Reading this title, you might have considered "local" as a geographical location such as Wichita, KS; however, I am referring to pain that is arising in tissues (muscles, fascia, tendons, ligaments) local to the elbow. There are many causes to elbow pain. Elbow pain can originate from simple issues such as: muscular tension surrounding the elbow, or more complex scenarios arising from the shoulder blade and neck. When the source of the pain is close to the elbow, it is considered local pain. Elbow pain arising from the shoulder or hand is considered regional pain, and when pain is a full body experience, it is considered a global pain mechanism. Whatever the cause may be, taking the time to identify if the pain source is local, regional, or global is the only way to decrease and eliminate the pain as fast as possible.