<s>[INST] I have been having some pains in my elbow and on occasion in my little fingers that seem worse when I put pressure on the elbow. During the day the pain is not as bad but in the night I wake in excruciating pain and muscle type cramps in the forearm. I have been icing up . this all started about a month ago and seems to have gotten worse with time. [/INST] Hi, Consult an orthopedician and get evaluated. We have to rule out nerve injuries and neuropathic causes. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s>