Hi Louise - sorry to hear that your elbows are bad. I've woken up today, and mine won't straighten properly - they don't exactly hurt, but ache when I try to straighten them - ho hum, blasted RA!
Anyway, re inflammation and damage - it doesn't necessarily mean that there's actual damage, and the const should be able to see from your scan. Maybe you could ask again for a more explicit answer. I agree with Naomi that the const should be more honest - knowledge helps us care for ourselves better than hiding facts so we don't worry.
Sylvia xx
Be kinder than is necessary because everyone you meet is fighting some kind of battle