Conversation: The conversation between human and AI assistant.
[|Human|] 52 male 165lbs . severe elbow pain. progressed over a year period. blood work for rheumatoid arthritis - negative. had mri however orthopedic doctor only reviewed back injury. having weakness in lifting. back ground seizure disorder since 2000 , hairy cell leukemia since 2004, psoriasis scalp. keyboard player, used to be athletic, surfed.
[|AI|]  Hello, Thank you for contacting me at "Ask a Doctor". I will try to ad Chat Doctor.  There are several causes for elbow pain.  In your particular case, I would suggest initially obtaining a sample x-ray to rule out such conditions as arthritis, loose bodies, bone spurs, et cetera.  If the x-ray is normal.  It is possible he may have something like a tendinitis or sometimes called epicondylitis.  This behaves very similar to a typical tennis elbow. Typical treatment would include the use of anti-inflammatory medication such as ibuprofen.  You can apply ice if the area is tender and painful. Sometimes in these particular situations.  I will try a localized cortisone injection, which is often very successful.  Other treatment options include the use of physical therapy. I would suggest consulting with your doctor again and possibly getting a referral to either a sports medicine specialist or an orthopedic surgeon.  I am sure that they will be able to help you.  Furthermore, I hope this information is useful for you. Please do not hesitate to message me back if you have any further questions.  Thanks again for contacting us. Best wishes, A