How to treate elbow pain?

occurs in patients with heavy physical exertion. The patient feels severe pain, notices muscle weakness  when bending the elbow, and swelling and bleeding on the skin. They are often athletes or heavy manual workers. Patients usually do not have any complaints before the injury. And yet, during the operation to reattach the ruptured tendon to its grip on the bone on the forearm, chronic damage to the tendon is visible, leading to complete rupture.

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Tennis and golfer's elbow - lateral and medial epicondylitis

is a chronic inflammation  at the attachement of common tendons of the flexor muscles of the wrist. Today, due to the use of modern rackets and perfected game technique, tennis players no longer suffer from this disease.

But that's why everyone who uses repetitive motions against resistance, such as using a screwdriver or paint brush, is at risk of getting this disease. The attachement of these tendons to the bone is poorly supplied with blood, so that micro-damages caused by activity are often not quickly repaired, so-called. inflammatory phase.

In case of delay in adequate treatment, the so-called degeneration, when the tendon is replaced by a scar in which the nerves are located. Stretching or contracting the muscles causes severe pain in the elbow. Initially, treatment can be curative, with long-acting anti-inflammatory and pain medications, often a combination of medications and injections. Orthopedic aids - orthoses and Physical therapy are used. While in the case of failure of this therapy, the pain can only be removed by an operation in which the diseased part of the tendon is removed, and the rest of the healthy tendon is fixed to the bone using a special anchor.

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Osteochondritis dissecans

is a sharply delimited area of bone below the articular cartilage that has remained without circulation.

The living cells that make up the bones disappear, and only the mineral structure of the bone remains. Without living cells, the bone becomes too soft to bear the load. Depending on the degree of the disease (estimated by magnetic resonance imaging analysis), treatment can be conservative, Physical therapy. Over a period of time, circulation and living cells in the bone are restored and healing occurs. In the case of a higher degree of the disease, the damaged bone begins to separate from the healthy one. In this case, it is possible to clean the bone bed of the scar with an arthroscopic operation, to introduce new circulation using the technique of drilling holes in the bone, and to attach the diseased bone and its cartilage to the healthy bone with special bioresorbable nails.  In the final stage, the articular cartilage is damaged, and the bone and cartilage like a plug can slip out of the socket and become a free joint body. Then it is necessary to remove the free articular body, and in the bone bed where it used to be, we performe drilling  so called microfractures. In this way, the bone marrow from the surrounding bone fills the bone bed, and over time turns into a scar that looks like healthy cartilage. Its composition is a combination of cartilage and scar tissue.

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Joint debridement

is a surgical technique used to clean bone and cartilage damage until it has completely damaged.

Removal of free articular bodies

Microfracture procedure

Partial endoprosthesis of the head of the radius