Understanding Elbow Arthritis: Personal Journey
Hello everyone, About three years ago, I experienced a sharp pain in my elbow while performing hammer curls. This discomfort was particularly apparent when I twisted my wrist and bent my arm to 45 degrees while exerting force during the exercise. After dealing with persistent symptoms, I decided to consult an orthopedic specialist approximately six months later. An X-ray followed by an MRI suggested that irritation was occurring due to an issue with the joint capsule, known as the plica. Initially, I received two brief corticosteroid injections; however, the situation led to the conclusion that surgery was necessary. The procedure involved the removal of the plica, and during the operation, grade 2 chondropathy was noted at the proximal radial head, while the rest of the joint appeared satisfactory. Despite the surgery, three months later, I still didn’t notice any improvement. Following another injection, I was referred to a different specialist, and a year and a half later, I underwent another arthroscopy to evaluate the condition of my elbow. This time, what was once grade 2 degeneration had progressed to grade 3 osteoarthritis at the radial head, with grade 2 affecting the rest of the elbow. There was direct contact between the damaged area on the radial head and the humeral capitellum during supination and flexion. The surgery focused on cleaning the joint, but concerns arose about potential rheumatoid arthritis due to the joint's deteriorating condition. Although initial blood tests showed no indicators, it was suggested that I might have seronegative rheumatoid arthritis. I have been on Methotrexate for nine weeks now, yet the results have been lackluster, which makes me question whether rheumatoid arthritis is truly the issue. Now, three months post-surgery, my condition has worsened significantly. I'm unable to apply weight to my right arm and endure considerable pain. The mechanical discomfort during movements like supination and flexion remains unchanged, and overall, my joint feels compromised. I previously maintained an active lifestyle, working out at the gym four times a week and easily completing 15 pull-ups in a row. Now, however, I cannot engage in any upper body workouts; even doing a push-up, not to mention regular ones, is impossible without pain. Looking back, I suspect my mild (distal) radius fracture from childhood, coupled with my continuous training during that period, may have contributed to this degeneration. I realize now how unwise that was. Despite the effectiveness of the injections, I find myself grappling with several concerns: 1. I aim to halt the deterioration and hope for the potential healing of my cartilage, enabling me to partake in recreational sports at a minimal level. 2. My goal is to escape the need for a joint replacement, yet mundane tasks, such as washing my hands, have begun to cause discomfort. To what extent should I push myself? 3. What does the future hold for me? 4. Are there alternative suggestions or strategies I might explore?
Answers (1)
7/10/2025, 3:50:53 PM
OpenHealth AI
It sounds like you are facing significant challenges with your elbow condition and are understandably seeking relief and clarity about your future. Your history of elbow issues, including the progression from plica irritation to grade 3 osteoarthritis, indicates a complex situation that requires careful management. Here’s a structured approach to address your concerns:
Main Points:
- Your goal is to halt cartilage deterioration and avoid joint replacement while managing pain.
- Understand that overexertion can worsen your condition; balance activity with rest.
- Explore additional therapeutic options and lifestyle changes to support your elbow health.
Explanation:
You have a long history of elbow issues, and the pain you’re experiencing may stem from both the osteoarthritis and mechanical issues related to the damage seen during your surgeries. With your desire to maintain an active lifestyle, it’s crucial to find a balance between activity and protection of your joint. Considering your current situation, it’s pivotal to manage stress on your elbow effectively.
Prioritized Next Steps:
-
Modify Activity:
- Limit your upper body workouts significantly. Focus on lower body exercises or non-weight bearing activities such as walking or stationary cycling to reduce strain on your elbow.
- Gradual reintroduction of upper body workouts is critical. Consult with a physical therapist for tailored exercises focused on flexibility and gentle strengthening.
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Pain Management and Therapy:
- Consider alternative treatments like physical therapy, where a trained therapist can work with you on your range of motion and strengthening muscles around the elbow to support the joint.
- Discuss options for pain relief with your physician, which may include different medications or topical treatments that could complement methotrexate without exacerbating symptoms.
-
Supplemental Support & Nutrition:
- Incorporate supplements such as glucosamine and chondroitin (consult a healthcare provider first) which may support joint health.
- Ensure a balanced diet rich in anti-inflammatory foods (like fruits, vegetables, and omega-3 fatty acids) which could help support overall joint function.
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Regular Monitoring:
- Keep track of your symptoms and any changes in functionality. Documenting your experiences can help in the ongoing assessment of your condition, and if necessary, allow adjustments in your treatment regimen.
- Schedule regular follow-ups with your healthcare provider to monitor your response to methotrexate and discuss the possibility of switching or adding medications if needed.
Future Outlook:
You may need to accept some adjustments to your lifestyle. While joint replacement can sometimes become necessary, persistent management and protective strategies can help delay this. Staying active within limits, effectively managing pain, and continually working with healthcare providers can allow you to maintain a quality of life that includes recreational activities, even if they look different than before.
Always remember, your journey may require time and patience, and it’s essential to prioritize your health above all. If you have any concerns about your treatment or specific symptoms, following up with your healthcare provider is key.
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