Elbow, Wrist + Hand Problems

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Hand, Wrist + Arm Pain

Carpal Tunnel Syndrome

This common condition occurs in the wrist and hand when pressure is placed on the nerve at the base of the palm. It is common in professions with assembly-line work and jobs that require the use of vibrating hand tools.  CTS can cause pain, weakness, tingling, or numbness, and over time, symptoms can radiate up into the arms. In rare cases, this condition may need to be treated with surgery, but most of the time, physical therapy is sufficient to reduce arm pain while changing posture, building strength, and improving flexibility.

Carpal Tunnel Syndrome is commonly associated with desk jobs and keyboard work. However, according to the American Physical Therapy Association, those performing assembly line work are three times more likely to develop CTS than those who perform data entry.

De Quervain’s Tenosynovitis

De Quervain’s Tenosynovitis causes pain and discomfort in the wrist near the thumb and extending into the forearm. It can be caused by chronic overuse—sometimes even from texting and playing video games. Women are significantly more likely to develop this condition. Your physical therapist will help you evaluate the way you use your hands in functional activity and develop an appropriate arm pain treatment plan.

Forearm/Wrist Fractures

According to the American Physical Therapy Association, one in ten broken bones diagnosed in the United States is a wrist fracture. Most wrist fractures don’t require surgery, but you will need an x-ray for diagnosis. Physical therapy can before the fracture has fully healed, while your arm is in a cast or sling, and after any brace has been removed. Treatment plans are aimed at helping you return to physical activity.

Ulnar Nerve Injuries

The ulnar nerve is one of the three major nerves in the forearm, and an injury to this nerve can limit the communication from your hand to your brain, resulting in arm pain, numbness, tingling, and/or motion problems. Usually, injury occurs due to some form of compression on the nerve. Sometimes, surgery is necessary to relieve the pressure and fix the condition. Physical therapy can help alleviate symptoms with or without surgery.

Elbow Injuries

Elbow Dislocation

Elbow dislocations usually occur as the result of an impact, preventing normal function of the elbow and causing intense pain and swelling. If you suspect a dislocation, seek medical treatment immediately. After some rest, physical therapy exercises and treatment can help you gradually regain full use of your elbow.

Elbow Fractures

A broken elbow is a serious injury that requires urgent treatment. Usually caused by a traumatic incident, treatment plans will depend on the severity and complications of the injury. Some fractures may require surgical intervention, but most can heal with a brace or sling and physical therapy. One of the major implications of an elbow fracture can occur during healing—residual stiffness can severely limit range of motion. Physical therapy will help prevent this issue.

Golfer’s Elbow (Medial Epicondylalgia) – Golfer’s Elbow develops when the tendons on the inner side of the forearm become irritated or damaged. Pain is usually felt in the area where the tendon connects to the bone in the elbow, but other symptoms include stiffness, weakness, and tenderness in the forearm, wrist, and hand. Physical therapy will retrain you in the correct way to use your muscles, while also building strength and mobility.

Tennis Elbow (Lateral Epicondylalgia) – This painful condition is caused by the overuse of the muscles in your arm and forearm, used to grip, twist, and carry objects with your hand. Most people with Tennis Elbow don’t actually play tennis—usually, symptoms develop over time from repetitive motions. Pain, stiffness, and weakness are common symptoms. Physical therapy will retrain you to use your muscles correctly, while also building strength and mobility.