The elbow joint is the point where the humerus, the radius, and the ulna come together and meet. In the elbow joint, the ends of the bones have a smooth shiny surface called joint articular cartilage. This allows them to slide freely over each other without grinding or causing friction. This articular cartilage can become damaged by arthritis. When it does, the individual will begin to experience pain and discomfort in the joint.
The staff at Redefine Healthcare are very professional, courteous and welcoming. Andrea is always willing to assist you with whatever you may need and she does it with a smile! Dr. Freeman and his team are wonderful; very knowledgeable and very thorough and they work with you to ensure their patients get the treatment they need. I would highly recommend this practice.
Arthritis is the wearing, degeneration or loss of articular cartilage in a joint. The three most common types of joint arthritis are osteoarthritis, rheumatoid arthritis, and traumatic arthritis.
What is Osteoarthritis?
Osteoarthritis typically affects weight bearing joints like the hip and knee, however in some cases it does effect the elbow. Osteoarthritis is a gradual wearing away and degeneration of the joint surfaces. The articular cartilage begins to wear down causing the individual discomfort, stiffness, and pain. Osteoarthritis is most common in people who are middle aged and adults over the age of 50. Women are more likely to develop osteoarthritis than men.
Dr. Freeman, the best injury specialist and pain management doctor in New Jersey observe the common causes of elbow osteoarthritis that include:
Genetics and your family history
Ligament damage can affect the stability and integrity of the elbow joint, placing more stress on the joint or articular cartilage.
Repetitive strain injuries to the elbow can damage and accelerate wear on articular cartilage
Diseases of the joint cartilage
Damage from previous traumatic injuries
Excessive use of steroids or steroid medication may cause degeneration of the joint and cartilage.
Symptoms of Osteoarthritis
Pain in the elbow
Loss of motion and a feeling of stiffness
Noticeable swelling surrounding the joint.
Increased size or deformity of the joint
Cracking, crunching or other noises when moving the elbow
Weakness of the elbow
Treating Elbow Arthritis
Treatment of elbow arthritis will depend on the severity of the condition. Some important guidelines should be followed at the onset:
Rest: avoid the activities that produce any pain.
Ice or moist heat: apply ice to the joint or area of pain or inflammation. It is one of the fastest ways to reduce swelling, pain and inflammation. Individuals with Rheumatoid arthritis may not tolerate ice well. The application of moist heat (like a warm wash cloth) may be helpful with stiff joints. The application of ice or heat should be done at intervals for about twenty minutes at a time. Do not apply directly to the skin.
Compression: when using ice, apply light pressure. This is especially helpful if swelling is present.
Elevation: elevate the area to help reduce swelling.
Movement: keep your joints moving whenever possible. When pain occurs the tendency is not to move, but this will only result in further loss of motion and lead to increased pain and loss of function.
Medicine Intervenes and Managing Your Pain
Avoiding the activities that produce the pain or stress in the involved joint is the first line of treatment.
RICE: Rest, Ice, Compression, Elevation should be used to reduce the stress on the bursa.
NSAIDS (Non-steroidal anti-inflammatory drugs) to reduce pain and inflammation.
Immobilization, strapping or bracing may be beneficial to rest, to protect the joint and to promote healing.
Injection of steroids may be indicated to reduce inflammation of the involved joint.
Joint injections of hyaluronic acid preparations to facilitate joint cartilage repair and regeneration.
In severe recurrent conditions surgery may be indicated. In less severe cases arthroscopic surgery to clean the joint surfaces (debridement) may be indicated.
In mild cases rest, ice and medication may be all that is needed to reduce the pain. Once the pain is reduced physical therapy is recommended to develop a series of stretching and strengthening exercises to prevent loss of motion, weakness and loss of functionality in the joint.
Moderate to Severe Cases
If the problem persists, consult with your NJ pain specialists. Your physician should perform a thorough evaluation to determine the severity of the condition and the plan of care.
Outcomes and prognosis for individuals with osteoarthritis will depend on the severity of the joint degeneration, motion loss, weakness and age of the individual.
In our pain control clinic in NJ individuals with mild degeneration often respond well to conservative treatment including medication for pain and inflammation and a program of exercises for stretching and strengthening of the knee joint and surrounding muscles. Most patients show improvement in pain and function in 4-6 weeks.
Individuals with moderate degenerative changes usually experience greater loss of motion, pain, weakness and loss of function. In some cases, arthroscopic surgery may be required to clean the elbow joint. Recovery may take from 6-9 weeks following surgery with emphasis on reduction of swelling, restoration of range, strength and function.
Individuals with severe joint degeneration have significant pain, stiffness, and loss of motion and function. The cartilage on the joint surface has been eroded and X-rays often reveal a loss of joint space and “bone-on-bone” contact. Joint replacement is usually the treatment of choice. At this point quality of life becomes a concern. Following a joint replacement the artificial elbow will be different from the natural joint and there will be some limitations in motion and function. However, a patient’s quality of life is usually significantly improved following a total joint replacement. Recovery following joint replacement can take 3-4 months of intensive physical therapy and rehabilitation. Improvements and functional gains can continue to develop for up to a year following the procedure.
Almost two years ago, I hurt my lower back and was referred to Dr. Freeman. I’m not fixed but my back is doing better with radiofrequency ablations and mild medications. I’m thankful I found such a great Dr. Dr. Jay is also great and staff has always been kind and courteous to me. Would I recommend? Absolutely.
Page Updated on May 20, 2022 by Dr. Freeman (Pain Management Specialist) of Redefine Healthcare
Dr. Eric D. Freeman is a top-rated, best-in-class pain management doctor. He is a nationally recognized pain relief specialist and is among the top pain care doctors in New Jersey and the country. He is an award-winning expert and contributor to prominent media outlets.
Dr. Eric D. Freeman has been recognized for his thoughtful, thorough, modern approach to treating chronic pain. He has been named a “top pain management doctor in New Jersey” and one of “America’s Top Physicians” for advanced sports injury treatments.