Elbow Arthritis Treatment Commerce City CO

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Susan A Boackle, MD
(303) 315-5104
2275 Hudson St
Denver, CO
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35
Graduation Year: 1989

Data Provided By:
George Ho
(303) 764-4480
2045 Franklin St
Denver, CO
Specialty
Rheumatology

Data Provided By:
George F Breth
(303) 360-8080
2045 Franklin St
Denver, CO
Specialty
Rheumatology

Data Provided By:
Robert C Hays
(303) 764-4480
2045 Franklin St
Denver, CO
Specialty
Internal Medicine, Rheumatology

Data Provided By:
Vance Jay Bray, MD
(303) 394-2828
200 Spruce St Ste 100
Denver, CO
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Emory Univ Sch Of Med, Atlanta Ga 30322
Graduation Year: 1986

Data Provided By:
Pendleton B Wickersham, MD
(303) 315-6655
2542 Glencoe St
Denver, CO
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 2000

Data Provided By:
Philip H Huang
(303) 764-4480
2045 Franklin Street 4th Floor
Denver, CO
Specialty
Rheumatology

Data Provided By:
Robert B Gibbons
(303) 318-2250
2005 Franklin St
Denver, CO
Specialty
Internal Medicine, Rheumatology

Data Provided By:
Philip Hander Huang, MD
2045 Franklin St
Denver, CO
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Vanderbilt Univ Sch Of Med, Nashville Tn 37232
Graduation Year: 1996

Data Provided By:
Michael Howard Schiff, MD
(303) 394-2828
200 Spruce St Ste 100
Denver, CO
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Suny-Hlth Sci Ctr At Brooklyn, Coll Of Med, Brooklyn Ny 11203
Graduation Year: 1971
Hospital
Hospital: Rose Med Ctr, Denver, Co
Group Practice: Denver Arthritis Clinic

Data Provided By:
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Update on Treatment of Elbow Arthritis

How do you know if that elbow stiffness, pain, and loss of motion you are having is arthritis? What causes elbow arthritis? What can be done about it? In this article, experts in the area of hand and upper extremity surgery review studies from the past five years and attempt to answer these questions.

The diagnosis of elbow symptoms begins with a patient history followed by a physical exam. The symptoms could be from rheumatoid arthritis, osteoarthritis, infection, or some other problem. By identifying the location of pain and the aggravating/relieving factors, doctors can help narrow down the underlying cause.

For example, rheumatoid arthritis usually causes pain throughout the entire range-of-motion. The pain is more likely to be located along the outside edge of the joint. Osteoarthritis is more common among males involved in heavy lifting (e.g., manual laborers, weight lifters, throwing athletes). Osteoarthritic pain is more likely to be present at the beginning and ending of motion, rather than throughout the entire arc of motion.

Examination by the physician takes into account any skin changes, joint motion (quantity and quality), and blood work. Lab studies examining the blood can identify the presence of infection as a possible source of pain and stiffness.

Sometimes the clinical exam is said to be unremarkable. That means there weren't enough findings to point to anything specific. Then X-rays or other more advanced imaging studies can be ordered. X-ray findings do help identify the difference between rheumatoid and osteoarthritis. The X-rays may show the presence of bone spurs, narrowing of the joint margins, and the presence of any fractures, subluxations, or dislocations.

Once the diagnosis has been made, the doctor turns his or her attention to developing a plan of care that will prevent further complications or problems. If it looks like surgery might be necessary, CT scan and/or MRIs may be ordered.

Treatment is divided into two types: conservative (nonoperative) and surgery. Nonsurgical treatment usually begins with medications to control symptoms and prevent damage to the joint. For some patients, the use of antiinflammatory drugs and disease modifying anti-rheumatic drugs (DMARDs) can completely eliminate all signs and symptoms of rheumatoid arthritis.

No matter what the cause of the problem is, activity modification, rest, and physical therapy are often recommended. Sometimes splinting is advised to help protect, support, and mobilize (move) the joint. If after three to six months of conservative care, there is no improvement (or the symptoms are worse), then surgery may be an option.

There are various types of surgical procedures to consider. Which one is selected depends on the patient's age, diagnosis, job demands, or sports participation. The selection of surgical procedures also takes into account the areas of the joint affected most (e.g., joint surface, capsule, synovium). The surgeon does e...

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