Stiff Elbow Treatments Hockessin DE

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David T Sowa, MD
(302) 731-2888
4745 Ogletown Stanton Rd
Newark, DE
Business
First State Orthopaedics PA
Specialties
Orthopedics

Data Provided By:
Peter F Townsend
(302) 633-3555
1941 Limestone Rd
Wilmington, DE
Specialty
Orthopedic Surgery

Data Provided By:
Ray Rafetto, DDS
(302) 239-4600
4901 Limestone Rd
Wilmington, DE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Paul Kupcha
(302) 633-3555
1941 Limestone Rd
Wilmington, DE
Specialty
Orthopedic Surgery

Data Provided By:
Steven Michael Dellose, MD
(302) 633-3555
1941 Limestone Rd Ste 101
Wilmington, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1996
Hospital
Hospital: Riverside Health Care Center, Wilmington, De
Group Practice: Delaware Orthopeadic Ctr

Data Provided By:
John Richard Smoluk, MD
PO Box 550
Hockessin, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1968

Data Provided By:
David Axon
(302) 993-2453
4512 Kirkwood Hwy
Wilmington, DE
Specialty
Orthopedic Surgery, Adult Reconstructive Orthopaedic Surgery

Data Provided By:
Peter Fedele Townsend, MD
(302) 633-3248
1941 Limestone Rd Ste 101
Wilmington, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Pa Sch Of Med, Philadelphia Pa 19104
Graduation Year: 1984
Hospital
Hospital: Christiana Care -Wilmington, Wilmington, De
Group Practice: Delaware Orthopaedic Ctr

Data Provided By:
Brian James Galinat, MD
(302) 633-3557
1941 Limestone Rd Ste 101
Wilmington, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1983
Hospital
Hospital: Christiana Care -Wilmington, Wilmington, De
Group Practice: Delaware Orthopaedic Ctr

Data Provided By:
David Lyman Axon, MD
(302) 636-0123
4512 Kirkwood Hwy Ste 300B
Wilmington, DE
Specialties
Orthopedics, Internal Medicine
Gender
Male
Education
Medical School: Univ Of Rochester Sch Of Med & Dentistry, Rochester Ny 14642
Graduation Year: 1979
Hospital
Hospital: Riverside Health Care Center, Wilmington, De; Christiana Care -Wilmington, Wilmington, De
Group Practice: Delaware Orthopaedic Ctr

Data Provided By:
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Treatment Options for Stiff Elbow

When someone develops a stiff elbow that's stiff enough to interfere with range-of-motion and functioning, treatment is usually needed. Some people may not bother seeing a doctor because elbows often don't have to have full range of motion to be used effectively. Most activities require the elbow to bend between 30 degrees and 130 degrees - neither full bend or full extension usually. However, depending on the activities you do, you may need the full extension or flexion (bending).

The elbow has three distinct sections called the single synovial capsule, the ulnotrochlear joint, and the proximal radioulnar joint. These are what allow the elbow to make the movements it can.

When an elbow is stiff, it could be caused by any one of a number of reasons that are intrinsic or extrinsic (from inside or outside forces). Extrinsic factors can include contractures (tightening of the tissues that normally allow your to open and close your elbow angle, by issues with the bones, such as bones not healing after a fracture, (nonunion), or even the skin that can scar badly after a burn, for example, causing the elbow to contract. Intrinsic causes include illnesses like arthritis or something internal that changes the structure of the joint.

A stiff elbow isn't necessarily painful, but if there is pain, when it occurs is an important clue to determining why it's stiff. For example, if the pain is only present when the elbow is actually bending, this may tell the doctor that the problem is an intrinsic one. The doctor will need to know information such as the patient's general health, if there was any trauma at all, even the slightest one can be significant if the patient has an illness such as diabetes.

X-rays will help see if there is any damage to the joint and stress x-rays may help the doctor see if the elbow is stable and a CT scan (computed tomography imaging) may also be helpful. Occasionally, an MRI (magnetic resonance imaging scan) will be done to check for soft tissue damage that can't be seen on an x-ray. Another issue doctors must check in to is infection. This is a possibility of the elbow is quite painful, even at rest.

Treatment of a stiff elbow depends on what the cause is. If a patient has osteoarthritis of the elbow, the so-called wear-and-tear arthritis, the doctor knows that the joint is still intact and can work with that. On the other hand, if the cause is due to pieces of bone breaking off and lodging in the joint, surgery will be needed to remove those pieces. Surgery may also be needed to release contractures or to remove tissue that may be pressing on the ulnar nerve, the nerve that passes down through the elbow.

If it's decided that a nonsurgical approach will be taken, one study, done by Doornberg and colleagues, found that progressive splinting of the elbow helped increase the elbow's ability to bend, but the trick seemed to be that the splinting had to be done as soon as possible after the splin...

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