Elbow Arthritis Treatment Hickory NC

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

Data Provided By:
Patrick Box, MD
(704) 541-3055
10430 Park Rd 5614 Larium Road
Charlotte, NC
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Univ Of Fl Coll Of Med, Gainesville Fl 32610
Graduation Year: 1973
Hospital
Hospital: Carolinas Med Ctr, Charlotte, Nc
Group Practice: Carolina Bone & Joint Pa

Data Provided By:
Dr.Kenneth ORourke
Blvd
Winston Salem, NC
Gender
M
Speciality
Rheumatologist
General Information
Hospital: Wake Forest University Baptist Medical Center
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Ahmad Kashif
(704) 342-0252
1918 Randolph Rd
Charlotte, NC
Specialty
Internal Medicine, Rheumatology

Data Provided By:
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:
George Bennet Brothers
(919) 942-5123
940 Martin Luther King Jr Blvd
Chapel Hill, NC
Specialty
Internal Medicine, Rheumatology

Data Provided By:
Shaili DeVeshwar
(336) 275-6318
201 E Wendover Ave
Greensboro, NC
Specialty
Rheumatology

Data Provided By:
Edward Louis Treadwell, MD
(252) 816-2533
Department Of Med-Rheum 600 Moye Boulevard
Greenville, NC
Specialties
Internal Medicine, Rheumatology
Gender
Male
Languages
French, German, Spanish
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1975
Hospital
Hospital: Pitt County Memorial Hospital, Greenville, Nc
Group Practice: Ecu Physicians Brody School Of Medicine

Data Provided By:
Trinh Thuy Thi Tran, MD
Chapel Hill, NC
Specialties
Internal Medicine, Rheumatology
Gender
Female
Education
Medical School: Univ London, United Med/Dent Schs Of Guy'S & St Thomas Hosps
Graduation Year: 1994

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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