Written by
Işıl Yetişkin
Işıl Yetişkin Liv Hospital Content Team
Medically reviewed by

Related Doctors

Assoc. Prof. MD. Gökhan Kürşat Kara Liv Hospital Ulus Assoc. Prof. MD. Gökhan Kürşat Kara Orthopedic Surgery Assoc. Prof. MD. Gürkan Gümüşsuyu Liv Hospital Ulus Assoc. Prof. MD. Gürkan Gümüşsuyu Orthopedic Surgery Assoc. Prof. MD. Kadir Abul Liv Hospital Ulus Assoc. Prof. MD. Kadir Abul Orthopedic Surgery Op. MD. İsmail Tugay Yağcı Liv Hospital Ulus Op. MD. İsmail Tugay Yağcı Orthopedic Surgery Prof. MD. Ramazan Erden Ertürer Liv Hospital Ulus Prof. MD. Ramazan Erden Ertürer Orthopedic Surgery Prof. MD. Uğur Haklar Liv Hospital Ulus Prof. MD. Uğur Haklar Orthopedic Surgery Prof. MD. Süleyman Semih Dedeoğlu Liv Hospital Vadistanbul Prof. MD. Süleyman Semih Dedeoğlu Orthopedic Surgery Prof. MD. Yunus İmren Liv Hospital Vadistanbul Prof. MD. Yunus İmren Orthopedic Surgery Prof. MD. İsmail Demirkale Liv Hospital Vadistanbul Prof. MD. İsmail Demirkale Orthopedic Surgery Spec. MD. Gail Gasimov Liv Hospital Vadistanbul Spec. MD. Gail Gasimov Orthopedic Surgery Assoc. Prof. MD.  Birhan Oktaş Liv Hospital Bahçeşehir Assoc. Prof. MD. Birhan Oktaş Orthopedic Surgery Assoc. Prof. MD. Kaya Turan Liv Hospital Bahçeşehir Assoc. Prof. MD. Kaya Turan Orthopedic Surgery Op. MD. Hüsrev Purisa Liv Hospital Bahçeşehir Op. MD. Hüsrev Purisa Hand and Microsurgery Op. MD. İlker Sezer Liv Hospital Bahçeşehir Op. MD. İlker Sezer Hand and Microsurgery Prof. MD. Ersin Kuyucu Liv Hospital Bahçeşehir Prof. MD. Ersin Kuyucu Orthopedic Surgery Spec. MD. Ahmet Şadi Kılınç Liv Hospital Bahçeşehir Spec. MD. Ahmet Şadi Kılınç Orthopedic Surgery Spec. MD. Mustafa Özçamdallı Liv Hospital Bahçeşehir Spec. MD. Mustafa Özçamdallı Orthopedic Surgery Spec. MD. Yavuz Şahbat Liv Hospital Bahçeşehir Spec. MD. Yavuz Şahbat Orthopedic Surgery Assoc. Prof. MD. Alper Köksal Liv Hospital Topkapı Assoc. Prof. MD. Alper Köksal Orthopedic Surgery Assoc. Prof. MD. Kadir İlker Yıldız Liv Hospital Topkapı Assoc. Prof. MD. Kadir İlker Yıldız Orthopedic Surgery Assoc. Prof. MD. Samet Erinç Liv Hospital Topkapı Assoc. Prof. MD. Samet Erinç Orthopedic Surgery Op. MD. Nikola Azar Liv Hospital Topkapı Op. MD. Nikola Azar Orthopedic Surgery Assoc. Prof. MD.  Tuğrul Yıldırım Liv Hospital Ankara Assoc. Prof. MD. Tuğrul Yıldırım Orthopedic Surgery Assoc. Prof. MD. Özgür Kaya Liv Hospital Ankara Assoc. Prof. MD. Özgür Kaya Orthopedic Surgery Asst. Prof. MD. Yunus Demirtaş Liv Hospital Ankara Asst. Prof. MD. Yunus Demirtaş Orthopedic Surgery Op. MD. Murat Bozbek Liv Hospital Ankara Op. MD. Murat Bozbek Orthopedic Surgery Prof. MD. Ali Biçimoğlu Liv Hospital Ankara Prof. MD. Ali Biçimoğlu Orthopedic Surgery Prof. MD. Levent Çelebi Liv Hospital Ankara Prof. MD. Levent Çelebi Orthopedic Surgery MD. Mehmet Emre Hanay Liv Hospital Gaziantep MD. Mehmet Emre Hanay Orthopedics and Traumatology Op. MD. Ferit Yücel Liv Hospital Gaziantep Op. MD. Ferit Yücel Orthopedics and Traumatology Op. MD. Barış Özgürol Liv Hospital Samsun Op. MD. Barış Özgürol Orthopedic Surgery Op. MD. Metehan Saraçoğlu Liv Hospital Samsun Op. MD. Metehan Saraçoğlu Orthopedics and Traumatology Spec. MD. İsmayıl Meherremli Liv Bona Dea Hospital Bakü Spec. MD. İsmayıl Meherremli Orthopedics and Traumatology Spec. MD. Şehriyar Fetullayev Liv Bona Dea Hospital Bakü Spec. MD. Şehriyar Fetullayev Orthopedics and Traumatology Assoc. Prof. MD. Bülent Karslıoğlu Assoc. Prof. MD. Bülent Karslıoğlu Orthopedic Surgery Assoc. Prof. MD. Engin Çetin Assoc. Prof. MD. Engin Çetin Orthopedic Surgery Assoc. Prof. MD. Turan Bilge Kızkapan Assoc. Prof. MD. Turan Bilge Kızkapan Orthopedic Surgery Prof. MD. Oğuz Cebesoy Prof. MD. Oğuz Cebesoy Orthopedic Surgery
...
Views
Read Time
...
views
Read Time
How to Treat Arthritis in Your Elbow: Relief Guide
How to Treat Arthritis in Your Elbow: Relief Guide 4

Elbow arthritis is a condition that affects the cartilage in the elbow joint. It leads to pain and stiffness. It’s not very common, affecting about 2% of people. But, it can make simple tasks like lifting groceries hard.

Understanding the causes and symptoms of elbow arthritis is key. Whether it’s from wear-and-tear, rheumatoid inflammation, or injury, knowing your options is important. It helps you keep your quality of life and stop joint damage from getting worse.

We will look at the different types of elbow arthritis. We’ll also talk about the treatment approaches available. This will help you find relief.

Key Takeaways

  • Elbow arthritis affects about 2% of the population, causing significant pain and stiffness.
  • Understanding the causes, such as wear-and-tear or rheumatoid inflammation, is key to managing the condition.
  • Symptoms of elbow arthritis can significantly impact daily activities.
  • Various treatment approaches are available to help manage elbow arthritis.
  • Early understanding and intervention can help prevent progressive joint damage.

Understanding Elbow Arthritis

image 4017 LIV Hospital
How to Treat Arthritis in Your Elbow: Relief Guide 5

Elbow arthritis includes several types, like rheumatoid, osteoarthritis, and post-traumatic arthritis. Each type affects the elbow joint differently.

Common Types: Rheumatoid, Osteoarthritis, and Post-Traumatic

Rheumatoid arthritis is an autoimmune disease that causes joint inflammation and damage. It often affects both elbows. The immune system attacks the synovium, leading to joint damage and inflammation.

Osteoarthritis affects the elbow, causing cartilage wear and tear. It’s more common in people aged 40 to 50 or older. For more info, visit OrthInfo.

Post-traumatic arthritis happens after an elbow injury. It causes joint damage and arthritis. The symptoms and how it progresses depend on the injury’s severity.

Recognizing Symptoms and Warning Signs

It’s important to recognize elbow arthritis symptoms early. Common signs include:

  • Pain in the elbow, worse with movement
  • Stiffness, mainly after rest
  • Limited mobility or reduced range of motion
  • Swelling or redness around the elbow

Spotting these symptoms early can help manage the condition. It also reduces the risk of more joint damage.

Treatment for Arthritis in Elbow: Medical Approaches

image 4018 LIV Hospital
How to Treat Arthritis in Your Elbow: Relief Guide 6

Elbow arthritis treatment includes many options, from simple steps to more complex surgeries. We know that treating elbow arthritis well needs a plan that tackles both symptoms and causes. This approach helps manage the condition effectively.

Oral Medications and Pain Management

Oral medicines are often the first choice for elbow arthritis pain. Drugs like ibuprofen help reduce pain and swelling. The Arthritis Foundation says NSAIDs are key in managing arthritis because they lessen pain and swelling.

Arthritis Foundation

It’s important to talk to a doctor to find the right medicine and how much to take.

Corticosteroid Injections and Their Effectiveness

Corticosteroid shots can help with elbow arthritis pain. These shots are put directly into the joint to cut down on swelling and pain. While they work for some, others may not feel as much relief. It’s key to discuss the pros and cons with a healthcare provider.

When to Consider Advanced Treatments

If simple treatments don’t work, more advanced options might be needed. This could include surgery like joint replacement or arthroscopy. We suggest advanced treatments for those with severe arthritis who haven’t seen improvement with other methods. The American Academy of Orthopaedic Surgeons says surgery can greatly improve joint function and reduce pain for those with advanced arthritis.

Self-Management Strategies for Daily Relief

Managing elbow arthritis symptoms daily is possible with self-care techniques. It’s important to use both medical treatments and personal strategies. These methods help manage symptoms and keep your quality of life high.

Effective Physical Therapy Exercises

Physical therapy exercises are key for elbow mobility and strength. Targeted exercises like elbow curls and tricep stretches improve flexibility and reduce stiffness. Start with gentle exercises and increase intensity as your elbow gets stronger.

Begin with simple elbow flexion and extension exercises. Hold your arm straight out and bend your elbow to bring your hand to your shoulder. Do this several times. Consistency is key for improvement.

Activity Modification to Reduce Pain

Changing daily activities can lessen elbow pain from arthritis. Avoid heavy lifting or repetitive motions that strain the elbow. Choose lighter alternatives that don’t worsen the condition.

  • Use lighter tools or equipment when performing tasks.
  • Take regular breaks to rest your elbows.
  • Adjust your workspace to reduce strain on your elbows.

Heat, Cold, and Other Home Remedies

Heat and cold therapy are simple yet effective for elbow arthritis pain. Heat relaxes muscles and increases blood flow. Cold reduces inflammation and numbs pain. Try both to see what works best for you.

Other home remedies like gentle massage and relaxation techniques can also help. It’s essential to find a combination that works for your specific needs.

By using these self-management strategies, people with elbow arthritis can find daily relief. We encourage you to work with your healthcare provider to create a plan that fits your lifestyle and needs.

Conclusion

Understanding and managing arthritis in the elbow is key to a good quality of life. Recognizing symptoms and knowing treatment options is the first step. This helps individuals manage their condition better.

Arthritis in the elbow can be very limiting. But, the right treatment can help reduce symptoms. We talked about different types of arthritis, like rheumatoid and osteoarthritis, and how to treat them.

Using these strategies daily can help ease pain and keep independence. Managing arthritis in the elbow needs a full plan. This includes medical care and changes in lifestyle.

With the right plan, people can manage their elbow arthritis well. This improves their overall health. We suggest talking to healthcare experts to create a personal plan for managing elbow arthritis.

FAQ

What is elbow arthritis?

Elbow arthritis is a condition that affects the cartilage in the elbow joint. It causes pain and stiffness. It can be caused by rheumatoid arthritis, osteoarthritis, and post-traumatic arthritis.

What are the symptoms of arthritis in the elbow?

Symptoms include pain, stiffness, and limited mobility. It’s important to recognize these symptoms early for proper treatment.

Can you get arthritis in your elbows?

Yes, elbow arthritis is rare but affects about 2% of people. It can make daily activities hard.

How is elbow arthritis treated?

Treatment includes oral medications like NSAIDs for pain and inflammation. Corticosteroid injections offer temporary relief. Physical therapy and changing activities are also key.

What are the different types of elbow arthritis?

There are rheumatoid arthritis, osteoarthritis, and post-traumatic arthritis. Knowing the type helps choose the right treatment.

How can I manage my elbow arthritis symptoms daily?

Doing physical therapy exercises like elbow curls helps. Avoiding heavy lifting and repetitive motions also helps. Heat and cold therapy can offer relief.

When should I consider advanced treatments for elbow arthritis?

For severe cases, surgery might be needed. A healthcare professional can help decide the best treatment.

What is post-traumatic arthritis in the elbow?

It occurs after an injury to the elbow. It leads to pain and stiffness in the joint.

How does rheumatoid arthritis affect the elbow joint?

Rheumatoid arthritis is an autoimmune condition. It causes inflammation and damage to the joint, often affecting both elbows.

 References

National Center for Biotechnology Information. Evidence-Based Medical Insight. Retrieved from https://pubmed.ncbi.nlm.nih.gov/22958843/

i

Medical Disclaimer

The content on this page is for informational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. Always consult a qualified healthcare provider regarding any medical conditions.

Get a Free Quote

Response within 2 hours during business hours

Clinics/branches
GDPR

Related Doctors

Assoc. Prof. MD. Gökhan Kürşat Kara Liv Hospital Ulus Assoc. Prof. MD. Gökhan Kürşat Kara Orthopedic Surgery Assoc. Prof. MD. Gürkan Gümüşsuyu Liv Hospital Ulus Assoc. Prof. MD. Gürkan Gümüşsuyu Orthopedic Surgery Assoc. Prof. MD. Kadir Abul Liv Hospital Ulus Assoc. Prof. MD. Kadir Abul Orthopedic Surgery Op. MD. İsmail Tugay Yağcı Liv Hospital Ulus Op. MD. İsmail Tugay Yağcı Orthopedic Surgery Prof. MD. Ramazan Erden Ertürer Liv Hospital Ulus Prof. MD. Ramazan Erden Ertürer Orthopedic Surgery Prof. MD. Uğur Haklar Liv Hospital Ulus Prof. MD. Uğur Haklar Orthopedic Surgery Prof. MD. Süleyman Semih Dedeoğlu Liv Hospital Vadistanbul Prof. MD. Süleyman Semih Dedeoğlu Orthopedic Surgery Prof. MD. Yunus İmren Liv Hospital Vadistanbul Prof. MD. Yunus İmren Orthopedic Surgery Prof. MD. İsmail Demirkale Liv Hospital Vadistanbul Prof. MD. İsmail Demirkale Orthopedic Surgery Spec. MD. Gail Gasimov Liv Hospital Vadistanbul Spec. MD. Gail Gasimov Orthopedic Surgery Assoc. Prof. MD.  Birhan Oktaş Liv Hospital Bahçeşehir Assoc. Prof. MD. Birhan Oktaş Orthopedic Surgery Assoc. Prof. MD. Kaya Turan Liv Hospital Bahçeşehir Assoc. Prof. MD. Kaya Turan Orthopedic Surgery Op. MD. Hüsrev Purisa Liv Hospital Bahçeşehir Op. MD. Hüsrev Purisa Hand and Microsurgery Op. MD. İlker Sezer Liv Hospital Bahçeşehir Op. MD. İlker Sezer Hand and Microsurgery Prof. MD. Ersin Kuyucu Liv Hospital Bahçeşehir Prof. MD. Ersin Kuyucu Orthopedic Surgery Spec. MD. Ahmet Şadi Kılınç Liv Hospital Bahçeşehir Spec. MD. Ahmet Şadi Kılınç Orthopedic Surgery Spec. MD. Mustafa Özçamdallı Liv Hospital Bahçeşehir Spec. MD. Mustafa Özçamdallı Orthopedic Surgery Spec. MD. Yavuz Şahbat Liv Hospital Bahçeşehir Spec. MD. Yavuz Şahbat Orthopedic Surgery Assoc. Prof. MD. Alper Köksal Liv Hospital Topkapı Assoc. Prof. MD. Alper Köksal Orthopedic Surgery Assoc. Prof. MD. Kadir İlker Yıldız Liv Hospital Topkapı Assoc. Prof. MD. Kadir İlker Yıldız Orthopedic Surgery Assoc. Prof. MD. Samet Erinç Liv Hospital Topkapı Assoc. Prof. MD. Samet Erinç Orthopedic Surgery Op. MD. Nikola Azar Liv Hospital Topkapı Op. MD. Nikola Azar Orthopedic Surgery Assoc. Prof. MD.  Tuğrul Yıldırım Liv Hospital Ankara Assoc. Prof. MD. Tuğrul Yıldırım Orthopedic Surgery Assoc. Prof. MD. Özgür Kaya Liv Hospital Ankara Assoc. Prof. MD. Özgür Kaya Orthopedic Surgery Asst. Prof. MD. Yunus Demirtaş Liv Hospital Ankara Asst. Prof. MD. Yunus Demirtaş Orthopedic Surgery Op. MD. Murat Bozbek Liv Hospital Ankara Op. MD. Murat Bozbek Orthopedic Surgery Prof. MD. Ali Biçimoğlu Liv Hospital Ankara Prof. MD. Ali Biçimoğlu Orthopedic Surgery Prof. MD. Levent Çelebi Liv Hospital Ankara Prof. MD. Levent Çelebi Orthopedic Surgery MD. Mehmet Emre Hanay Liv Hospital Gaziantep MD. Mehmet Emre Hanay Orthopedics and Traumatology Op. MD. Ferit Yücel Liv Hospital Gaziantep Op. MD. Ferit Yücel Orthopedics and Traumatology Op. MD. Barış Özgürol Liv Hospital Samsun Op. MD. Barış Özgürol Orthopedic Surgery Op. MD. Metehan Saraçoğlu Liv Hospital Samsun Op. MD. Metehan Saraçoğlu Orthopedics and Traumatology Spec. MD. İsmayıl Meherremli Liv Bona Dea Hospital Bakü Spec. MD. İsmayıl Meherremli Orthopedics and Traumatology Spec. MD. Şehriyar Fetullayev Liv Bona Dea Hospital Bakü Spec. MD. Şehriyar Fetullayev Orthopedics and Traumatology Assoc. Prof. MD. Bülent Karslıoğlu Assoc. Prof. MD. Bülent Karslıoğlu Orthopedic Surgery Assoc. Prof. MD. Engin Çetin Assoc. Prof. MD. Engin Çetin Orthopedic Surgery Assoc. Prof. MD. Turan Bilge Kızkapan Assoc. Prof. MD. Turan Bilge Kızkapan Orthopedic Surgery Prof. MD. Oğuz Cebesoy Prof. MD. Oğuz Cebesoy Orthopedic Surgery
Trusted Worldwide
30
Years of
Experience
30 Years Badge
Health Türkiye Accreditation

Trusted Worldwide

30 Years of Experience

Patient Reviews
Reviews from 9,651
4,9
Was this content helpful?
Your feedback helps us improve.
What did you like?
Share more details about your experience.
You must give consent to continue.

Thank you!

Your feedback has been submitted successfully. Your input is valuable in helping us improve.

Book a Free Certified Online
Doctor Consultation

Clinics/branches
GDPR

We're Here to Help.
Get in Touch

Send us all your questions or requests, and our
expert team will assist you.

Our Doctors

Assoc. Prof. MD. Gökhan Kürşat Kara Orthopedic Surgery

Assoc. Prof. MD. Gökhan Kürşat Kara

Liv Hospital Ulus
Assoc. Prof. MD. Gürkan Gümüşsuyu Orthopedic Surgery

Assoc. Prof. MD. Gürkan Gümüşsuyu

Liv Hospital Ulus
Assoc. Prof. MD. Kadir Abul Orthopedic Surgery

Assoc. Prof. MD. Kadir Abul

Liv Hospital Ulus
Op. MD. İsmail Tugay Yağcı Orthopedic Surgery

Op. MD. İsmail Tugay Yağcı

Liv Hospital Ulus
Prof. MD. Ramazan Erden Ertürer Orthopedic Surgery

Prof. MD. Ramazan Erden Ertürer

Liv Hospital Ulus
Prof. MD. Uğur Haklar Orthopedic Surgery

Prof. MD. Uğur Haklar

Liv Hospital Ulus
Prof. MD. Süleyman Semih Dedeoğlu Orthopedic Surgery

Prof. MD. Süleyman Semih Dedeoğlu

Liv Hospital Vadistanbul
Prof. MD. Yunus İmren Orthopedic Surgery

Prof. MD. Yunus İmren

Liv Hospital Vadistanbul
Prof. MD. İsmail Demirkale Orthopedic Surgery

Prof. MD. İsmail Demirkale

Liv Hospital Vadistanbul
Spec. MD. Gail Gasimov Orthopedic Surgery

Spec. MD. Gail Gasimov

Liv Hospital Vadistanbul
Assoc. Prof. MD.  Birhan Oktaş Orthopedic Surgery

Assoc. Prof. MD. Birhan Oktaş

Liv Hospital Bahçeşehir
Assoc. Prof. MD. Kaya Turan Orthopedic Surgery

Assoc. Prof. MD. Kaya Turan

Liv Hospital Bahçeşehir
Op. MD. Hüsrev Purisa Hand and Microsurgery

Op. MD. Hüsrev Purisa

Liv Hospital Bahçeşehir
Op. MD. İlker Sezer Hand and Microsurgery

Op. MD. İlker Sezer

Liv Hospital Bahçeşehir
Prof. MD. Ersin Kuyucu Orthopedic Surgery

Prof. MD. Ersin Kuyucu

Liv Hospital Bahçeşehir
Spec. MD. Ahmet Şadi Kılınç Orthopedic Surgery

Spec. MD. Ahmet Şadi Kılınç

Liv Hospital Bahçeşehir
Spec. MD. Mustafa Özçamdallı Orthopedic Surgery

Spec. MD. Mustafa Özçamdallı

Liv Hospital Bahçeşehir
Spec. MD. Yavuz Şahbat Orthopedic Surgery

Spec. MD. Yavuz Şahbat

Liv Hospital Bahçeşehir
Assoc. Prof. MD. Alper Köksal Orthopedic Surgery

Assoc. Prof. MD. Alper Köksal

Liv Hospital Topkapı
Assoc. Prof. MD. Kadir İlker Yıldız Orthopedic Surgery

Assoc. Prof. MD. Kadir İlker Yıldız

Liv Hospital Topkapı
Assoc. Prof. MD. Samet Erinç Orthopedic Surgery

Assoc. Prof. MD. Samet Erinç

Liv Hospital Topkapı
Op. MD. Nikola Azar Orthopedic Surgery

Op. MD. Nikola Azar

Liv Hospital Topkapı
Assoc. Prof. MD.  Tuğrul Yıldırım Orthopedic Surgery

Assoc. Prof. MD. Tuğrul Yıldırım

Liv Hospital Ankara
Assoc. Prof. MD. Özgür Kaya Orthopedic Surgery

Assoc. Prof. MD. Özgür Kaya

Liv Hospital Ankara
Asst. Prof. MD. Yunus Demirtaş Orthopedic Surgery

Asst. Prof. MD. Yunus Demirtaş

Liv Hospital Ankara
Op. MD. Murat Bozbek Orthopedic Surgery

Op. MD. Murat Bozbek

Liv Hospital Ankara
Prof. MD. Ali Biçimoğlu Orthopedic Surgery

Prof. MD. Ali Biçimoğlu

Liv Hospital Ankara
Prof. MD. Levent Çelebi Orthopedic Surgery

Prof. MD. Levent Çelebi

Liv Hospital Ankara
MD. Mehmet Emre Hanay Orthopedics and Traumatology

MD. Mehmet Emre Hanay

Liv Hospital Gaziantep
Op. MD. Ferit Yücel Orthopedics and Traumatology

Op. MD. Ferit Yücel

Liv Hospital Gaziantep
Op. MD. Barış Özgürol Orthopedic Surgery

Op. MD. Barış Özgürol

Liv Hospital Samsun
Op. MD. Metehan Saraçoğlu Orthopedics and Traumatology

Op. MD. Metehan Saraçoğlu

Liv Hospital Samsun
Spec. MD. İsmayıl Meherremli Orthopedics and Traumatology

Spec. MD. İsmayıl Meherremli

Liv Bona Dea Hospital Bakü
Spec. MD. Şehriyar Fetullayev Orthopedics and Traumatology

Spec. MD. Şehriyar Fetullayev

Liv Bona Dea Hospital Bakü
Assoc. Prof. MD. Bülent Karslıoğlu Orthopedic Surgery

Assoc. Prof. MD. Bülent Karslıoğlu

Assoc. Prof. MD. Engin Çetin Orthopedic Surgery

Assoc. Prof. MD. Engin Çetin

Assoc. Prof. MD. Turan Bilge Kızkapan Orthopedic Surgery

Assoc. Prof. MD. Turan Bilge Kızkapan

Prof. MD. Oğuz Cebesoy Orthopedic Surgery

Prof. MD. Oğuz Cebesoy

Need Help? Chat with our medical team

Let's Talk on WhatsApp

📌

Get instant answers from our medical team. No forms, no waiting — just tap below to start chatting now.

or call us at +90 530 510 67 91