Elbow Arthritis Treatment Hickory NC

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Sally Agner Nicks, MD
(828) 322-1996
734 4th St SW
Hickory, NC
Specialties
Internal Medicine, Rheumatology
Gender
Female
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduation Year: 1983

Data Provided By:
Piedmont Rheumatology
(828) 322-1996
230 18th Street Cir SE
Hickory, NC

Data Provided By:
Maria Jeanette Watson, MD
(910) 323-9076
2316 Pridgenfarm Rd
Fayetteville, NC
Specialties
Internal Medicine, Rheumatology
Gender
Female
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1990

Data Provided By:
Kim Marie Huffman, MD
Durham, NC
Specialties
Internal Medicine, Rheumatology
Gender
Female
Education
Medical School: Med Univ Of Sc Coll Of Med, Charleston Sc 29425
Graduation Year: 2000

Data Provided By:
Stacy Ann Ardoin, MD
(614) 293-4910
Durham, NC
Specialties
Internal Medicine, Rheumatology
Gender
Female
Education
Medical School: Oh State Univ Coll Of Med, Columbus Oh 43210
Graduation Year: 1997

Data Provided By:
Dr.Dennis Payne
(828) 322-1996
225 18th Street Southeast
Hickory, NC
Gender
M
Speciality
Rheumatologist
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Kathleen Taylor Queen, MD
(704) 452-0331
Mtn Med Assoc Ste 9 600 Hospital Dr
Clyde, NC
Specialties
Internal Medicine, Rheumatology
Gender
Female
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduation Year: 1981

Data Provided By:
Daniel Lee Kirby
(704) 825-5228
1212 Spruce St
Belmont, NC
Specialty
Rheumatology

Data Provided By:
George Wallace Kernodle Jr, MD
(919) 227-3621
316 N Graham Hopedale Rd
Burlington, NC
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduation Year: 1981
Hospital
Hospital: Alamance Reg Med Ctr, Burlington, Nc
Group Practice: Kernodle Clinic Easttown

Data Provided By:
William Bryant Gruhn, MD
(803) 289-2663
10430 Park Rd Ste 100
Charlotte, NC
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Dartmouth Med, Hanover Nh 03755
Graduation Year: 1974
Hospital
Hospital: Carolinas Med Ctr, Charlotte, Nc
Group Practice: Carolina Bone & Joint

Data Provided By:
Data Provided By:

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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