Treatment Of Elbow And Wrist Pain
Treatment depends on the cause of pain and its severity. The least invasive treatment is recommended initially by the doctors. These would include:
- Home treatment rest, ice or heat application and compression would help relieve pain and inflammation
- Splints reduces the squeezing of the nerve and increases movement
- Additional treatment – cortisone injections decrease inflammation and reduce pain
- Surgery It is the option once above treatments do not resolve the problem like removing the ligament in the wrist which releases pressure on the nerve.
If you or anyone you know is suffering from elbow or wrist pain, our expert providers at Specialty Care Clinics will take care of your health and help you recover.
Call us on to book an appointment with Dr. Aaron Eubanks.
13988 Diplomat Drive, Suite 100 Farmers Branch, TX 75234 Phone: Fax: 709-1948
What Are The Risks Of Leaving Hand Injuries Untreated
For hand injuries, such as fractures, the main risk is that the bone will not heal properly. This can lead to visible deformities, misalignment, limitation of future movement, and even infection. Unaddressed ligament or tendon tears will typically result in loss of function in the finger served. While we all jam and strain fingers at times, any lingering pain or sudden more acute pain needs to be checked out with our team at Bone & Joint Specialists.
Medical Conditions That Can Cause Elbow Pain
- radiohumeral bursitis bursitis is inflammation of a bursa. Bursae are small sacs that contain fluid to lubricate moving parts such as joints, muscles and tendons. Bursitis may be caused by repetitive use or frequent pressure or by injury to the elbow
- osteoarthritis the joint cartilage becomes brittle and splits. Some pieces of cartilage may even break away and float around inside the synovial fluid . This can lead to inflammation and pain
- referred pain injuries to the bones of the spine can irritate the nerves servicing the arm and cause referred pain around the elbow joint
- nerve entrapment the radial nerve is the main nerve of the arm. If this nerve cant move freely, it can cause pain when the arm is stretched out. The radial nerve can be pinched by vertebrae or the elbow joint. There is evidence to suggest that nerve entrapment contributes to the pain of tennis elbow in some cases
- ligament sprain joints are held together and supported by tough bands of connective tissue called ligaments. A sprain is a type of joint injury characterised by tearing of the ligaments
- bone fracture a heavy fall or blow to the elbow may cause one of the bones to break or crack
- avulsion fracture a powerful muscle contraction can wrench the tendon free and pull out pieces of bone
- osteochondritis dissecans in younger people, a piece of cartilage and bone can become loose in the joint.
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What If The Pain Lingers
Even tolerable pain may signal a more serious problem when it persists. If home treatment doesnt seem to address the issue after two or three days, contact a doctor.
Provide as much information as possible about your activities and other pertinent factors, including which medications or supplements youre taking.
Your doctor will help identify the problem, even if its an underlying issue causing the persistent pain.
Most processes that arent worrisome tend to run their course in a few days, Dr. Seitz says. Acute symptoms such as severe swelling, redness, pain or deformity may need more urgent evaluation and care.
Ultimately, taking a few minutes to assess your pain may help you avoid an emergency room visit for situations that arent serious.
Key Points About Lateral Epicondylitis

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Lateral epicondylitis, or tennis elbow, is swelling or tearing of the tendons that bend your wrist backward away from your palm.
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Its caused by repetitive motion of the forearm muscles, which attach to the outside of your elbow. The muscles and tendons become sore from excessive strain.
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Symptoms include pain, burning, or an ache along the outside of the forearm and elbow. It gets worse and may spread down to the wrist if the person continues the activity that causes the condition. The grip may become weak.
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Lateral epicondylitis is diagnosed by an exam of the elbow joint. The healthcare provider may need an X-ray or MRI to see whats causing the problem. An EMG may be done to look for nerve problems.
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Lateral epicondylitis can be treated with rest and medicines to help with the inflammation. Exercises often help too. Rarely, surgery may be done to repair the tendon.
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You can help prevent lateral epicondylitis by doing things like warming up before exercise or sports, increasing activity slowly, using the right equipment for activities, and strengthening your arm muscles.
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Follow your healthcare providers recommendations to get rest and manage pain and swelling. Let your healthcare provider know if these strategies dont help reduce pain, swelling, and loss of function.
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How Can Physical Therapy Help Shooting Pain In The Wrist
The first step in treating shooting wrist pain is rest. Minimize use of your wrist and stop any activities that are causing obvious shooting pain.
Whatever the cause of your wrist, elbow, or hand pain may be, physical therapy can help. In fact, early intervention may help you avoid surgery. Consult with a physical therapist to develop a customized wrist recovery plan will depend on the severity of your symptoms.
At Twin Boro, your physical therapist will begin with an in-depth wrist evaluation. After a full assessment, the physical therapist will create a unique treatment plan, which may include non-surgical treatment options such as:
- Wrist splinting to reduce the pressure on the median nerve.
- Nerve gliding exercises to help the median nerve glide more freely in the tunnel.
Symptoms Of Wrist Pain
Apart from pain the other symptoms depend on the cause of the pain. The pain is usually described as achy or dull or sharp. Some of the symptoms other than pain are:
- Stiffness occurring in the wrist and fingers.
- Trouble gripping objects grasping or holding becomes difficult and uncomfortable.
- Swelling and redness of the wrist and infection due to virus/bacteria or other infection
- Numbness, weakness or tingling in the wrist, hand, or fingers
- Muscle mass loss in the wrist, hand, or fingers
- Pain persists even after self-care treatments for 2 weeks
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Shoulder Elbow And Wrist Pain
Upper extremity pain is a very common issue among many people at some point in their lives.. The shoulder is one of the most vulnerable joints as it has such a wide range of motion, which opens it up to various injuries and problems. Elbows are the next most vulnerable joint and is usually due to repetitive use. When a shoulder or elbow begins to develop functional or anatomic changes pain usually is first noticed during certain activities such as lifting a carton of milk or reaching above the head but as it worsens it is felt also at night while in bed or while at rest. So, why are you experiencing pain and what can you do to find relief? We discuss several treatment options ranging from shoulder stretches to interventional procedures.
What Causes Hand Wrist And Elbow Pain
The following are some of the most common causes and symptoms of hand, wrist and elbow pain. If these symptoms sound familiar, visit with your physical therapist soon to get effective, lasting pain relief treatment:
- ArthritisYour hands each have a host of joints in the fingers, not to mention the wrist and the elbow. If pain and stiffness afflict these joints, your physical therapist can teach you hand exercises to help improve motion and reduce pain.
- BursitisPain and swelling in the small, fluid-filled bursa that cushion your joints and tendons is often caused by overuse and poor ergonomics. Your physical therapist can show you better ways of working to avoid overuse injuries.
- Carpal Tunnel SyndromeSwollen tendons, muscles and other tissues pinch the median nerve inside of the bony carpal tunnel in the wrist. Symptoms include shooting pain in the wrist and hand, sometimes up to the elbow numbness, tingling and hand weakness are also common.
- Cubital Tunnel SyndromeSoft tissue inflammation in the elbows cubital tunnel pinches the ulnar nerve, causing pain, weakness, numbness and tingling from the elbow down to the hand.
- Strains and SprainsSports, work and home injuries, or overuse from poor ergonomic movement, can injure your hand, wrist and elbow muscles, tendons and ligaments.
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Causes Of Arm Pain Between The Wrist And Elbow
Forearm pain can significantly interfere with your daily life, especially if it affects your dominant arm.Your forearm contains two bones and several nerves, muscles, tendons and blood vessels. Injuries or conditions that affect any of these structures can cause pain between your wrist and elbow.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
What Are The Causes Of Arm Pain Of Spinal Origin
Most often arm pain from spinal nerve compression occurs due to degenerative changes of the spine from aging or an injury that causes a bulging or herniated disc.
Degenerative Changes: As spinal vertebral discs age, they become stiffer, dry out, lose water content, lose height, and ultimately bulge out. This causes a collapse of the disc space and loss of disc space height. The body reacts to the collapsed disc by forming more bone called bone spurs around the disc to strengthen it. These bone spurs lead to stiffening of the spine as well as narrowing of the foramen leading to compressed or pinched nerves.
Herniated disc: A herniated disc most often occurs with sudden trauma felt with bending, twisting, pulling, or lifting movements. A disc herniates when the nucleus pushes against its annulus . When the herniated disc bulges out toward the spinal canal, it exerts pressure on the sensitive nerve root, causing pain and weakness in the area the nerve supplies.
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What Are The Possible Complications Of Cubital Tunnel Syndrome
Because cubital tunnel syndrome has a hereditary aspect, there are various risks. Some potential complications may be life-threatening. These include:
- The child may have other elbow problems and/or the other hip or wrist disorder, or both.
- The child could develop arthritis of the wrist.
- The child could develop a congenital fracture of the wrist.
- The child may have other forms of arm, leg and hand weakness.
What are the treatment options for cubital tunnel syndrome?
The most effective treatment is muscle strengthening exercises. There are exercises to strengthen the elbow and wrist muscles, including the following:
- Elbow Curl Exercises
What Are The Symptoms Of Arm Pain Of Spinal Origin

The pain in most cases originates from a compressed nerve in the neck and travels down the arm area. The pain can be described as sharp or burning in nature. Neck movements such as straining or extending the neck or turning the head may result in pain. Other symptoms may include:
- Weakness in the muscles of the neck, shoulder, arm or hand
- A sensation of pins and needles or tingling in the hand or fingers
- Loss of sensation
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Types Of Tendonitis And Tenosynovitis
Common types of these tendon problems include:
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Lateral epicondylitis. This is most often known as tennis elbow. It causes pain in the back side of the elbow and forearm, along the thumb side when the arm is alongside the body with the thumb turned away. The pain is caused by damage to the tendons that bend the wrist back and away from the palm.
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Medial epicondylitis. This is most often known as golfer’s or baseball elbow.It causes pain from the elbow to the wrist on the palm side of the forearm. The pain is caused by damage to the tendons that bend the wrist toward the palm.
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Rotator cuff tendonitis. This is also known as biceps tendonitis.Its a shoulder disorder. It causes inflammation of the shoulder capsule and related tendons.
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DeQuervain’s tenosynovitis. This is the most common type of tenosynovitis disorder. It causes swelling in the tendon sheath of the tendons of the thumb.
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Trigger finger or trigger thumb. This is a type of tenosynovitis. The tendon sheath becomes inflamed and thickened. This makes it hard to extend or flex the finger or thumb. The finger or thumb may lock or “trigger” suddenly.
What Is Arm Pain Of Spinal Origin
Arm pain of spinal origin can be described as discomfort or pain felt anywhere in the arm including the wrist, elbow, or shoulder as a result of a pinched nerve or irritated nerve in the spinal cord. The pain can occur as a dull constant pain or a sudden sharp pain that can develop suddenly or over time. The pain may be confined to one area of the arm or may radiate to other areas of the arm such as the hand, wrist, elbow, or shoulder.
Treatment For Elbow Pain
- exercises prescribed by your physiotherapist to gradually strengthen the tendons
- soft tissue massage
- acupuncture
- taping or bracing your elbow
- anti-inflammatory and pain-relieving medication can help you cope with the pain, but do not improve long-term outcomes
- surgery in severe cases, and if pain has not resolved within 12 months.
Common Symptoms Of Wrist Tendonitis
Swelling, pain, stiffness, and muscle fatigue are all common symptoms of wrist tendonitis.
Common symptoms of wrist tendonitis may include one or more of the following:
- Pain. Wrist tendonitis pain usually develops over a period of time and may be felt as a burning sensation, a sharp stabbing pain, or a constant dull ache. In some cases, the pain may extend up to the elbow or down to the fingers. Touching or gently pressing the affected tendon may also cause pain.
- Reduced strength. A feeling of weakness in the wrist and forearm area may be experienced while using the affected arm to do physical work. Sometimes, pain may start after doing a physical activity, and in other cases, the pain may remain constant or increase during an activity.
- Inability to bear weight. Reduced strength in the wrist may cause weight-bearing actions to be painful. For example, push-ups, lifting and/or throwing heavy objects, and even pushing on armrests to get out of a chair may cause wrist pain.
Sometimes, pain and other discomfort may return on activity even after the affected wrist is rested, or after the use of pain-relieving medications.5 Everyday activities such as turning door knobs, shaking hands, or lifting objects may be painful.
Why Choose An Osteopath
Osteopaths look at wrists and elbows in a holistic way and can be an alternative to other manual therapists like chiropractors, physiotherapists and massage therapists. Your osteopath will look at the alignment of the bones and joints as well as at the tension in the muscles. They also take a whole body approach and want to find other areas that may be contributing to your pain. Osteopaths look at how wrist and elbow problems may be influenced biomechanically from other body regions like the shoulder and upper back as an example. This whole body approach means the osteopath may be able to reduce pain and improve mobility more efficiently. Osteopaths can treat both acute and chronic problems in your wrist or elbow and in a gently way without any strong manipulation.
Can Yoga Ease Carpal Tunnel
There’s strong evidence that yoga can reduce pain and improve grip strength. In one small study, participants who did an eight-week yoga regimen of 11 postures designed to strengthen, stretch, and balance the joints of the upper body had better outcomes than participants who wore wrist splints and participants who were given no treatment at all.
Causes Of Shoulder Elbow And Wrist Pain
Although many disorders can cause pain, the most common cause of shoulder pain is rotator cuff tendinitis. The most common elbow disorder is epicondylitis , and common wrist disorder is usually Carpal Tunnel Syndrome. These disorders can be from acute injuries but are more commonly from overuse or repetitive use. These conditions can also include other causes including:
- Repetitive stress injuries
- Frozen shoulder
Can Surgery Treat Radial Tunnel Syndrome

There is a surgical treatment for this condition, but your doctor will likely only recommend it when rest and non-operative therapy fails.
The goal of the surgical decompression is to take the unwanted pressure off your radial nerve as it passes through the radial tunnel. Your surgeon will begin this procedure by making a cut right below the outside of your elbow and into your forearm. After moving around muscle tissues in the radial tunnel, theyll be able to see where exactly the nerve is being pinched or compressed. Once they find the exact spot, your surgeon will simply cut the parts of the radial tunnel that are compressing the nerve, expanding the tunnel in the process. Once the procedure is done, theyll stitch the cut back together.
This surgery is uncommon, and it can be performed as an outpatient surgery, meaning you wont stay in the hospital overnight. This procedure can be performed with general anesthesia or local anesthesia, which will only numb the arm that is being operated on. Youll remain awake on local anesthesia.
How Is Tennis Elbow Treated
Its important to avoid the movement that caused your injury in the first place. Treatment may include:
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Rest and stopping the activity that produces the symptoms
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Strengthening and stretching exercises
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Anti-inflammatory medicines
If these treatments do not work, your healthcare provider may talk to you about:
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Bracing the area to keep it still for a few weeks or use of a special brace with activities
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Steroid injections to help reduce swelling and pain
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A special type of ultrasound that can help break up scar tissue, increase blood flow, and promote healing