Elbow Arthritis Treatment Keene NH

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Nicholas Henry Bartenhagen
(603) 354-6570
590 Court St
Keene, NH
Specialty
Rheumatology

Data Provided By:
Todd David Daugherty
(603) 354-5400
590 Court St
Keene, NH
Specialty
Rheumatology

Data Provided By:
David Jackson Patek, MD
(603) 924-7191
452 Old Street Rd
Peterborough, NH
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Columbia Univ Coll Of Physicians And Surgeons, New York Ny 10032
Graduation Year: 1962

Data Provided By:
James Matthew Trice, MD
(603) 228-1148
280 Pleasant St
Concord, NH
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1977

Data Provided By:
Dr.James Trice
(603) 228-1148
280 Pleasant Street #9
Concord, NH
Gender
M
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci
Year of Graduation: 1977
Speciality
Rheumatologist
General Information
Accepting New Patients: Yes
RateMD Rating
1.5, out of 5 based on 1, reviews.

Data Provided By:
John G Schlegelmilch
(603) 354-5450
590 Court St
Keene, NH
Specialty
Internal Medicine, Rheumatology

Data Provided By:
John Schlegelmilch, MD
(603) 354-5400
580 Court St
Keene, NH
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Suny-Hlth Sci Ctr At Brooklyn, Coll Of Med, Brooklyn Ny 11203
Graduation Year: 1975

Data Provided By:
Hoke H Shirley III, MD
(603) 224-3368
264 Pleasant St
Concord, NH
Business
Concord Orthopaedic Professional Associates
Specialties
Rheumatology

Data Provided By:
Andree C Phillips
(603) 224-3368
264 Pleasant St
Concord, NH
Specialty
Rheumatology

Data Provided By:
Andrea B Schneebaum
(603) 216-0400
6 Tsienneto Rd
Derry, NH
Specialty
Rheumatology

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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