Before surgery, we discuss the expected benefits, risks, restrictions, and rehabilitation plan.

Recovery & Physical Therapy

Our on-site physical therapy team works with our surgeons to guide recovery and restore motion, strength, and function.

Rehabilitation balances early movement with protection of healing tissue. Depending on the procedure, you may temporarily need a splint or hinged elbow brace, along with restrictions on lifting, pushing, or throwing.

For throwing athletes, rehabilitation also addresses shoulder strength, trunk control, and throwing mechanics. An interval throwing program begins when healing and functional progress support a safe return.

Elbow injuries occur in athletes participating in:

  • Baseball and softball

  • Tennis and other racquet sports

  • Golf

  • Gymnastics

  • Football and wrestling

  • Weightlifting

We also treat elbow conditions related to work, repetitive lifting, and everyday activities.

Common in These Sports

Frequently Asked Questions

Does tennis elbow require surgery? Usually not. Most patients improve with nonsurgical treatment. Surgery is generally considered when symptoms remain limiting despite a sustained rehabilitation program and other appropriate care.

Does every UCL tear require Tommy John surgery? No. Some injuries can be managed with rehabilitation and changes in activity. When surgery is appropriate, the choice between repair and reconstruction depends on the injury pattern, ligament quality, and the demands placed on the elbow.

How long does recovery from elbow surgery take? Recovery varies substantially by procedure. Some arthroscopic treatments allow earlier progression, while tendon repairs and ligament reconstruction require longer protection and rehabilitation. Your surgeon will explain the timeline for your specific operation.

When can I return to throwing? Return to throwing follows a staged program based on healing, motion, strength, and symptoms. Competitive return after UCL reconstruction often takes a year or longer, particularly for pitchers.

When should I have elbow pain evaluated? Schedule an evaluation if pain persists, limits activity, or is associated with locking, loss of motion, numbness, or weakness. A sudden pop with bruising or loss of strength warrants prompt assessment. A visible deformity or a cold or numb hand after an injury requires urgent care.

Meet Our Elbow Specialists

Dr. Michael E. Joyce | Dr. Alex G. Dukas | Dr. Christian A. Merrill

Schedule an Appointment

For elbow pain, throwing injuries, or a discussion of treatment options, call (860) 652-8883 to schedule an appointment at Orthopaedic Sports Specialists.

84 Glastonbury Blvd., Suite 101
Glastonbury, CT 06033

Serving Glastonbury, Greater Hartford, and surrounding Connecticut communities.