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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 non-surgical 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...

Causes of 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 as we stand or walk, many everyday activities are a major contributor to elbow pain. During your consultation, the physician can determine if surgery or a noninvasive treatment is the best solution. If surgery is needed, he can use minimally invasive techniques in many cases. 

Some of the most common causes of elbow injury include:

Working In an Office

Working in an Office

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.

Physical Work and Manual Labor

Physical Work and Manual Labor

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 injury.

football game

Athletic Injuries

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.

"Compassionate and Knowledgeable"


Elizabeth Flash


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One of the nicest and most competent doctors I have ever been to. Very compassionate and knowledgeable. Took his time, explained everything thoroughly. I highly recommend him!! Thank you Dr. Lesley for a wonderful experience. Also his office staff and nurses are wonderful and the wait time was the shortest I’ve ever experienced. A+ in my books!!

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David McClellan


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Excellent diagnosis and treatment. Both myself and my wife have used Dr. Lesley and his PA Maddie. They are excellent at listening to the problem and making a spot on diagnosis.  Dr. Lesley is not quick to recommend any invasive treatment. He and Maddie attempt to solve the issue with the least stress and discomfort. The two are highly recommended.

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Meet our Elbow Providers

Dr. Nathan Lesley grew up on a farm in the small town of DeLeon, Texas. 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.

Whether your elbow injury is related to work, sports, or arthritis, we invite you to make an appointment with the Hand to Shoulder Center in Fort Worth, TX. If you are experiencing chronic pain in your elbow, schedule an appointment at our office today. You can contact our office online or by calling:

(817) 420-9238

Dr. Nathan Lesley
Dr. Nathan Lesley

Dr. Jonathan Guevara grew up in Houston, Texas 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 completed 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

Whether your elbow injury is related to work, sports, or arthritis, we invite you to make an appointment with the Hand to Shoulder Center in Fort Worth, TX. If you are experiencing chronic pain in your elbow, schedule an appointment at our office today. You can contact our office online or by calling:

(817) 420-9238

​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, Shoulder and Elbow surgeon 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).

"Absolutely the Best"


Candis Richardson


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Dr. Lesley is very good at what he does. He was very compassionate and understanding when I told him how much pain I was in. He took time to answer my questions and explain everything. The staff was also great. Two days out from elbow surgery.

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Jason Woodyard


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I don't brag on doctors. Dr. Lesley is absolutely the best I've had to deal with. He listens and explains and was above and beyond on being thorough. Absolutely an artisan with stitches! Thanks Dr. Lesley for honoring the Hippocratic Oath!

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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 interpositional 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.

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 schedule an appointment, please contact us online or call (817) 420-9238.

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Fort Worth Office

5612 Edwards Ranch Rd.
Ste 200
Fort Worth, TX 76109

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