Houston Elbow Specialist & Surgery Care

Evidence-based evaluation and modern surgical techniques for elbow pain and injury in Houston and the Texas Medical Center—focused on durable function and return to sport.

Distal biceps and triceps repair
Anatomic tendon repair and reconstruction for acute and chronic ruptures.
Elbow instability and athletic injuries
Surgical management of ligamentous injuries and care of overhead athletes.
Degenerative elbow arthritis
Joint preservation, arthroscopic debridement, and replacement when indicated.

Elbow Conditions

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Elbow Procedures

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Is Elbow Surgery Right for You?

Non-Surgical Options
Activity modification, eccentric strengthening, bracing, NSAIDs, and selective injections—appropriate for most tendon and overuse problems.
When to Consider Surgery
Persistent pain, instability, loss of strength, mechanical locking, or nerve symptoms despite an appropriate course of non-operative care.
Recovery & Outcomes
Procedure-specific rehab focused on strength, motion, and return to sport or work, with structured throwing programs when appropriate.

Common Questions About Elbow Care

How do I know if I have tennis elbow vs. another problem?

Tennis elbow (lateral epicondylitis) typically causes pain on the outside of the elbow that worsens with gripping, lifting with the palm down, or repetitive wrist use. A careful exam can usually distinguish it from other causes such as cervical radiculopathy, radial tunnel syndrome, or referred shoulder pain. Imaging is only ordered when the diagnosis is unclear or when symptoms have failed initial treatment.

Can elbow arthritis be treated without surgery?

Often yes. Activity modification, anti-inflammatories, physical therapy, and selective corticosteroid injections relieve symptoms for most patients. Surgical options range from arthroscopic debridement to elbow replacement, considered when function remains limited despite non-operative care.

How long is recovery after distal biceps repair?

A sling is used for comfort only—no brace post-operatively. Motion progresses through the first 6 weeks. Strengthening begins around 6 weeks, with full weights typically achieved by 3 months and return to heavy work by 6 months.

How long does it take to return to throwing after a UCL injury?

After UCL reconstruction ("Tommy John surgery"), the structured throwing program starts around 4 months, mound throwing at around 6 months, and return to competitive throwing is typical at 9–12 months.

Does cubital tunnel syndrome always require surgery?

No. Mild cases often improve with activity modification, night-time elbow splints, and avoidance of prolonged elbow flexion. Surgery is considered for persistent symptoms or when objective weakness or muscle wasting develops.

Where will my elbow surgery be performed?

Surgery is performed at hospitals and surgery centers in Houston affiliated with UTHealth Houston and Memorial Hermann, with most elbow procedures performed in an outpatient setting.

How do I schedule an appointment in Houston?

Appointments are scheduled through the UTHealth Houston office at 713-486-1700. The practice has offices in Memorial Villages and the Texas Medical Center.

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The opinions and views contained on this website are Dr. Gregory's own and do not reflect the opinions or views of UT Physicians. UT Physicians does not exert editorial control over this website, nor makes any representations as to the accuracy or completeness of the information contained herein.

Copyright 2026 James M. Gregory, MD • Shoulder & elbow specialist serving Houston and the Texas Medical Center through UTHealth Houston
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