It sounds frustrating to have persistent elbow pain despite taking Dynapar (Diclofenac and Paracetamol) for several days. Pain after gym activity often results from muscle strain or tendon irritation, which may not fully respond to short-term painkillers alone.

1. Possible Causes of Elbow Pain After Gym Activity

   • Muscle strain or overuse injury from repetitive or intense exercise.
   • Tendonitis, such as lateral epicondylitis (tennis elbow), common with weightlifting or gripping activities.
   • Minor ligament or joint irritation from improper technique or sudden increase in workout intensity.

2. Why Dynapar (Diclofenac + Paracetamol) Might Not Have Helped

   • These medications reduce pain and inflammation but may not be sufficient if the injury is more severe or if the underlying cause requires targeted treatment.
   • Five days may be too short to see full benefit, especially if the activity causing pain continues.

3. Recommended Next Steps

   • Rest the elbow and avoid activities that worsen the pain.
   • Apply ice packs for 15–20 minutes several times a day to reduce inflammation.
   • Consider gentle stretching or immobilization if advised by a doctor.

4. Diagnostic Evaluation

   • A physical examination by an orthopedic doctor can help identify the exact cause.
   • Imaging tests like X-rays or ultrasound may be needed to rule out fractures or tendon tears.

5. Treatment Options

   • Depending on diagnosis, physical therapy, specific anti-inflammatory medications, or braces may be recommended.
   • In some cases, corticosteroid injections or other interventions might be necessary.

6. When to See a Specialist

   • If pain persists beyond a few more weeks, worsens, or is accompanied by swelling, numbness, or weakness, consult an orthopedic specialist promptly.

7. Preventive Measures for Future

   • Warm up properly before workouts and increase intensity gradually.
   • Use correct form and avoid overloading the elbow joint.
   • Incorporate strengthening and flexibility exercises for the arm.

Please consult an orthopedic doctor for a thorough evaluation and personalized treatment plan. If you experience severe pain, swelling, or loss of function, seek medical attention promptly.To narrow down potential causes, we will need some more information.Please share your age and gender with me.