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Anecdotal reports in online forums set up to assist the afflicted describe the odour as ranging from ‘old sponge’ and ‘wet dog’ to ‘mildew’ — but almost all sufferers report an unpleasant, sour smell that might diminish with regular washing but never goes away entirely.‘There’s a sebaceous gland attached to each hair follicle and that produces oil,’ explains Glenn Lyons, clinical director at the Philip Kingsley Trichological Clinic.

‘The more oily your hair, the more prone it is to picking up environmental pollutants, such as smoke, cooking odours and other strong scents, that will make it smell.‘The scalp is densely populated not only with these oil glands, but also with sweat glands.

The radius and ulna also meet in the elbow to allow for rotation of the forearm.

The bone of the upper arm (humerus) meets the inner bone of the forearm (ulna) and the outer bone of the forearm (radius) to form a hinge joint.

And it’s close contact with animals, such as cats, dogs and horses, which can be the initial cause of the infection, as fine spores from the fungus are transferred from the animal to the human.’Warm, damp conditions are the perfect environment for the fungi to breed in, which is why frequent hair-washing alone won’t solve the problem — and may even seem to make it worse — and why you might be able to smell that sour smell the minute you step out of the shower.

An anti-fungal pill will be prescribed and that should be used alongside an anti-fungal shampoo.

The elbow can be affected by inflammation of the tendons or the bursae (plural for bursa) or conditions that affect the bones and joints, such as fractures, arthritis, or nerve irritation.

Joint pain in the elbow can result from injury or disease involving any of these structures.

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