{"id":14876,"date":"2018-03-07T07:50:19","date_gmt":"2018-03-07T14:50:19","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=14876"},"modified":"2021-07-08T13:33:32","modified_gmt":"2021-07-08T19:33:32","slug":"new-elbow-new-outlook","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/new-elbow-new-outlook\/","title":{"rendered":"New elbow, new outlook"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><figure id=\"attachment_14877\" aria-describedby=\"caption-attachment-14877\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-14877 size-large\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090606\/Barb-Wheeler-1.webp\" alt=\"Barb Wheeler looks fondly at Delaney, one of her horses.\" width=\"640\" height=\"427\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090606\/Barb-Wheeler-1.webp 1500w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090606\/Barb-Wheeler-1-300x200.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090606\/Barb-Wheeler-1-1024x683.webp 1024w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090606\/Barb-Wheeler-1-768x512.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090606\/Barb-Wheeler-1-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090606\/Barb-Wheeler-1-200x133.webp 200w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><figcaption id=\"caption-attachment-14877\" class=\"wp-caption-text\">Barb Wheeler looks fondly at Delaney, one of her horses. Photo by UCHealth.<\/figcaption><\/figure>\n<p>Barb Wheeler can curl her hair. She can pull a shirt over her head. She can gather fresh-laid eggs. She can turn the wheel of her car easily and wash dishes after a meal.<\/p>\n<p>All because her elbow doesn\u2019t hurt any more.<\/p>\n<p>\u201cYou don\u2019t realize what your elbows do for you,\u201d she said. \u201cSo many motions involve your elbows \u2013 picking things up, doing housework, petting an animal. Instead of screaming from the pain, I now have tears of joy because it doesn\u2019t hurt anymore.\u201d<\/p>\n<div class=\"su-youtube su-u-responsive-media-yes\"><iframe loading=\"lazy\" width=\"600\" height=\"400\" src=\"https:\/\/www.youtube.com\/embed\/_ekHAxXlwG8?autohide=2&amp;autoplay=0&amp;mute=0&amp;controls=1&amp;fs=1&amp;loop=0&amp;modestbranding=0&amp;rel=0&amp;showinfo=1&amp;theme=dark&amp;wmode=&amp;playsinline=0\" frameborder=\"0\" allowfullscreen allow=\"autoplay; encrypted-media; picture-in-picture\" title=\"\"><\/iframe><\/div>\n<h3>Constant pain<\/h3>\n<figure id=\"attachment_14878\" aria-describedby=\"caption-attachment-14878\" style=\"width: 250px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-14878\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090604\/Barb-Wheeler-3.webp\" alt=\"A decorative art piece made of metal, depicting a soldier kneeling at a cross, with his horse nearby.\" width=\"250\" height=\"161\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090604\/Barb-Wheeler-3.webp 1550w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090604\/Barb-Wheeler-3-300x194.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090604\/Barb-Wheeler-3-1024x661.webp 1024w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090604\/Barb-Wheeler-3-768x495.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090604\/Barb-Wheeler-3-1536x991.webp 1536w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090604\/Barb-Wheeler-3-150x97.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090604\/Barb-Wheeler-3-200x129.webp 200w\" sizes=\"auto, (max-width: 250px) 100vw, 250px\" \/><figcaption id=\"caption-attachment-14878\" class=\"wp-caption-text\">Barb Wheeler believes in the power of prayer. Photo by UCHealth.<\/figcaption><\/figure>\n<p>Fifteen years ago, Wheeler was diagnosed with rheumatoid arthritis. She traveled frequently to Denver for appointments with a rheumatologist, who through medication and then steroid injections, tried to help her manage the pain.<\/p>\n<p>\u201cI couldn\u2019t keep going like that,\u201d she said. \u201cMy husband, Carl, was basically doing everything. He could hear the pain through my \u2018ughs\u2019 and \u2018ohs\u2019 and sighs, but there was no way I could explain what it felt like.<\/p>\n<p>\u201cThe arthritis kept progressing and I wasn\u2019t getting relief. My elbows hurt constantly,\u201d Wheeler said. \u201cMy rheumatologist told me I needed to find an elbow specialist. I didn\u2019t even know there was such a thing.\u201d<\/p>\n<p>Upon returning home to Steamboat Springs, Wheeler began praying that she\u2019d find a specialist who could help her. Her prayers were answered when she came across <a href=\"https:\/\/www.uchealth.org\/provider\/patrick-johnston-do\/\">Dr. Patrick Johnston<\/a>, an orthopedic surgeon specializing in hand and elbow procedures. Much to Barb\u2019s surprise, Johnston was located in Steamboat Springs.<\/p>\n<h3>Can we do it tomorrow?<\/h3>\n<p>The Wheelers met with Johnston and talked about her options.<\/p>\n<p>\u201cBarb\u2019s rheumatoid arthritis was advanced, and the only surgical option I thought would help her would be a total elbow arthroplasty (replacement),\u201d said Johnston. \u201cIt\u2019s an uncommon surgery, especially when compared to total knee arthroplasty.\u201d Johnston estimates about 700,000 knee replacements are done annually in the U.S. In contrast, according to a <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4821224\/\">recent study<\/a> by the National Institutes of Health, only around 600 elbow replacements are done in the U.S each year, with 400 done for arthritis and the other 200 replacements to treat complex fractures.<\/p>\n<p>\u201cHe told me he could do an elbow replacement, and the tears started,\u201d Wheeler said. \u201cI was in so much pain and it hurt so bad. I told him I was ready to do anything to get rid of the pain.\u201d They decided to proceed with the left elbow first. It was only then that Carl realized how extreme the pain was that his wife had dealt with for so long.<\/p>\n<p>While the hope of the surgery was to eliminate her pain, the procedure and outcomes didn\u2019t come without limitation \u2013 following the replacement, Wheeler would be limited to lifting fewer than 10 pounds.<\/p>\n<p>\u201cIt was either \u2018be in pain or be limited to lifting ten pounds,\u2019 \u201d she said. \u201cI wanted to be pain-free. My strength, literally and figuratively, comes from Carl. He does the heavy lifting. I was only lifting around 10 pounds anyway due to the pain.\u201d<\/p>\n<h3>A first in the area<\/h3>\n<p>On Jan. 11, 2018, Wheeler became the first person in the region to have an elective total elbow replacement for rheumatoid arthritis at <a href=\"https:\/\/www.uchealth.org\/locations\/uchealth-yampa-valley-medical-center\/\">UCHealth Yampa Valley Medical Center.<\/a><\/p>\n<figure id=\"attachment_14890\" aria-describedby=\"caption-attachment-14890\" style=\"width: 300px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-14890 size-medium\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090556\/Barb-Wheeler-6-1.webp\" alt=\"Dr. Patrick Johnston observes Barb Wheeler's progress during a therapy appointment.\" width=\"300\" height=\"200\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090556\/Barb-Wheeler-6-1.webp 1500w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090556\/Barb-Wheeler-6-1-300x200.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090556\/Barb-Wheeler-6-1-1024x683.webp 1024w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090556\/Barb-Wheeler-6-1-768x512.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090556\/Barb-Wheeler-6-1-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090556\/Barb-Wheeler-6-1-200x133.webp 200w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-14890\" class=\"wp-caption-text\">Dr. Patrick Johnston observes Barb&#8217;s progress during a therapy appointment. Photo by UCHealth.<\/figcaption><\/figure>\n<p>\u201cFrom the moment I checked in until I left, the whole experience was amazing \u2013 the care I received, the attitude of the staff, everything,\u201d she said. \u201cThe nurses, anesthesiologist, the techs, CNAs, they all were so warm. They kept me and Carl informed of what was going on, and Dr. Johnston was there every morning.\u201d<\/p>\n<p>Together with Dr. Johnston, <a href=\"https:\/\/www.uchealth.org\/provider\/emily-tjosvold-otr\/\">Emily Tjosvold<\/a>, a certified hand therapist and occupational therapist specializing in upper extremity and hand rehabilitation at <a href=\"https:\/\/www.uchealth.org\/locations\/uchealth-sportsmed-clinic-steamboat-springs\/\">UCHealth SportsMed Clinic<\/a> in Steamboat Springs, quickly worked to outline a plan of care and necessary therapy for Wheeler.<\/p>\n<p>\u201cIn therapy, there\u2019s work to do to get the mind and muscles to work together,\u201d Tjosvold said. \u201cBarb\u2019s new elbow is like a new toy, a fragile doll. You want to hold the new toy and use it, but you have to be very mindful and careful with it at the same time.\u201d<\/p>\n<p>\u201cI told Emily, \u2018As long as you don\u2019t hurt me, I\u2019ve got a dozen eggs for you,\u201d Wheeler Barb. \u201cShe got her eggs.\u201d<\/p>\n<figure id=\"attachment_14880\" aria-describedby=\"caption-attachment-14880\" style=\"width: 300px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-14880 size-medium\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090602\/Barb-Wheeler-7.webp\" alt=\"Emily Tjosvold uses a device to measure the flexibility in Barb Wheeler's elbow.\" width=\"300\" height=\"200\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090602\/Barb-Wheeler-7.webp 1500w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090602\/Barb-Wheeler-7-300x200.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090602\/Barb-Wheeler-7-1024x683.webp 1024w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090602\/Barb-Wheeler-7-768x512.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090602\/Barb-Wheeler-7-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090602\/Barb-Wheeler-7-200x133.webp 200w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-14880\" class=\"wp-caption-text\">Emily Tjosvold measures Barb Wheeler&#8217;s progress. Photo by UCHealth.<\/figcaption><\/figure>\n<p>During each therapy appointment, many of which Dr. Johnston attended as well, Tjosvold would measure how many degrees Barb could bend her left elbow.<\/p>\n<p>\u201cI didn\u2019t apply pressure the first time, then gradually we started working to bend it more and applied a little more pressure each time,\u201d Wheeler said. \u201cI can straighten my arm now \u2013 I couldn\u2019t do that before the surgery.\u201d<\/p>\n<p>\u201cWe take x-rays throughout rehab to make sure the implant is where it should be,\u201d said Dr. Johnston. \u201cBarb is right on track. Therapy and recovery are a big part of a successful outcome. Barb is ready to take on whatever we need her to do so she can get the most out of her new elbow.\u201d<\/p>\n<p>Make that new elbows, plural. Wheeler has already scheduled surgery to have her right elbow replaced as well.<\/p>\n<p>\u201cI wanted to do my right elbow as soon as the left one was done and the pain was gone almost instantly,\u201d she said. \u201cIt\u2019s a truly amazing feeling to not be in pain.\u201d<\/p>\n<h3>Back on the farm<\/h3>\n<p>Once the snow melts, Wheeler is looking forward to getting back in her garden. She likes lupines in the spring, gaillardias in the fall. Hollyhocks are some of her favorites, too.<\/p>\n<p>\u201cI can\u2019t wait to pull weeds and not have it hurt,\u201d Wheeler said. \u201cCarl will still man the wheelbarrow for me, but I can\u2019t wait to dig into the dirt again.\u201d<\/p>\n<figure id=\"attachment_14884\" aria-describedby=\"caption-attachment-14884\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-14884 size-large\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090558\/Barb-Wheeler-5.webp\" alt=\"Carl Wheeler holds Patsy, Barb's miniature fainting goat and steadfast companion.\" width=\"640\" height=\"427\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090558\/Barb-Wheeler-5.webp 1500w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090558\/Barb-Wheeler-5-300x200.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090558\/Barb-Wheeler-5-1024x683.webp 1024w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090558\/Barb-Wheeler-5-768x512.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090558\/Barb-Wheeler-5-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/03\/12090558\/Barb-Wheeler-5-200x133.webp 200w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><figcaption id=\"caption-attachment-14884\" class=\"wp-caption-text\">Carl Wheeler holds Patsy, Barb&#8217;s miniature fainting goat and steadfast companion. Photo by UCHealth.<\/figcaption><\/figure>\n<p>Through it all, besides Carl, the constant at her side has been Patsy, a miniature fainting goat. Patsy too, struggles with her elbows, as she was born with her elbow joints bending the wrong way.<\/p>\n<p>\u201cEach evening, we sit together on the porch,\u201d Wheeler said. \u201cCarl lifts her onto my lap and she gets some lettuce, banana or crackers. We have a routine together. It\u2019s our chance to relax.\u201d<\/p>\n<p>About 10 days post-surgery, Wheeler realized something during their nightly sit.<\/p>\n<p>\u201cThe pain had begun to affect my mental attitude. Being in pain all the time is tiring,\u201d she said. \u201cThen last week, I realized I was finally happy again. Every day goes a little more in the right direction. I\u2019m excited to be happy again.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Barb Wheeler can curl her hair. She can pull a shirt over her head. She can gather fresh-laid eggs. She can turn the wheel of her car easily and wash dishes after a meal. All because her elbow doesn\u2019t hurt any more. \u201cYou don\u2019t realize what your elbows do for you,\u201d she said. \u201cSo many [&hellip;]<\/p>\n","protected":false},"author":2146,"featured_media":14877,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[5],"tags":[3004,2780,100,2641,2518],"class_list":["post-14876","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-innovative-care","tag-elbow-replacement","tag-emily-tjosvold","tag-rheumatoid-arthritis","tag-uchealth-sportsmed-clinic-steamboat-springs","tag-uchealth-yampa-valley-medical-center"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>New elbow, new outlook - UCHealth Today<\/title>\n<meta name=\"description\" content=\"Barb Wheeler can curl her hair, She can pull a shirt over her head. She can gather fresh-laid eggs. She can turn the wheel of her car easily and wash dishes after a meal. All because her elbow doesn&#039;t hurt any more.\" \/>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"New elbow, new outlook\" \/>\n<meta property=\"og:description\" content=\"Barb Wheeler can curl her hair, She can pull a shirt over her head. She can gather fresh-laid eggs. She can turn the wheel of her car easily and wash dishes after a meal. 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