Elbow Arthritis Treatment Maryland Heights MO

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Gideon Nesher, MD
Saint Louis, MO
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: The Hebrew Univ, Hadassah Med Sch, Jerusalem, Israel
Graduation Year: 1980

Data Provided By:
Terry Drew Weiss, MD
(314) 567-5100
522 N New Ballas Rd
Saint Louis, MO
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1972

Data Provided By:
Paul Flack Hintze, MD
(314) 569-6096
615 S New Ballas Rd
Creve Coeur, MO
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduation Year: 1978
Hospital
Hospital: St Johns Mercy Med Ctr, Saint Louis, Mo; St Lukes Hospital, Chesterfield, Mo

Data Provided By:
Steven William Baak, MD
(314) 921-4420
Saint Louis, MO
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1989

Data Provided By:
Stephen Craig Ross, MD
(314) 567-5100
522 N New Ballas Rd
Saint Louis, MO
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1977

Data Provided By:
Akgun Ince
(314) 567-5100
522 N New Ballas Rd
Saint Louis, MO
Specialty
Rheumatology

Data Provided By:
Ronald Joseph Auclair, MD
(314) 569-3305
456 N New Ballas Rd Ste 126
Saint Louis, MO
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1969

Data Provided By:
Andrew Robert Baldassare
(314) 567-5100
522 N New Ballas Rd
Saint Louis, MO
Specialty
Rheumatology

Data Provided By:
Stephen Craig Ross
(314) 567-5100
522 N New Ballas Rd
Saint Louis, MO
Specialty
Rheumatology

Data Provided By:
Dr.Andrew Baldassare
(314) 567-5100
522 N New Ballas Rd # 240
Saint Louis, MO
Gender
M
Education
Medical School: St Louis Univ Sch Of Med
Year of Graduation: 1971
Speciality
Rheumatologist
General Information
Accepting New Patients: Yes
RateMD Rating
2.8, out of 5 based on 8, reviews.

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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