Treatment of Elbow Joint Compression in Israel

Doctor Ram Palti

senior physician of the hand surgery department

At the Top Ichilov Medical Center, the best specialists, including neurologists and neurosurgeons, treat elbow nerve compression. The preferred treatment methods are minimally invasive surgeries, which are well tolerated by patients and provide effective medical assistance. Surgeries are performed using the latest equipment, microscopic tools, and microsurgical instruments.

30%

of diagnoses made in CIS countries are disproven at the Top Ichilov clinic

82%

successful cases of treatment with conservative methods

1230

procedures using the modern "Da Vinci" system

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Elbow nerve compression: advantages of surgical treatment at the Top Ichilov Medical Center

• maximum attention to the patient's problem;
• selection of the most effective treatment method;
• possibility of minimally invasive surgery;
• experienced and highly qualified specialists;
• use of the latest technologies and reliable equipment;
• quality examination, treatment, care, and much more.

Elbow Nerve Compression: Treatment Options at the Top Ichilov Medical Center

Conservative methods. Conservative treatment is only conducted at the early stage of the disease and if the causes of compression are inflammatory processes and tissue swelling. In such cases, the patient is prescribed: anti-inflammatory therapy, antispasmodics, analgesics, physical therapy, cold treatment, and immobilization of the arm.

Surgical treatment. In most cases, patients seek medical attention when the disease has already progressed, and the nerve is in a critical condition. If there is a risk of nerve atrophy, conservative treatment is not an option, and surgery is indicated for the patient.

Surgical intervention is most often performed using an endoscopic method, which allows the patient to recover faster, is less traumatic for healthy tissues, and is as effective as open surgery.

During the surgery:

• decompression (removing the cause of nerve compression). This may involve: removing a bone fragment, cutting ligaments, removing connective tissue, correcting cartilage or bone tissue, etc.;
• nerve transposition, where the nerve is freed from its channel and moved to a new one where it is not at risk of compression;
• removal of the epicondyle if it has caused the compression.

The operation is performed under local or general anesthesia. The duration of the surgery depends on the extent of the issues, typically ranging from 1 hour to 3 hours. After the surgery, hospitalization and rehabilitation are necessary.

Elbow Nerve Compression: Diagnosis at the Top Ichilov Medical Center

The symptoms of elbow nerve compression may include:

• pain in the elbow joint
• difficulties moving the fingers (especially the little finger and ring finger)
• severe pain in the hand
• sensitivity disturbances in the forearm and fingers (numbness), etc.

Elbow nerve compression poses a risk of nerve atrophy and disability for the patient.

An important factor for further treatment is determining the cause of compression, the stage of the disease, and identifying the location of the compressing element, etc. To ensure a comprehensive examination, instrumental diagnostic methods and reflex testing are employed.

During the neurologist's examination, the doctor assesses the presence of compression, weakness in muscle groups, and impaired motor function of the arm. For more detailed information, the patient is examined using:

• CT
• X-ray
• MRI
• Electromyography
• Ultrasound examination
• The diameter of the canal and the diameter of the nerve at the exit from the canal are also determined.

If surgery is indicated for the patient, additional assessments of the overall condition are conducted.