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Other Pain Articles
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The word "diffuse" means "widespread" and refers to pain that is more or less all over, or at least in many areas. The goal of this guide is to provide information while awaiting evaluation with your doctor, or for additional information after you have seen him or her. Please keep in mind that this guide is not intended to replace a face-to-face evaluation with your doctor. The diagnoses provided are among the most common that could explain your symptoms, but the list is not exhaustive and there are many other possibilities. In addition, more than one condition may be present at the same time. For example, a person with rheumatoid arthritis could also have tendonitis.
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Tennis elbow is the common term for lateral epicondylitis, an inflammatory condition of the tendon that connects the extensor muscles of the lower arm to a bony prominence on the outside of the elbow called the lateral epicondyle. The condition causes pain at the point where the tendon attaches to the epicondyle. The pain may radiate to the forearm and wrist, and in severe cases, grip strength may lessen. It can become difficult to perform simple actions like lifting a cup, turning a key, or shaking hands.
As many as half of all people who play racket sports have the condition, but most people who have tennis elbow didn't acquire it by playing tennis, squash, or racquetball. It can result from any activity that involves twisting or gripping motions in which the forearm muscles are repeatedly contracted against resistance, such as pruning bushes or pulling weeds, using a screwdriver, or playing a violin. Tennis elbow is an occupational hazard for professional gardeners, dentists, and carpenters.
There are many treatments for tennis elbow but not much high-quality evidence about their effectiveness.
Do you have a history of chicken pox?
Does your skin hurt, itch, or feel numb?
Is the pain sharp, dull, or piercing? How long have you had it?
Do you have a rash? If so, for how long?
Is the rash in more than one place on your skin?
Is the rash on one side of your body only?
Has the rash at any time looked like small blisters?
Do you still have pain even if the rash is gone?
What triggers the pain (for example, a light touch)?
Do your symptoms interfere with your ability to sleep or perform activities of daily living?
Do you have any risk factors for infection with human immunodeficiency virus (HIV)?
Are you taking any medications?
Careful skin exam
Skin scraping to examine under the microscope, or for viral culture, immunofluorescence, or polymerase chain reaction testing