Treatment of Elbow Joint Compression in Israel

Doctor Ram Palti

senior physician of the hand surgery department

At the Top Ihilov Medical Center, elbow nerve compression is treated by the best specialists: neurologists and neurosurgeons. 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 Ihilov 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 Ihilov 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: Types of Treatment at the Top Ihilov Medical Center

Conservative methods. Conservative treatment is conducted only 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, muscle relaxants, analgesics, physical therapy, cold treatment, and immobilization of the arm.

Surgical treatment. In most cases, patients seek medical help when the disease has already progressed, and the nerve is in a deplorable state. In cases of nerve atrophy threat, 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 (the cause of nerve compression is eliminated). This may include: removal of a bone fragment, cutting of ligaments, removal of connective tissue, correction of 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 threatened by compression;
• removal of the epicondyle if it has become the cause of compression.

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

Elbow Nerve Compression: Diagnosis at the Top Ihilov Medical Center

The symptoms of elbow nerve compression may include:

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

Elbow nerve compression threatens the patient with nerve atrophy and disability.

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

During the neurologist's examination, the doctor determines the presence of compression, weakness of muscle groups, and motor function impairment of the arm through testing. 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 examination of the overall condition is conducted.