tennis player holding elbow in pain

Elbow Surgery

Elbow surgery can address a number of painful issues, from arthritis and enthesopathy to cubital tunnel syndrome and radial head fractures.

Tendon injuries such as tennis elbow can be successfully treated with surgery when nonsurgical treatments fail to provide relief.

At the Hand to Shoulder Center in Fort Worth, TX, we have a suite of providers that can provide treatment for a range of elbow injuries...

Are You Experiencing Elbow Pain? Request a Consultation Today

If you are experiencing chronic pain in your elbow, we invite you to make an appointment with the Hand to Shoulder Center in Fort Worth, TX.

Whether your elbow injury is related to work, sports, or arthritis, our elbow specialists will perform a detailed examination. Then, we will recommend your best treatment option.

You can request a consultation with our doctors by filling out our online form or by calling our office.

Call Us: (817) 420-9238

Dr. Nathan Lesley and team

Meet Our Surgeons

Dr. Nathan Lesley

Dr. Lesley grew up on a farm in the small town of DeLeon, TX. He received an undergraduate degree in biology at Tarleton State University. He attended the Texas Tech School of Medicine in Lubbock before completing a five-year general orthopedic residency at John Peter Smith Hospital in Fort Worth. After completing his residency, Dr. Lesley went on to receive an additional year of specialty training in hand, upper extremity, and microsurgery from Brown University. Dr. Lesley returned to Fort Worth to offer his expertise to the town he decided to call home.

More about Dr. Lesley

Dr. Jonathan Guevara

Dr. Guevara grew up in Houston, TX, and now makes his home in Fort Worth. He received his undergraduate degree in biochemistry from Baylor University. He graduated medical school from the University of Texas Health Science Center in San Antonio, and he completed an orthopaedic surgery residency from Saint Louis University School of Medicine. He ultimately completed a fellowship in Shoulder and Elbow Surgery at the Cleveland Clinic Foundation in Cleveland Ohio. 

More about Dr. Guevara

"You Won't Find Better"


Deb Hanson


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All employees at the Hand to Shoulder Center have been very professional and caring throughout my treatments. Dr. Guevara recently performed an arthroscopic elbow surgery for me which was very successful & I had very little down time. He has a friendly, easy going rapport while explaining all procedures in a way patients can understand... I would not hesitate to reccomend this facility, and these two doctors & their staff in particular, to anyone with hand to shoulder needs-you won't find better!

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...Anyone who is reading this must know that Dr Nathan Lesley added 20yrs to my career with a simple, comfortable, quick, painless procedure that was backed up with laughter and care from his incredible staff as well as Dr Nathan himself. I am recommending him and his clinic to all my coworkers who are in pain. Thank you Dr Nathan Lesley and your staff for everything.

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Picture of elbow
Our physicians have dedicated their careers to understanding and treating the elbow.

What Causes Elbow Pain?

Elbows, like knees, are subject to a great deal of wear and tear on a daily basis. While elbows do not have to deal with the added burden that knees carry when supporting our body weight, many everyday activities are a major contributor to elbow pain. During your consultation, our physicians can determine if surgery or a non-invasive treatment is the best solution. If surgery is needed, we can use minimally invasive techniques in many cases. 

Some of the most common causes of elbow injury include:

Working in an Office

man typing at computer

With the ever-increasing integration of technology into our lives, many of us spend a considerable portion of our day in front of a computer and scrolling on our smartphones. These activities place strain on the tendons, ligaments, and nerves that run throughout our wrists, forearms, and elbows.

Manual Labor

man using a power saw

Elbow pain does not just affect those who work at a computer. Manual labor jobs that require repetitive motions such as carpentry, plumbing, painting, and cooking can also cause ligament, tendon, and joint injuries severe enough to warrant surgery. Physical work can also lead to a need for shoulder surgery.

Athletic Injuries

football player getting tackled

Athletes of all ages are also impacted by elbow injuries. The need to see a sports medicine surgeon may arise from a repetitive stress injury. Contact sport injuries often require the attention of a sports medicine surgeon. Elbow fractures and shoulder injuries are common in sports such as football and soccer.

Cell Phone Elbow Surgery

An increasingly common cause of elbow pain is cubital tunnel syndrome, also known as "cell phone elbow." Cubital tunnel syndrome is caused by chronic inflammation of the ulnar nerve. It is the second most common cause of peripheral nerve entrapment in the upper limbs after carpal tunnel syndrome. Brought on by bending the elbow past a 90-degree angle, cell phone elbow occurs when the ulnar nerve is compressed. Computer and cellphone use is the number-one cause of this condition which is characterized by pain, numbness, or tingling in the little finger and in half of the pinky-facing side of the ring finger.

For cases that do not respond to non-surgical options, the Hand to Shoulder Center can provide patients in Fort Worth, TX, a number of surgical options. For mild cases of ulnar nerve compression, cubital tunnel release surgery can relieve pressure on the nerve as it passes behind the elbow. This procedure involves an incision on the inside of the elbow and allows you to return to work a few days following the surgery.

​Surgery for Sports Injuries

Patients with a passion for sports that require repetitive motions such as baseball, tennis, volleyball, and golf can suffer from tendon issues that are common to sports medicine, such as tennis elbow, golfer's elbow, and pitcher's elbow. These injuries affect different parts of the elbow and require different types of surgery to address the issue in question. Our Fort Worth, TX, elbow surgeons can help you determine the best course of action to treat your specific case, depending on your needs and goals.

Tennis Elbow (Lateral Epicondylitis)

tennis elbow

The most common type of tendinopathy, tennis elbow is characterized by pain or soreness on the outer part of the elbow. Tennis elbow occurs when the tendons that connect the muscles of your forearm to your elbow are damaged by overuse of the forearm muscle from repeated hand and wrist movement. The surgical solution to this condition involves removing the damaged portion of tendon. The healthy part of the tendon is then attached to the bone to restore movement and relieve pain.

Golfer's Elbow (Medial Epicondylitis)

golfer's elbow

Golfer's elbow, also known as pitcher's elbow, is a condition that causes pain where the tendons of your forearm muscles attach to the bony bump on the inside of your elbow. The pain may spread from the forearm into the wrist. Surgery involves either debridement (removing the damaged portions of the tendon, leaving only healthy tissue) or tendon release (the tendon is detached, damaged tissue and bone spurs are removed, pinched nerves are relieved, and the tendon is reattached to the bone).

"I recommend every single Ortho doctor they have here. They all treat you like family and give the best possible care.  No one wants to see a doctor, but this office makes whatever Hand to Shoulder problem you are experiencing tolerable."
Becky Harper, 5-Star Google Review

No Matter Your Injury, We Can Help

With training in sports medicine, trauma, repetitive motion injuries, and all other types of elbow damage, our physicians can address any type of elbow pain. Whether your elbow is sore because of tennis elbow or you think you may have fractured a bone, let the specialists at the Hand to Shoulder Center take a look.

Contact us today for a consultation. In many cases, we can schedule you for a same-day or next-day appointment at our offices in Fort Worth, TX.

You can get in touch with us online or by phone.

Call Us: (817) 420-9238

Arthritis Surgery

Elbow surgery can help a range of patients suffering from arthritis. Depending on the type of arthritis being treated, elbow surgery can be performed arthroscopically, using a small incision and fiber-optic camera. It can also be resolved using traditional open surgery. Surgical options can be considered when medications and other treatments cannot relieve joint pain and loss of motion. Call for an appointment today, and one of the surgeons at the Hand to Shoulder Center can evaluate your elbow and explain your options:

  • Patients in the early stages of this condition with little or no cartilage damage may benefit from synovectomy surgery, in which the inflamed synovial membrane is removed from the joint. An arthroscopic synovectomy requires a smaller incision, so patients often have a faster, less painful recovery.
  • Arthroscopic debridement can help patients with mild to moderate arthritis by removing damaged cartilage or bone using minimally invasive techniques.
  • Elbow interposition arthroplasty surgery can benefit active patients with inflammatory arthritis. It involves placing donor tissue between the elbow joint's damaged surfaces.
  • Total elbow arthroplasty or replacement surgery can help older, less active adults with end-stage inflammatory arthritis.

"Absolutely the Best"


Mike Ford


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Friendly, professional setting. Excellent care. Always on time. Never felt rushed and the medical care was top notch

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james wilmot


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Outstanding!!! Nathan (the Dr.) introduced himself as Nathan and was very professional. Absolutely the best when it comes to medical professionals. Thank you for the great medical visit experience-From the front office to the new cashier you guys are awesome!!!!

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Advanced Arthroscopic Surgery for Qualifying Cases

Whenever possible, our Fort Worth surgeons prefer to operate arthroscopically. In this minimally invasive method of surgery, we make a tiny incision near the elbow. Then, we insert a specialized camera and precise surgical tools through the incision. Guided by the visuals from the camera, we are then able to operate on the muscles, tendons, and ligaments in your arm without exposing them.

There are numerous benefits to the arthroscopic approach. It results in a shorter incision, and recovery can be quicker.

After we diagnose your condition, our surgeons will be able to let you know if arthroscopic surgery is an option for you.

Surgeon performing an arthroscopic procedure
Hand to Shoulder team in the surgical suite

The Hand to Shoulder Center

At The Hand to Shoulder Center in Fort Worth, TX, our team of fellowship-trained hand, elbow, and shoulder surgeons treat any and all conditions from the shoulder to the fingertip. Our surgeons perform both elective and reconstructive procedures, including:

  • Joint Replacement
  • Traumatic Injury Surgery
  • Arthroscopic Surgery
  • Microsurgery
  • Minimally Invasive Surgery
  • Wide Awake Local Anesthesia Only Surgery

Our physicians are associated with the American Society for Surgery of the Hand and the American Board of Orthopaedic Surgery. For more information or to request an appointment, please contact us online or call (817) 420-9238.

Contact Us Today

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Google map image of our location in 5612 Edwards Ranch Rd Ste 200 Fort Worth, TX

Fort Worth Office

5612 Edwards Ranch Rd
Ste 200
Fort Worth, TX 76109

Open Today 8:00am - 4:30pm

Google map image of our location in 1429 Clear Lake Rd Ste 100 Weatherford, TX

Weatherford Office

1429 Clear Lake Rd
Ste 100
Weatherford, TX 76086

Open Today 8:00am - 5:00pm

By Appointment Only

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