Elbow MRI Scan: Complete Guide

An elbow MRI scan provides detailed imaging of the elbow joint, including the bones, ligaments, tendons, cartilage, nerves, and surrounding soft tissues. The elbow is a complex hinge joint that is susceptible to both overuse injuries and acute trauma. MRI is the best method for evaluating soft tissue pathology that X-rays cannot detect. Lola Health offers private elbow MRI scans at over 150 UK centres.

What an Elbow MRI Scan Shows

• Lateral epicondylitis (tennis elbow) — degeneration and tearing of the common extensor tendon on the outside of the elbow.
• Medial epicondylitis (golfer's elbow) — similar pathology affecting the common flexor tendon on the inside of the elbow.
• Ligament injuries — tears of the ulnar collateral ligament (UCL), commonly seen in throwing athletes, and lateral ligament injuries.
• Biceps and triceps tendon tears — distal biceps tendon rupture or triceps tendon pathology.
• Loose bodies — fragments of bone or cartilage within the joint.
• Osteochondritis dissecans — a condition affecting the cartilage and underlying bone, particularly in younger patients.
• Ulnar nerve entrapment (cubital tunnel syndrome) — compression of the ulnar nerve at the elbow.
• Elbow arthritis — osteoarthritis or inflammatory arthritis.
• Fractures — occult fractures, stress fractures, and assessment of complex fracture patterns.
• Bursitis — olecranon bursitis (inflammation of the bursa at the back of the elbow).

When You Might Need an Elbow MRI

• Persistent elbow pain not responding to rest or physiotherapy
• Pain on the outside of the elbow (tennis elbow) that is not improving
• Pain on the inside of the elbow, particularly in throwing athletes
• Difficulty straightening or bending the elbow fully
• Catching, locking, or clicking in the elbow joint
• Tingling or numbness in the ring and little fingers (ulnar nerve symptoms)
• Elbow pain following a fall or direct impact
• Weakness when gripping or lifting
• Pre-surgical assessment for elbow arthroscopy or reconstruction

How to Prepare

• Metal check: Remove all jewellery, watches, and metal from the arm area. Declare any implants.
• Clothing: Wear a short-sleeved top or one with sleeves that can be rolled up easily.
• No fasting required.
• Arrive 15 minutes early.

What to Expect During the Scan

1. Positioning: Various positions may be used depending on the scanner. You may lie on your back with your arm at your side or extended, or face down with your arm extended overhead. A small elbow coil is used.
2. Duration: 25 to 40 minutes.
3. Keeping still: Avoid moving your arm during the scan.
4. Contrast: Rarely needed for routine elbow scans, but may be used for specific conditions.
5. After: Resume normal activities immediately.

How Much Does an Elbow MRI Cost?

Private elbow MRI scans in the UK typically cost between £300 and £700. Lola Health provides transparent pricing with expert radiologist reporting at over 150 UK centres.

Elbow MRI and Blood Testing

• Inflammatory markers (CRP, ESR): Elevated levels may suggest inflammatory arthritis, infection, or gout affecting the elbow.
• Rheumatoid factor and anti-CCP: Rheumatoid arthritis commonly affects the elbow joint.
• Uric acid: Gout can cause olecranon bursitis and elbow joint inflammation.
• Full blood count: Helps identify infection or systemic conditions.
• Vitamin D: Deficiency may contribute to musculoskeletal pain and poor healing.
• Thyroid function: Thyroid disorders can be associated with tendon problems.

Start with a Lola Health blood test to check your inflammation markers, uric acid, and rheumatoid factor. If results suggest further investigation, a elbow MRI can provide the structural detail your blood results can't show. Peak Insights 70 covers these markers across 70 biomarkers.

Explore our blood test range to complement your elbow MRI.

Considering a broader check? Read our full body MRI scan guide to see what a complete MRI screening covers, or explore the Peak 70 + Full Body MRI bundle for the most thorough health check available.

Frequently Asked Questions

Can an MRI diagnose tennis elbow?

Yes. MRI can show the extent of tendon degeneration, tearing, and associated inflammation in lateral epicondylitis.

Is the scan painful?

No. The scan is painless, though the arm position may be slightly uncomfortable depending on the scanner.

Do I need a referral?

No. Book directly through Lola Health.

Can MRI show ulnar nerve problems?

MRI can show structural compression of the ulnar nerve at the cubital tunnel. Nerve conduction studies may also be needed to assess nerve function.

How quickly do I get results?

Typically within a few working days from a consultant radiologist.

Is an MRI better than an ultrasound for the elbow?

Both have roles. MRI provides a more comprehensive view of all elbow structures, while ultrasound is useful for guided injections and dynamic assessment. MRI is generally preferred for surgical planning.

Can children have an elbow MRI?

Yes. MRI is safe for children and is particularly useful for assessing osteochondritis dissecans and growth plate injuries.