Sunday, August 14, 2022

Is Tennis Elbow And Carpal Tunnel Related

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Can You Have Carpel Tunnel And Tennis Elbow At The Same Time On The Same Arm

Dr. David TrettinCts is

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What Is Cubital Tunnel Syndrome

Cubital tunnel syndrome happens when the ulnar nerve, which passes through the cubital tunnel on the inside of the elbow, is injured and becomes inflamed, swollen, and irritated.

Cubital tunnel syndrome causes pain that feels a lot like the pain you feel when you hit the “funny bone” in your elbow. The “funny bone” in the elbow is actually the ulnar nerve, a nerve that crosses the elbow. The ulnar nerve begins in the side of your neck and ends in your fingers.

Medical History And Physical Examination

Your doctor will discuss your medical history and general health. He or she may also ask about your work, your activities, and what medications you are taking.

After discussing your symptoms and medical history, your doctor will examine your arm and hand to determine which nerve is compressed and where it is compressed. Some of the physical examination tests your doctor may do include:

  • Tap over the nerve at the funny bone. If the nerve is irritated, this can cause a shock into the little finger and ring finger although this can happen when the nerve is normal as well.
  • Check whether the ulnar nerve slides out of normal position when you bend your elbow.
  • Move your neck, shoulder, elbow, and wrist to see if different positions cause symptoms.
  • Check for feeling and strength in your hand and fingers.

To perform Tinel’s test for nerve damage, your doctor will lightly tap along the inside of the elbow joint, directly over the ulnar nerve.

Caring Medicals Approach To Carpal Tunnel Syndrome Stability And Strength In Wrist And Elbow

Actual carpal tunnel syndromes are caused by compression of the median nerve and pseudo carpal tunnel syndromes are caused by ligament weakness. They both may present with the same or similar symptoms but have entirely different pathology.

In our treatments we utilize:

  • Comprehensive Prolotherapy treatment. This involves multiple injections of the dextrose-based solution to the various ligament attachments around the elbow or wrist. A treatment to the wrist area is demonstrated below.
  • Injections are made to the injured and weakened structures of the wrist and elbow. The goal is to stimulate a natural inflammatory response in the weakened ligament tissues and initiate a repair of these tissues.
  • The mechanism works by way of the Prolotherapy treatments sending regenerative cells to the areas of the wrist or elbow that need healing, and collagen is laid down. Collagen is an important building block of soft tissue. This strengthens the weak wrist and elbow ligaments. They become tighter and stronger, and the original cause of pain and symptoms is eliminated.

Other Diseases Of Elbow Forearm Wrist And Hand

Carpal Tunnel Syndrome/Tennis Elbow and other similar ...

Tennis elbow

With regard to tennis elbow, the search strategy produced 11 citations, of which two were relevant: one narrative review and one cross-sectional study.

The review by Pedersen and Jensen was conducted to study the possible occupational origin of tennis elbow and concluded that there was no controlled study showing an association between the use of a computer at work and epicondylitis.

Ulnar neuropathy

With regard to ulnar neuropathy, the search strategy produced three citations, of which two were relevant: one case-control study and one case series.

The case-control study was performed in Denmark by Andersen et al. . These authors examined some potential occupational risk factors of cases and three matched community referents per case. Especially in the ulnar neuropathy patients, the results showed a significant trend of progressive protection offered by length of computer use . Conversely, workers leaning on an elbow for more than 2 hours per workday were at double risk.

De Quervain’s syndrome

With regard to de Quervain’s syndrome, the search strategy produced three citations, of which two were relevant: one narrative review and one cross-sectional study.

The review conducted by Gigante et al. showed the same results that we obtained with our search: there are no informative papers regarding the putative association between computer use and de Quervain’s syndrome.

Trigger finger


What Should You Do If You Think You Have Tendonitis

  • First, we recommend you see a hand specialist so that it can be determined if you have carpal tunnel syndrome or tendonitis.
  • While you are waiting for the appointment, we recommend an over the counter pain reliever.
  • Depending on the severity of the condition, you may need corticosteroid injections injections, physical therapy, or in the severest cases surgery.

The good news for those suffering from tendonitis, it is not something that is usually permanent. With the proper treatment, it can go away, even if it does feel like it will last forever while you have it. The quickest way to get relief though is to look through your day and see which repetitive motion you are doing and eliminate it until you have seen the doctor and had a treatment plan.

If you would like more information or need an appointment to see if you have carpal tunnel syndrome or tendonitis, please make an appointment at one of our five locations. You can find our office numbers on this link: Contact Us.

How Can I Avoid Or Reduce The Symptoms Of Carpal Tunnel Syndrome

If you experience mild CTS, you may be able to ease your symptoms with these simple remedies:

  • Take breaks from repetitive tasks with repetitive motions like typing, guitar playing and drilling.
  • Wear wrist splints at night which keep them straight and help relieve pressure.
  • Relax your grip or reduce the force youre using; try using a soft-grip pen or tapping keys more lightly when typing.
  • Try keeping your wrists neutral as much as possible, avoid flexing to the extreme in either direction.
  • Keeping your hands warm can help with pain and stiffness.
  • Stretch your hands and move your wrists to improve blood flow to these areas, before, during and after tasks.
  • Try over-the-counter medications such as anti-inflammatory drugs like ibuprofen because they not only relieve any pain you may have, but they can also reduce inflammation around the nerve.
  • If your symptoms are work-related ask your employer to do a workstation assessment for ergonomics


What Is Tennis Elbow And What Causes Tennis Elbow

While caused by many activities, the one most commonly associated with this type of overuse injury is Tennis and other racquet sports.

Ironically, only a small minority of individuals with Tennis Elbow injury and/or pain actually got it from playing tennis.

Typing, knitting, hammering, and other repetitive motion activities are all causes of Tennis Elbow, depending on what exactly and how exactly your are doing the activity.

Golfers Elbow is essentially the same kind of ‘Elbow Tendonitis’ with the same pain dynamic, but on the opposite side of the elbow/forearm.

If you have a sore elbow, feel around where you are hurting. You will feel some ache and if your press harder, some sharp pain. You will also feel skin on top of a mass of muscle and maybe some harder tissue that is the tendon connecting muscle to the bone of your Lateral Epicondyle.

If you have pain in your elbow and forearm, and even more pain when you try to use your hand/arm, you probably don’t need to find out more about Tennis Elbow Symptoms.

Where Does Tennis Elbow Cause Pain

The is focused on the outside of your arm, where your forearm meets your elbow.

Its related to a muscle and tendons in your forearm. Tendons connect your muscles to your bones. When you repeat certain arm movements, the tendons at the elbow end of a certain muscle — the extensor carpi radialis brevis muscle — may get small tears.

The tears may put stress on the rest of your arm, making it painful to lift and grip things. If you dont get treatment, the pain can last a long time.

Distal Upper Extremity Isokinetic Strength Profiling In Elite Tennis Players

Finally, Ellenbecker and Roetert tested 38 elite junior tennis players in the pattern of elbow flexion extension strength using a Cybex 6000 isokinetic dynamometer. The goal of this research was to develop a similar profile for elbow flexion and extension strength and to compare strength levels between the dominant and nondominant extremity. Testing was performed in a supine position with stabilization straps with the shoulder in 45 degrees of abduction with the forearm in a neutral position during testing with a range of motion between degrees of extension to 125 degrees of elbow flexion. The results showed that male tennis players exhibited significantly greater dominant arm elbow extension strength and that no significant differences were found between extremities in elbow flexion muscular performance in both males and females. In elite junior tennis players, elbow extension strength on the dominant arm in both males and females was actually stronger than elbow flexion strength. This may be due to the high activation levels of triceps to generate elbow extension during the acceleration phase of the tennis serve .

How To Avoid Elbow Pain Caused By Cubital Tunnel Syndrome

Posted on by Palm Beach Pain Institutein Pain Prevention

As you read this, are you sitting at your computer with your elbows bent at ninety degrees or more? Do you always hold your cell as you talk or sleep at night with an elbow bent?

If you answered yes to either of these, you may be at risk for cubital tunnel syndrome. In truth, you may already be suffering from it. If so, here are a few ways you can avoid pain caused by cubital tunnel syndrome!

And A Scalene Muscle Connection With Spot No 5 And Tennis Elbow

Curiously, a muscle in the neck seems to have an unusually strong effect on Perfect Spot No. 5. Travell and Simons write, Scalene muscle trigger points are frequently the key to forearm extensor digitorum trigger points. If you need to help your forearm muscles, I recommend also treating your scalene muscles see Massage Therapy for Neck Pain, Chest Pain, Arm Pain, and Upper Back Pain.

What You Can Do

Carpal Tunnel Pain Relief & Tennis Elbow Pain Relief ...

The most important thing you can do to relieve any symptoms is to change activities that are contributing to cubital tunnel syndrome. Be conscious of daily activities and make some adjustments like the following:

  • While working on a computer be sure your chair is high enough to avoid bent elbows.
  • Avoid bent elbows at night by using a towel or splint around your elbow while you sleep.
  • Avoid resting your elbow on arm rests for any length of time or leaning on your elbows.
  • If you must talk on a cell phone for long periods, use a headset.
  • Avoid resting your elbow on the open window while driving.
  • Take anti-inflammatory medications for any occasional discomfort.
  • See Palm Beach Pain Institute if your symptoms persist longer than 6 weeks.

If left untreated, cubital tunnel syndrome can lead to serious functional issues. Its important to contact Palm Beach Pain Institute if you feel that youre experiencing pain related to cubital tunnel syndrome.

As always, if you have any further questions or would like to schedule an appointment, please call or request an appointment online today!

Symptoms Of Gamers Thumb Or Wrist

If youre big into esports, its pretty easy to tell when youve developed gamers thumb. Look out for these 3 symptoms:

  • Pain in thumb, especially during / after gaming
  • Wrist pain, especially during / after gaming
  • Pain specifically when rotating thumb and wrist down away from your forearm

If youve been experiencing any of these symptoms, you can do this quick at-home test to see if you could be suffering from gamers thumb:If you experience pain completing the test above, we recommend making an appointment to get checked out by a certified hand therapist*.*Note: Did you know that in many states, Arizona included, you dont need a referral to see a physical therapist? In a direct access state, you can skip the general and move right toward physical therapy treatment.


What Are The Symptoms

The most common early symptom of cubital tunnel syndrome is pins and needles in the littleand ring finger of the affected arm. There can also be an electric or shooting type pain from the elbow to the fingers, down the inside of the forearm. This is due to damage to the sensory fibres of the nerve. The brain perceives the pain like pins and needles at the site where the nerve supplies, not at the site of compression, so there is rarely elbow pain associated with cubital tunnel syndrome, although the problem is in the elbow.Early on, the symptoms are intermittent and often depend on the position of the elbow. Having the elbows bent for long periods of time, such as when sleeping, can result in the symptoms that often wake patients at night. Symptoms can often be caused by reading and holding the book with the elbow bent or driving with the elbow bent for a long period of time. Intermittent sensory symptoms are reversible with treatment. When sensory symptoms become permanent, the reversibility is less predictable and can take a long time for the symptoms to resolve.As the condition progresses, the motor part of the nerve becomes damaged and the small muscles of the hand which affect the strength of grip lose their nerve supply, become weak and eventually atrophy resulting in the muscle wasting away. Muscle wasting is permanent. 

Surprising Wrist Thumb And Elbow Injuries From Gaming

Jul 8, 2020

Avid gamers can tell you that the world of esports isnt always easy and pain free. Learn the 3 most common video game injuries and how to treat, and more importantly, prevent, these injuries to keep your game hands strong.

Although we dont talk about them as frequently, injuries in esports are fairly common. I spoke with certified hand therapist Doug Rich at our Red Mountain Clinic who has seen and treated the gamut of video game injuries.

Doug boasts an impressive resume with 25 years experience as a physical therapist, 15 years as a certified hand therapist, and a certification in trigger point dry needling that makes him one of only a handful of hand therapists in the valley that can perform dry needling. I asked Doug about the most common gaming injuries, causes, symptoms, prevention, and treatment.

Tight Fascia In Your Forearms Can Cause A Variety Of Issues From Grip Problems To Wrist Pain Carpal Tunnel Syndrome To Golfers Elbow

Were going after TWO areas today: the fascia in both sides of your forearm. Were targeting the fascia within and between all the flexors AND extensors of the wrist and hand.

This fascia will affect joints upstream AND downstream, potentially causing carpal tunnel or wrist pain as well as elbow pain and even shoulder issues.

What Are The Most Common Video Game Injuries

The most common video game injuries we see are gamers thumb, carpal tunnel syndrome, and tennis elbow. However, the world of video games is more expansive than just console games. Doug breaks common video game injuries into 4 main categories:

  • Console video game injuries. These are the most common injuries that bring gamers into the clinic. Most common injuries include gamers thumb and tennis elbow.
  • Computer video game injuries. These injuries are consistent with desk-job injuries, with carpal tunnel syndrome being the most common.
  • Wii Sports & active video game injuries. Its true; you can develop the same injuries as tennis, soccer, bowling, etc. by playing the esport equivalent. We encourage active game players to follow the same prevention techniques as athletes playing that sport. Make sure to warm up properly, keep good form , and keep up strength and mobility work. And remember to take a break since you wont get as winded or play as long as if you were really playing the sport.
  • Virtual reality video game injuries. Virtual reality has opened up a whole new world of video game experience where players are fully immersed in the game. While doing this, faces and eyes are covered, and players are unable to see whats around them. There has since been a surge in falls and acute injuries in virtual reality players that weve seen in our clinics.

Platelet Rich Plasma Could Reduce Swelling Of The Median Nerve For A Mid

In November 2020 researchers publishing in the medical journal BioMed Research International evaluated the effectiveness of platelet-rich plasma injections in patients with carpal tunnel syndrome. What they found in their research was PRP could be effective for mild to moderate carpal tunnel syndrome and superior to traditional conservative treatments in improving pain and function and reducing the swelling of the median nerve for a mid-long-term effect. To some extent, the electrophysiological indexes also improved after PRP injection compared with other conservative treatments.

Is Surgery An Option

If non-operative measures have failed, if the sensory symptoms are becoming permanent, or if there is any weakness or muscle wasting, I would recommend surgery. The surgical treatment for cubital tunnel syndrome is a cubital tunnel release or decompression. This is a minor, day-case operation that I often perform with the patient awake under regional anaesthesia. The recovery from cubital tunnel release or decompression is relatively quick.For more information on cubital tunnel syndrome check out Mr Ferran’s and channel.Do not hesitate to book an appointment for consultation via Mr Ferran’s .

What Is Carpal Tunnel Syndrome And How Does It Affect Your Overall Life

Carpal Tunnel / Tennis Elbow / Cyclists Palsy

Carpal tunnel syndrome occurs when the median nerve in your wrist becomes pressed or squeezed. The carpal tunnel refers to ligament and bone at the base of your hand that lines the median nerve and tendons. This nerve goes from the forearm into the palm of your hand, providing movement and feeling to your thumb and your first three fingers.

When your median nerve is compressed, it can cause tingling, numbness, and pain in your hand, forearm, wrist, or elbow. Gripping objects or performing activities that cause you to bend your wrist can make the pain and other symptoms worse. Everyday tasks may become harder as you find it more difficult to hold objects such as a fork or use your thumb to perform simple tasks such as opening a jar.

What Can Be Done To Relieve Symptoms Of Carpal Tunnel Syndrome

Various braces, straps, creams, arm supports, and medications etc. have been employed to alleviate pain caused by Repetitive Stress Injuries. Some are too bulky to wear for any length of time, some cause intractable side effects of their own, while others simply do not work. Tenex® Elbow Shock Absorber has been clinically proven to eliminate the damaging vibrations that cause fatigue, muscle stress, joint injuries and Carpal Tunnel Syndrome. Double blind testing undertaken by independent researchers has shown that Tenex® ESA reduces shocks and vibrations to the arm by 50 – 70%. Tenex® SA will reduce downtime on the job due to work-related repetitive stress injuries. It is very effective for workers who are exposed to constant, and often unsuspected, damage caused by repetitive motion from the use of impact and vibrational tools. It alleviates the stress inflicted to arms and joints from repetitive pounding and tapping. Even minute impacts from the repeated motion of keyboarding may be combatted with Tenex® ESA – the best small shock absorber on the market!

What Are The Symptoms Of Cubital Tunnel Syndrome

The following are the most common symptoms of cubital tunnel syndrome. However, each person may experience symptoms differently. Symptoms may include:

  • Numbness and tingling in the hand and/or ring and little finger, especially when the elbow is bent

  • Hand pain

  • Weak grip and clumsiness due to muscle weakness in the affected arm and hand

  • Aching pain on the inside of the elbow

The symptoms of cubital tunnel syndrome may resemble other medical conditions or problems, including medial epicondylitis . Always see a healthcare provider for a diagnosis.

How Can Work Related Injuries Of The Finger / Hand / Wrist / Elbow Treated

We will undertake a comprehensive assessment of your finger / hand / wrist injury or condition affecting your ability to work, and work with you to design the optimal treatment plan to allow you to achieve your rehabilitation goals. We can also develop a gradual return to work program as part of the rehabilitation of your injured hand. If you have sustained a work-related injury and progressing through the workers compensation system.

Treatment of the injury to your hand could include:

  • exercises to improve joint stiffness or build strength
  • or a custom made orthosis to help support or repair damaged tissues
  • education on how to rehabilitate the injury and how to prevent injury in the future

We can also perform worksite assessments and provide postural, ergonomic recommendations to facilitate safe transition back to work.

Book an appointment with our experienced Hand Therapists by either calling us on 03 54425288  or through our online booking system now

Book Appointment

Is It Tendonitis Or Carpal Tunnel Syndrome

Posted on by in Hand and Wrist

When you have that nagging pain with tingling in your hands and fingers, you might think you are suffering from carpal tunnel syndrome. In reality, it may be tendonitis in your wrist. Some of the symptoms are similar, so is it tendonitis or carpal tunnel syndrome? Lets find out.

Prp Represents A Promising Therapy For Patients With Mild To Moderate Carpal Tunnel Syndrome

A May 2020 study from the University in Toronto published in the Archives of Physical Medicine and Rehabilitation reviewed the current research comparing Platelet Rich Plasma Therapy injections, cortisone, and saline injections. They concluded that PRP represents a promising therapy for patients with mild to moderate carpal tunnel syndrome; however, included studies were limited as follow-up was short, the studies included patients that were heterogeneous , and the number of included studies was low. Further investigation is necessary to determine the true efficacy and effect of PRP and to better delineate the long-term results in patients with carpal tunnel syndrome.


Can Carpal Tunnel Cause Elbow Pain

Dr. Ankush BansalRead MoreDr. Frederick CovilleRead More

Ask U.S. doctors your own question and get educational, text answers â it’s anonymous and free!

Ask U.S. doctors your own question and get educational, text answers â it’s anonymous and free!

HealthTap doctors are based in the U.S., board certified, and available by text or video.

What Causes Carpal Tunnel Syndrome

In some cases, its cause cant be determined. However, it can often be traced to one or more of the following causes:

  • Health conditions including obesity, diabetes, rheumatoid arthritis, and lupus that can cause arm pain or swelling or reduce the flow of blood to your hands.
  • Aging-related wear and tear of the tissues in your hand and wrist
  • Repeated hand and wrist movements
  • Bone spurs or broken or dislocated bones
  • Smoking, which can reduce blood flow to the median nerve
  • Growths such as tumors

The Single Prp Injection

Our 2 x 16 Gelzone® Wrap is great for carpal tunnel ...

Typically we do not find that we can help a patient achieve long-lasting healing with a single injection of PRP. Some people do achieve this result.

Doctors at Greeces Athens University published their findings in the journal Neural Regeneration Research in which they investigated whether a single injection of platelet-rich plasma can improve the clinical symptoms of carpal tunnel syndrome.

  • Fourteen patients presenting with median nerve injury who had suffered from mild carpal tunnel syndrome for over 3 months were included in this study.
  • Under ultrasound guidance, platelet-rich plasma was injected into the region around the median nerve
  • At one month after a single injection of platelet-rich plasma, pain almost disappeared in eight patients and it was obviously alleviated in three patients. At the same time, upper limb function was obviously improved.
  • In addition, no ultrasonographic manifestation of carpal tunnel syndrome was found in five patients during ultrasonographic measurement of the width of the median nerve. During the 3-month follow-up, the pain was not greatly alleviated in three patients. These findings show very encouraging mid-term outcomes regarding the use of platelet-rich plasma for the treatment of carpal tunnel syndrome.

A later paper from these same researchers published in 2018 in the Journal of tissue engineering and regenerative medicine found similar findings of the effectiveness of a single injection of platelet-rich plasma .

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