At Home with Dr Christian Jessen - 353
| PROMOTION|
Out of arm's way
If you are suffering with arthritis of the elbow, don't fret - a lot can be done to improve this condition
A
rthritis of the hip or knee
is extremely common, and
many individuals know
friends or relatives who have
had treatment for these conditions.
The elbow can also develop arthritis,
and this can be just as painful and
debilitating. Fortunately, there is a
number of very good treatments that
can get rid of these symptoms.
Consultant orthopaedic surgeon, Mr Sunil
Auplish MBBS, BSc(Hons), MSc (Oxon),
MRCS, FRCS(Tr&Orth), EurDipHandSurg is an
expert in surgery of the shoulder, elbow, hand
and wrist. Here, he explains how arthritis affects
the elbow, and what can be done to treat this
condition and improve pain and movement.
What is arthritis?
At the elbow joint, the humerus (the bone
from the shoulder to the elbow) meets the two
bones that run from the elbow to the wrist,
the radius and ulna. Where bone meets bone,
their surfaces are covered by a layer of
cartilage. Cartilage is a smooth gliding surface
that allows the bones to move on each other
easily and painlessly. However, when arthritis
sets in, the cartilage gradually wears away
until bone rubs directly on bone, producing
a joint that is inflamed, painful and stiff.
The joint produces extra pieces of bone
called osteophytes, worsening the problem.
Arthritis can bring on only a mild pain, but
MEET THE
EXPERT
Mr Sunil Auplish
is a consultant
orthopaedic
surgeon at Queen's
Hospital, Essex
Mr. Auplish is an expert in surgery
of the shoulder, elbow and hand and
wrist. He obtained his medical degree
from Guy's and St.Thomas' Hospitals,
London and trained to become an
orthopaedic surgeon on the Oxford
training programme, followed by a
Fellowship at Wrightington Hospital,
in Lancashire, the famous Centre of
Excellence for Upper Limb Surgery.
In 2013, Mr Auplish was nominated
for a Pride Award at Queen's Hospital,
Essex for outstanding patient care.
21100-104825 SunilAuplish fp.indd 45
'To find out which treatment best suits your
condition, you should speak with a consultant'
at its worst the pain is severe and the lack of
movement makes it very difficult to do simple
activities such as feed yourself or get dressed.
What can be done?
Many patients can be treated without surgery;
taking painkillers when needed may be all that's
needed. A simple steroid injection in the clinic
often settles pain down, sometimes for long
periods of time. If this is not enough, then a
'clean out' operation (a 'debridement and
arthrolysis') can be performed, where any extra
pieces of bone can be removed to improve pain
and movement. This can sometimes be done
via keyhole surgery if the elbow is suitable.
For some patients, improvement can only
come from a Total Elbow Replacement. In
this operation, the diseased elbow joint is
removed, and a new elbow is inserted in
its place. This operation is very effective at
both removing pain and restoring movement
to the elbow. The vast majority of patients
are delighted with the results of surgery.
However around one out of every hundred
patients will suffer a complication such as an
infection that may require further treatment.
For this reason, it is essential that your
consultant is able to fully discuss this with you
to find the treatment that best suits your elbow.
FOR MORE INFORMATION
Call secretary Janet Singleton on
07975 660163 or email
sunilauplish@gmail.com
22/01/2015 12:10
At Home with Dr Christian Jessen
Table of Contents for the Digital Edition of At Home with Dr Christian Jessen
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