First off, is this a flare up of your medial epicondylitis, and if so, it should be on the medial aspect of your elbow--that is the side closest to your midline when you stand with your palms facing forward and your arms straight. The "outside" of your elbow is technically lateral from anatomical position (as described above).
Secondly, is this pain attributable to your fall from your grandson's skateboard?
I'm not getting a very clear picture of your injury, I think, because of a rather roundabout description to the questions you posted. You need to be very specific and detailed when it comes to what may be a possible overuse injury. What activities SPECIFICALLY cause sharp pains vs. dull ones. Do the sharp pains occur in all locations or specifically one more than the other? When did this particular episode of worsening begin and what circumstances surround it? Etc. Etc.
This may be more complicated than can be handled here too.
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