Elbow/Wrist/Hand Pain
Arm Numbness
Arm numbness is described as the loss of sensation of a part or whole of the arm. Hand and arm numbness, tingling or weakness can occur centrally from the spine (neck) or peripherally from the shoulder and arm.
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Hand Numbness
Since hand numbness can come from a variety of structures it is imperative to identify the true cause and not just treat the symptoms. While pain management and symptomatic relief are important, improving overall function is vital to permanent results.
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Carpal Tunnel Syndrome (CTS)
Carpal Tunnel Syndrome is an inflammation of the median nerve as it passes with the flexor tendons through what is called the carpal tunnel of the wrist. Carpal Tunnel is a condition that must be carefully diagnosed to determine the exact location of nerve entrapment, which could be anywhere in the shoulders, arm or wrist.
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Wrist Pain
The wrist is a very complicated but delicate structure. It is comprised of joints, small bones, and ligaments that must fit together perfectly for proper function. Just reaching out with your hand to break your fall can lead to a serious wrist injury. Many healthcare providers advise patients to rest and use over the counter medications without offering clear diagnosis or corrective therapies. Careful evaluation of all movements of the wrist, forearm, and shoulders must be done.
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Elbow Pain
Elbow pain can be very frustrating and can be irritated by simple things such things as opening a door, carrying a purse or briefcase, lifting an object, mouse work, or working out. Rest and self-treatments can be effective for reducing pain, but the biomechanical issues must be treated and improved to prevent the symptoms from returning. Careful evaluation of the cervical spine, the thoracic spine, the scapula, the humerus, and the wrist must be done.
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Golfer’s Elbow
Golfer’s Elbow or medial epicondylitis is a condition that involves the flexor muscles of the elbow. These muscles attach to the inside of the elbow and the humerus. Like Tennis Elbow, Golf Elbow frequently occurs in those who do not actually participate in the sport.
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Tennis Elbow
Tennis Elbow or lateral epicondylitis is a condition involving the muscles and tendons that attach to the outer part of the forearm and humerus. Typical medical management of Tennis Elbow involves rest, ice, anti-inflammatory medications, and physical therapy. However, these may only alleviate pain and not treat the underlying condition, leaving the patient susceptible to frustrating recurrence. Potential muscle imbalances in the cervical spine, shoulder, elbow, and wrist all must be examined.
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