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Elbow

Elbow osteoarthritis

Elbow osteoarthritis is cartilage wear inside the elbow joint. It can follow prior fracture, heavy loading, or gradual degenerative change and often limits extension and comfortable rotation.

What it feels like

Deep joint ache, stiffness, and loss of full extension are common.

Grinding or catching can appear with flexion and extension under load.

Night pain and swelling may show up during flares, especially after repetitive upper-limb work.

What is going on

Prior trauma is a frequent contributor because the elbow is less commonly affected by primary OA than the hip or knee.

Bone spurs and capsular tightening reduce the motion arc over time.

Tendon pain on the medial or lateral side can coexist and confuse the picture.

How we evaluate

Range measurement, crepitus, and radiographs usually establish the diagnosis.

We examine for ulnar neuropathy and tendon insertions so mixed pain sources are identified.

Advanced imaging is used when loose bodies, surgical planning, or an unclear differential requires it.

What we may offer

Activity redesign, maintaining a useful motion arc, and strengthening around the joint come first.

Image-guided joint injections may help selected inflammatory flares. PRP can be discussed case by case.

Refractory mechanical limitation or painful locking may lead to surgical consultation.

Is elbow arthritis common?

It is less common than hip or knee OA as a primary problem, and prior injury is a frequent backstory.

Can injections help?

They may calm flares for some people. They do not reverse established bone change.

Should I keep using my arm?

Yes, within a comfortable capacity. Complete rest often stiffens the joint further.

When is surgery discussed?

When pain and motion limits remain unacceptable after a solid nonoperative plan.

Dr. Adam Nessim, interventional spine physician, Westport Longevity, Pain & Performance.

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