hand


Most activities of daily living would be unfeasible to perform without the well functioning elbow, wrist, and hand. These joints function intricately together in order to provide precise movements required for everyday living.The elbow is a hinge joint, which connects the humerus (upper arm bone) with the bones of the forearm, the radius and ulna. The elbow is supported by a system of muscles, ligaments, and tendons.The wrist is made up of carpal bones, which support the carpal tunnel. The carpal tunnel runs through the wrist, and consists of tendons and the median nerve. This nerve supplies the first three fingers with feeling and function. The ulnar nerve supplies the ring and fifth finger. Metacarpals and phalanges are bones which make up the hand and fingers. A complicated network of tendons supply the fingers for fine motor movements.

Unfortunately, the elbow, wrist, and hand are extremely vulnerable to injury, usually due to trauma or repetitive use. Our therapists treat all types of upper extremity conditions, including:

  • Lateral Epicondylitis (Tennis Elbow): Inflammation of the tendon connecting to the outside of the elbow, usually caused by repetitive use of the elbow and wrist, resulting in pain and reduced strength/function
  • Medial Epicondylitis (Golfer’s Elbow): Inflammation of the tendon connecting to the inside of the elbow, usually caused by repetitive use of the elbow and wrist, resulting in inner elbow pain and reduced strength/function
  • Carpal Tunnel Syndrome: Compression of the median nerve in the carpal tunnel causing pain, numbness, and/or tingling in the wrist, hand, thumb, first, second, and sometimes ring fingers. Usually caused by repetitive motion, trauma, or edema in the wrist/hands associated with pregnancy.
  • Ulnar Nerve Entrapment: Impingement of the ulnar nerve at the elbow, typically caused by trauma or prolonged compression, resulting in pain, numbness, and/or tingling at the ring and fifth fingers
  • DeQuervain’s Tenosynovitis: Inflammation of the tendons at the thumb, usually caused by overuse of muscles that control certain thumb movements, resulting in inflammation and pain at the wrist and outside aspect of the thumb

 

Our therapists aim to treat injuries to, and pain in, the elbow, wrist, and hand by:

  • Reducing symptoms through modalities, exercise, and manual techniques
  • Evaluating and treating the source of the problem, including specific muscular tightness or weakness, abnormal movements caused by patients’ work, sport, or lifestyle
  • Providing each patient with an individualized home exercise program to prevent re occurrence of the problem