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ELBOW ARTHRITIS


WHAT YOU SHOULD KNOW

The purpose of the elbow is to position the hand in space. With arthritis, the joint becomes stiff and painful. Treatments for elbow arthritis are directed at these two main symptoms. There are three main types of arthritis that affect the elbow. Osteoarthritis is simply the basic arthritis that comes with aging as the cartilage of the joint wears away over time. Post-traumatic arthritis occurs in younger patients following fractures and ligament injuries to the elbow. Rheumatoid arthritis frequently affects the elbow joint as part of a body-wide special disease process.

MEDICAL HISTORY

The first step in evaluating elbow arthritis is to determine which of the three basic types of arthritis has occurred. Next is to determine how the elbow arthritis relates to any other abnormalities in that arm, the other arm, or elsewhere in the body. The lifestyle of the patient is important, since different activities place different demands on the elbow joint. Any history of prior infection in the elbow is critical.

EXAMINATION

The elbow is examined for range of motion, stability, and deformity. The quality of the surfaces during motion and at the limits of motion can be felt. The remainder of the arm and hand, as well as the opposite side, is examined to establish context.

ADDITIONAL TESTS

The main test needed to evaluate elbow arthritis is a basic x-ray. Very rarely do expensive imaging studies such as CT scan or MRI add anything to the evaluation process. If there has been a history of infection in the past, a special scan may be performed to assess for current infection activity.

TREATMENT OPTIONS

  NON-OPERATIVE SURGICAL JOINT FUSION SURGICAL JOINT REPLACEMENT
CONSISTS OF Cortisone injection; Oral anti-inflammatory medication; Activity modification Surgical removal of bone spurs and inflamed tissue lining the joint Surgical replacement of the joint with man-made prosthesis
FEATURES Maximum of 3 injections into same joint Open incision surgery on one or both sides of the joint, no implants used Prosthetic components made of metal with polyethylene bearings on surface
ADVANTAGES Non-surgical Patient keeps his / her original joint; can improve motion Provides new smooth surfaces for motion
DISADVANTAGES Only effective for milder cases; Side effects limit oral medication use Does not create new cartilage on joint surfaces that will continue to deteriorate further Prosthesis can loosen or wear out over time especially with aggressive use


RECOVERY

After capsulectomy, the patient must immediately pursue very aggressive motion in therapy to avoid post-surgical stiffnes


  • the whole group was very good, I had an excellent experience. - 11/09/17
  • best place for treatment of hand and wrist problems. Dr. Henry was recommended to me by a friend who is a medical care professional. - 10/06/17
  • Outstanding service and results - 10/30/17
  • outstanding knowledge and gets you into the hospital if needed the same. - 02/09/18
  • Dr. Mark Henry is a true healer; the finest most competent doctor I've ever encountered. I am forever grateful to Dr. Henry and the entire staff for saving my finger and facilitating my complete recovery with grace and seriousness of intent. Thank you. - 01/10/18
  • great doctor - 05/23/18
  • Dr. Henry was very informative about the treatment and staff was pleasant. - 01/11/18
  • Great Doctor and staff. Luis is a wonderful asset to the staff - 12/18/17
  • an experience beyond expectation - 10/06/17
  • love the circus de sole dvd. everything was amazing. rehab was the best too. - 02/23/18
  • no complaints hand is coming along very well - 11/06/17
  • every thing was really great - 10/19/17
  • I couldn't be more pleased with the level of service I received while in Dr. Henry's care. The level of detail in which my injury was explained and resolved, and the level of competency that was displayed throughout the healing was truly outstanding. - 01/30/18
  • Very happy I came here for the surgery, etc. - 06/09/17
  • Great job your staff is the best,thank you &GOD Bless all of you! - 06/15/18
  • very good team work, best clinic - 06/21/17
  • Dr. Henry was able to salvage my hand to make it usable again. I have already sent my Father here and he no longer has any pain in his wrist. - 11/13/17
  • very helpful. staff was very helpful and outstanding. Dr. Henry explained everything to me - 06/19/18
  • Dr. Henry is a tremendous doctor! - 05/22/18
  • The staffs here was GREAT!!!! - 06/21/17
  • With the severity of my injury I am amazed at how functional my wrist is with the amazing team work shown at the office. From the very start the service and care have been outstanding!! I can't thank everyone enough! - 02/23/18
  • all excellent care - 07/12/17
  • Thank you for repairing my injury and being kind in the process. - 01/10/18
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
  • Very nice staff and surgeon. Thumb looks good now after surgery, hopefully thumb continues to heal and stays healed. Thank you - 01/30/18
  • Dr. Henry and his staff are phenomenal. Dr. Henry has a gift for not only treating health issues extremely effectively, but he is extremely thorough and very efficient at communication and explaining everything he is doing and all of clearly outlining your options for future procedures. - 05/11/18
  • Dr. Henry and his staff are amazing! I was able to get an urgent new patient appointment immediately with surgery that same afternoon. Dr. Henry does an excellent and thorough job explaining my injury and the healing process. Very impressed with his plan of early mobility and physical therapy, which helped restore my function back to normal within 8 weeks of surgery. I would 100% recommend Dr. Henry and his staff! Very pleased and grateful for his help. - 03/23/18
  • you were very good, thank you very much - 05/17/18
  • I appreciate the expertise and experience of Dr. Henry!!! I know I had the BEST hand surgeon!!! - 05/02/18
  • I was very impressed with how I was treated by the doctor as well as the Medical assistant. All my questioned were answered and I was treated with care and respect. Luis was Awesome! Doctor Henry was very informative. I will recommend him to friends and family - 06/09/17
  • excellent! dr & staff! - 06/14/17
  • The staff and the Dr. are very helpful and understanding .I have not yet seen a better staff like this office . I will recommend any one here . - 11/06/17
  • I am really happy with my experience. I always knew what was going on and over time got to know the staff based on how many times I've been here. Most importantly, I feel I got the right treatment for my injury. - 10/19/17
  • every body was excelent - 01/09/18
  • thank you - 10/16/17
  • :) - 06/01/17
  • Very efficient practice - 10/19/17
  • MD was very thorough and spent a good amount of time with the patient (me). MD had good bedside manners which you do not see from a lot of doctors nowadays. He also made sure everything was understood and that I was given a chance to ask questions or address any concerns I had. Everyone was courteous and professional. Thank you for making mu visit a pleasant one. - 05/02/18
  • The doctor and staff are the best I have ever had. Very professionalism at its best. - 11/15/17
  • The staff is nice and everyone is up on the treatment. I feel confident that I am getting the best care and am glad I came here. - 10/30/17
  • Thank you for sewing me back together and guiding me through my recovery!!! - 05/15/18
  • dr henry does an excellent job of explaining the problem and solution, seems extremely competent - 02/07/18










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