First let me preamble a little bit..I am not a doctor but I am a Canadian Registered Massage Therapist (retired), former Clinical Director of a WCB/MVA Rehabilitation clinic, founder of the Canadian Sports Massage Therapy Association, Certified Athletic Trainer and a football coach with nearly 20 years experience.
ANY pain is your body's way of letting you know that you have done something it does not like.
Before any assessment can be complete you need to describe the quality of the pain; sharp, burning, dull, achey?
Exacerbating factors; what makes it hurt and what makes it stop?
With your hands at your sides and palms facing forward does the outside (farthest from your body) or inside (against your body) part of your elbow hurt? I would bet the inside...this is technically called medial epicondylitis or Golfer's elbow. This is an overuse strain problem that can, and often easily, be fixed by learning how to stretch and taking frequent stretch breaks for a minute or two.
Look for Bob Anderson's Stretching at almost any bookstore.
As to the fniger portion of your complaint that too is most likely overuse. Again stretching will help.
If you are sufferring from inflammation (pain, heat and swelling) then Over-the-Counter Non-Steroidal-Antiinflammatory-Drugs (OTC NSAID's) show to be very effective. Products like acetylsalicylic acid (ASA), ibuprofen and naprosen all have repotred success; follow the label directions.
You can also soak your hand and elbow in ice water for 10 minutes in- 10 minutes out, alternating for 30 minutes. Another thing you can do is to have two containers; one with ice water the other with the hotest water you can stand. Saok a towel in each one and wring out the excess water. Starting with the cold towel wrap it around your elbow for three minute while you put your hand in the water. Then do the same thing with the hot water for 1 minute. Alternate for 30 minutes; 3 minutes cold, 1 minute hot finishing with cold. This is an extremely powerful vascular pump which will reduce the pain and swelling.
Cortisone shots should only be a next to last resort. they should be administered with lidocane but be aware that this is a caustic combination to ligaments and tendons and may not work. All surgeries show a 18% effectiveness on average; is that good enough?
Chiropractic and osteopathy will be of benefit as well as supplementing with vitamin B6 according to some recent studies.
TENS and ultrasound do not have scientific validity to justify the cost in dollars and time.
In conclusion, try and modify your work to reduce the factors that create the pain, know what IS causing the pain and correct that as well. Use simple, cost effective treatments like stretching, OTC NSAID's, hydrotherapy and manipulations (if warranted). You can also try what horse trainers have known for years, Di-Methyl-Sulf-Oxone (DMSO). Technically only for sale as a cleaner it has been used with success by athletes for years.
Never settle for covering up the symptom without finding out what the cause is. The long term effects of that thinking leads to greater pain later in life. This means using elbow straps and their ilk.
PS: According to Dr. Mirkin (
www.drmirkin.com) many if not all arthritides (arthritic triggers/causes) can be reduced and/or cured through proper anti-biotic treatment, so check out the meta-analysis of available literature for proof.
Hope this helps? Cheers.