The significance here varies greatly depending on the action. A dream of using your elbows effectively in a crowd is a forecast of notable achievement, but to be elbowed yourself is a warning that you are in danger of being cheated or unjustly sued. A pain in the elbow is a signal of unexpected opposition. Clean or pretty elbows predict pleasant social occasions, but dirty ones indicate unhappiness through troublesome friends or relatives. A broken elbow is a warning against mismanagement in your business affairs.