Common extensor tendon
Assessment for lateral epicondylitis (tennis elbow), tendinopathy, partial tearing, calcification and Doppler change.
Private MSK ultrasound • London & St Albans
High-resolution, radiation-free assessment of the elbow and adjacent forearm soft tissues for pain, injury, tennis elbow, golfer’s elbow, tendon problems, bursitis, selected nerve symptoms and superficial lumps.

Direct answer
An elbow ultrasound is a real-time musculoskeletal scan that evaluates accessible tendons, ligaments, bursae, nerves, joint fluid and superficial soft tissues around the elbow. Because the scan is dynamic, structures can also be examined during movement when clinically useful.
Elbow ultrasound is commonly used when symptoms suggest tennis elbow, golfer’s elbow, distal biceps or triceps tendon injury, olecranon bursitis, joint effusion, selected ligament injury, cubital tunnel problems or a superficial lump.
Ultrasound does not replace every investigation. X-ray may be more appropriate for suspected fracture or other bone pathology, while MRI can provide a broader assessment of deep intra-articular structures and bone marrow.
Scan scope
The examination is tailored to the side, site of pain and clinical question.
Assessment for lateral epicondylitis (tennis elbow), tendinopathy, partial tearing, calcification and Doppler change.
Assessment for medial epicondylitis (golfer’s elbow), tendinopathy, tearing and related inflammatory change.
Accessible tendon fibres can be reviewed for tendinopathy, partial tearing, rupture, retraction and insertional abnormality.
The olecranon and bicipitoradial bursae can be assessed, together with visible joint effusion or synovial change.
Selected collateral and annular ligament structures can be reviewed and dynamic stress assessment used when appropriate.
The ulnar nerve and selected other superficial nerves can be assessed, alongside cysts, masses, collections or focal swelling.
Common reasons to book
After significant trauma, marked deformity, inability to move the elbow, severe swelling or concern about fracture/dislocation, urgent clinical assessment and X-ray may be required rather than relying on ultrasound alone.
Before the appointment
No fasting or special dietary preparation is normally required.
Choose clothing that allows the elbow and adjacent upper forearm to be fully exposed.
Bring relevant X-ray, MRI or ultrasound reports and any orthopaedic, rheumatology or physiotherapy letters if available.
Be ready to point to the most painful or swollen area and explain which movements or activities reproduce symptoms.
Mention previous surgery, injections, major injuries, inflammatory arthritis or anticoagulant use where relevant to the assessment.
Your appointment
Your practitioner asks about pain location, injury mechanism, weakness, swelling, clicking, nerve symptoms and previous treatment or imaging.
Your arm is positioned comfortably to allow access to the front, back, inner and outer aspects of the elbow as required.
A high-frequency probe is used to assess clinically relevant tendons, ligaments, bursae, nerves, joint fluid and superficial soft tissues in more than one plane.
You may be asked to flex, extend, rotate or resist movement. Doppler may be used to assess vascularity in inflamed tissue or a focal lesion.
The main observations can usually be discussed after the scan, followed by a written report with relevant images and recommendations.
Understanding results
The report documents the structures examined, positive findings, relevant negative findings and any limitations of ultrasound.
Tendinopathy, partial or complete tendon tears, enthesopathic change, bursitis, joint effusion, synovitis, selected ligament abnormalities, ulnar nerve enlargement or instability, soft-tissue swelling, cysts and other superficial lesions may be described where present.
Depending on the findings, recommendations may include GP review, physiotherapy, orthopaedic or sports-medicine assessment, X-ray, MRI, nerve-conduction studies, blood tests or image-guided treatment.
Choosing imaging
Ultrasound is particularly useful for superficial tendons, bursae, selected ligaments and nerves, joint fluid, soft-tissue lumps and dynamic movement. It can also use Doppler to assess vascularity.
MRI may be preferred for deeper intra-articular structures, bone marrow, complex ligament injury or when ultrasound findings do not fully explain persistent symptoms.
X-ray is usually more appropriate for suspected fracture, dislocation, advanced arthritis, calcified loose bodies or other predominantly bony abnormalities.
The best test depends on the injury, symptoms and examination. Ultrasound is often a useful first-line test for a clearly localised soft-tissue elbow problem, but further imaging may be recommended.
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Why choose PrivateSono?
Elbow ultrasound is performed using high-resolution diagnostic ultrasound, with findings documented for your GP, physiotherapist, rheumatologist, sports clinician or orthopaedic specialist.
Check appointmentsSuperficial elbow tendons, bursae, nerves and soft tissues can be assessed in detail according to the clinical question.
Dynamic scanning can assess tendon and nerve movement and can reproduce movement-related symptoms where clinically appropriate.
Doppler can help assess vascularity associated with tendon inflammation, synovitis, bursitis or selected soft-tissue lesions.
Choose a unilateral examination or bilateral comparison according to your symptoms and booking needs.
Clinic locations
Choose the clinic and appointment that suits you when booking.
Central London
London W1G 8EN
Near Harley Street and Marylebone.
St Albans
St Albans AL1 3HZ
Convenient for Hertfordshire and North London.
Questions answered
Clear answers for patients and search engines. Your scan is interpreted in the context of your own symptoms and clinical history.
An elbow ultrasound can assess many superficial tendons, ligaments, bursae, nerves, joint fluid and forearm soft tissues. Depending on the clinical question, it may demonstrate tennis elbow, golfer’s elbow, distal biceps or triceps tendon injury, olecranon bursitis, joint effusion, selected ligament injury, ulnar nerve abnormality and superficial soft-tissue lumps.
Ultrasound is commonly used to assess the common extensor tendon when tennis elbow is suspected. It can show tendon thickening, altered tendon structure, partial tearing, calcification and increased Doppler vascularity. Findings are interpreted alongside your symptoms and examination.
Ultrasound can assess the common flexor tendon at the medial elbow for tendinopathy, partial tearing, calcification and associated inflammatory change. Other causes of medial elbow pain may require clinical assessment or additional imaging.
Yes. Ultrasound can assess the distal biceps tendon for tendinopathy, partial tearing or complete rupture and can sometimes demonstrate tendon retraction. MRI or orthopaedic assessment may still be required for complex injuries or surgical planning.
Ultrasound can assess the ulnar nerve around the cubital tunnel for enlargement, altered appearance and abnormal movement or subluxation during elbow flexion. Nerve-conduction studies may also be recommended because ultrasound and electrodiagnostic testing answer different questions.
Yes. Ultrasound can show fluid and synovial change within the olecranon bursa and can assess surrounding soft tissues. If there is marked redness, fever, systemic illness or concern about infection, urgent clinical assessment is important.
No. Adults can self-refer for a private elbow ultrasound at PrivateSono. Bring any relevant referral letter, previous X-ray, MRI or ultrasound report, operation notes or physiotherapy information if available.
No fasting or special preparation is normally required. Wear clothing that allows the elbow and adjacent forearm to be fully exposed, and bring previous imaging or specialist letters if relevant.
The tests answer different questions. Ultrasound is particularly useful for superficial tendons, bursae, selected ligaments and nerves, joint fluid and dynamic movement. X-ray is better for many fractures and bony abnormalities, while MRI provides a broader assessment of deep joint structures, bone marrow and areas that may not be fully accessible to ultrasound.
PrivateSono currently lists an elbow ultrasound at £199 for one limb and £299 for two limbs. Check the booking form for the current price and appointment availability before payment.
One or both elbows • London & St Albans • Self-referral accepted.