Elbow Disorders Denver, CO
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660 Bannock St
Suite 6335 Denver, CO 80204
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Whether reaching for a seatbelt, carrying groceries, or typing at a desk, the elbow is involved in countless daily movements. When this joint becomes painful, stiff, or unstable, it can interfere with basic tasks and reduce quality of life.
Dr. Jessica Churchill provides orthopedic care for elbow conditions throughout Denver. Her approach emphasizes education, shared decision-making, and individualized planning. By working closely with each patient, she helps guide treatment choices that support long-term function, lifestyle needs, and personal goals.
Anatomy of the Elbow
The elbow is a complex joint that connects the upper arm to the forearm. It is formed by three bones: the humerus (upper arm), the radius, and the ulna (both in the forearm). These bones come together to create a hinge-like joint that also allows for forearm rotation, such as turning a doorknob or rotating the wrist.
Supporting the joint are muscles, ligaments, tendons, and a protective cartilage lining. Key stabilizers include the ulnar collateral ligament and surrounding tendinous attachments. Because the elbow plays such a critical role in both forceful and fine motor tasks, it is vulnerable to injuries from repetitive use, sudden trauma, or age-related changes.
Common Elbow Disorders
Cubital Tunnel Syndrome
This condition occurs when the ulnar nerve, which passes through a narrow space behind the inner elbow, becomes compressed or irritated. It often leads to tingling or numbness in the ring and small fingers, especially when the elbow is bent for long periods. Some people also experience hand weakness or a feeling of clumsiness with fine movements.
Early treatment may include protective splints, adjustments to workstation setup, and exercises that promote nerve mobility. Activity modification and posture training can help reduce stress on the nerve. If symptoms do not improve or begin to affect strength and function, surgical decompression may be discussed to relieve pressure and prevent long-term nerve damage.
Distal Biceps Tendon Rupture
The distal biceps tendon connects the biceps muscle to the radius in the forearm. A rupture typically occurs during a sudden forceful movement, such as lifting a heavy object or catching a falling item. People often feel or hear a pop followed by swelling, bruising, and loss of strength, particularly with palm-up lifting or twisting motions.
Surgical repair may be recommended to reattach the tendon, especially for those who are active or rely on arm strength for work. Non-surgical management may be appropriate for lower-demand individuals, but it can result in lasting weakness. Rehabilitation after surgery focuses on gradually restoring range of motion and rebuilding functional strength through guided exercises.
Elbow Osteoarthritis
Elbow osteoarthritis results from gradual wear of the cartilage that cushions the joint. As the smooth cartilage wears away, bone surfaces can rub together, leading to inflammation, stiffness, and pain. People with this condition often notice difficulty with fully bending or straightening the arm, as well as discomfort during repetitive tasks.
Initial treatment may include anti-inflammatory medications, joint injections, bracing, and activity modification. Physical therapy can help preserve mobility and reduce mechanical stress. In advanced cases where symptoms interfere with daily life, surgical options such as arthroscopic debridement or elbow resurfacing may be considered to address damaged tissue and improve joint function.
Lateral Epicondylitis (Tennis Elbow)
Despite its name, tennis elbow affects many people who have never picked up a racket. It is caused by overuse of the wrist extensor tendons, which attach to the outer part of the elbow. Repetitive gripping or twisting motions, such as using tools, typing, or lifting, can lead to tendon irritation and microtears. Symptoms often include aching pain along the outside of the elbow that worsens with activity.
Most cases respond well to conservative treatment. This includes physical therapy to improve flexibility and tendon loading, use of supportive braces or straps, and temporary rest from aggravating tasks. Injections may be used to reduce inflammation if pain persists. For rare cases that do not improve with extended non-surgical care, surgical tendon release or repair may be explored.
Loose Bodies in the Elbow
Loose bodies are small fragments of bone or cartilage that break off inside the joint. These may develop due to trauma, osteoarthritis, or joint degeneration. When present, loose bodies can interfere with smooth motion and cause mechanical symptoms such as catching, locking, or intermittent swelling. Pain often occurs with movement, especially at end ranges of motion.
Diagnosis typically involves imaging studies such as X-rays or MRI. Arthroscopic removal of loose bodies is often recommended if they are causing significant mechanical restriction or discomfort. This minimally invasive procedure allows the surgeon to visualize and clean the joint. Postoperative rehabilitation is aimed at restoring full range of motion and joint function.
Ulnar Collateral Ligament (UCL) Injury
The ulnar collateral ligament is a key stabilizer on the inner side of the elbow. It helps maintain joint integrity during throwing or overhead movements. Injury to the UCL can occur from repetitive stress, most commonly in baseball pitchers or overhead athletes. Symptoms include inner elbow pain, decreased control during arm motion, and sometimes a sense of instability.
Early treatment focuses on rest, targeted physical therapy, and progressive strengthening. Bracing may be used during high-risk activities. If symptoms persist or the ligament is fully torn, surgical reconstruction, commonly known as Tommy John surgery, may be discussed, especially for those who wish to return to overhead sports. Recovery timelines can vary and often include a structured return-to-activity program.
Treatment and Recovery
Managing elbow conditions requires a careful balance between symptom relief, functional restoration, and long-term prevention. Dr. Jessica Churchill partners with patients to explore diagnostic findings and discuss the full range of available options. She works toward plans that reflect each person’s specific needs, lifestyle, and goals.
- Non-Surgical Treatments: Rest, ice, bracing, physical therapy, activity modification, and anti-inflammatory medications are often the first steps. These approaches may help reduce pain, support healing, and maintain mobility without surgery.
- Surgical Care: When conservative methods are not sufficient or when structural damage is significant, Dr. Churchill may recommend surgical options. These may include tendon repair, ligament reconstruction, fracture fixation, or minimally invasive arthroscopy.
- Rehabilitation and Prevention: Recovery programs are tailored to the condition and procedure. Therapy typically focuses on controlled motion, gradual strengthening, and protection of the healing joint. Preventive strategies may include ergonomic adjustments, sport-specific training, and education on joint protection and movement efficiency.
Elbow pain does not have to limit what you can do. With personalized care and thoughtful guidance, many people find meaningful relief and return to their normal routines. In Denver, Dr. Jessica Churchill supports patients through every phase of treatment, from diagnosis to recovery, helping them move forward with strength and confidence.
