Suspected Ligament Injury of the Elbow: When an MRI Scan Is Necessary

Frequently Asked Questions (FAQ)

What are the main ligaments of the elbow?

The elbow is stabilised by several important ligaments, including:

  • Ulnar Collateral Ligament (UCL) – stabilises the inner (medial) elbow
  • Radial Collateral Ligament (RCL) – stabilises the outer (lateral) elbow
  • Annular ligament – stabilises the radial head during rotation

Damage to these ligaments can affect elbow stability and function.


What symptoms suggest a possible elbow ligament injury?

Common symptoms include:

  • Pain on the inner or outer side of the elbow
  • A feeling of instability or “giving way”
  • Pain during throwing, lifting, or pushing movements
  • Weakness or reduced confidence using the arm
  • Swelling or tenderness around the elbow

Ligament injuries may occur acutely or develop gradually with overuse.


How do elbow ligament injuries occur?

Elbow ligament injuries may result from:

  • Falls or trauma to the arm
  • Repetitive throwing or overhead activities
  • Sudden valgus or rotational stress
  • Heavy lifting or forceful pushing

Some patients may not recall a single clear injury event.


Why are elbow ligament injuries often missed initially?

Ligament injuries may be overlooked because:

  • X-rays do not show ligaments
  • Pain may be attributed to muscle or tendon strain
  • Physical examination findings can be subtle

Without advanced imaging, partial ligament tears or degeneration may remain undetected.


Why is MRI important when an elbow ligament injury is suspected?

Core Medical Principles

  • MRI is one of the most accurate imaging modalities currently available.
  • Without accurate imaging, no doctor—regardless of experience—can reliably make a precise diagnosis.
  • Without accurate diagnosis, treatment plans become generic, presumptive, and often fail.
  • Many failed treatments are due to trial-and-error care without imaging.
  • Based on modern medical technology and current standard of care, MRI should be considered when an elbow ligament injury is suspected.
  • MRI is safe and does NOT involve ionising radiation.

MRI allows assessment of:

  • Partial or complete ligament tears
  • Ligament degeneration
  • Associated tendon or cartilage injury
  • Joint effusion or bone marrow changes

Why are examination and X-rays often insufficient?

Clinical examination can suggest instability but cannot:

  • Confirm the extent of ligament damage
  • Identify partial tears
  • Assess associated internal injury

X-rays assess bone alignment but not soft tissue stabilisers.


What happens if an elbow ligament injury is not accurately diagnosed?

Without accurate diagnosis:

  • Pain may persist or worsen
  • Elbow instability may progress
  • Repetitive strain can lead to secondary injury
  • Recovery may be prolonged

MRI helps guide appropriate, targeted management.


Is MRI expensive or difficult to arrange?

Addressing Patient Objections

  • Cost concerns: MRI costs may be partially offset by Medisave or insurance.
  • Delays elsewhere: Many imaging centres involve referral steps and long waiting times.

These delays often postpone definitive diagnosis.


Why arrange your elbow MRI at The Pain Relief Clinic?

Clinic Positioning

The Pain Relief Clinic is:

  • Centrally located at 350 Orchard Road, Shaw House
  • A 5-minute walk from Orchard MRT
  • Equipped with convenient parking
  • Located immediately outside ERP

Key advantages:

  • MRI machine on-site
  • Doctor can assess and arrange MRI immediately
  • No need to:
    • Visit a separate imaging centre
    • Find another doctor just for an MRI referral
  • The doctor has been helping patients with spine and joint-related problems since 2007 (18 years)
  • Focus on non-invasive, technology-powered treatments

MRI aims:

  • Under $1000
  • Within 1 working day

Can insurance or Medisave help cover elbow MRI costs?

Insurance & Cost Information

MRI may be covered by:

  • Personal accident insurance
  • Travel insurance
  • Company insurance
  • Company flexi-benefits
  • Hospitalisation plans (policy-dependent)

Medisave limits:

  • Current: $300
  • From 1 January 2026: $600

Medisave can potentially cover more than half of the MRI cost, depending on eligibility.


When should I consider an MRI for suspected elbow ligament injury?

MRI should be considered if:

  • Elbow pain or instability persists
  • Pain occurs during throwing or lifting
  • Symptoms do not improve with conservative treatment

MRI helps move care from assumption-based treatment to precise, evidence-based diagnosis.


For more information or to arrange an MRI scan, contact The Pain Relief Clinic via WhatsApp at +65 9068 9605.