Hand & Wrist Center of Houston Home If you suspect broken bones, dislocated joints, lacerated tendons, lacerated nerves, infection, or have an open wound below the elbow, then call us immediately.
 
FOREARM TENDON TIGHTNESS


WHAT YOU SHOULD KNOW

This condition has many names including lateral epicondylitis or tennis elbow. There is a much less common version on the inside of the elbow often called medial epicondylitis. The muscles in the forearm involved with gripping have a thick band inside them that doesn't stretch at all. Overuse or misuse of these muscles causes excessive traction and minor tearing on the muscle attachment point at the elbow.  Also tension in the muscle causes the thick band to put pressure on a nerve that runs underneath the muscle. Although the patient doesn't know it, he or she is probably using the arm the wrong way and needs to develop ergonomically correct habits.  See also Radial Tunnel Syndrome.

MEDICAL HISTORY: Sharp pain at the side of the elbow and aching pain in the forearm are the main symptoms that are usually made worse by gripping or trying to lift anything. When advanced, it can even be difficult to straighten the elbow.

EXAMINATION: The outside of the elbow and the upper forearm are tender to applied pressure. Cocking the wrist or fingers back against resistance is painful. Stretching the muscle or straightening the elbow can be difficult.

ADDITIONAL TESTS: None are needed.

TREATMENT OPTIONS

  NON-OPERATIVE SURGICAL RELEASE
CONSISTS OF Stretching, muscle conditioning and ergonomic training Dividing the thick band while leaving the muscle alone
FEATURES Makes the muscle group more elastic with less pressure on nerve and less tension on attachment point Short incision, outpatient, immediate use for light activities
ADVANTAGES Avoids surgery Definitive solution to problem
DISADVANTAGES Only works on muscle tissue, if band is too thick will not be successful Temporary period of weakness where arm cannot be used for heavy activity

RECOVERY

Light everyday activities are allowed immediately. Sutures are removed in the office at 2 weeks. Rehabilitation begins soon after surgery with the same stretching exercises done during the non-operative treatment program. Strengthening comes next along with endurance as the patient prepares to return to heavy activities. Powerful use of the arm doesn't usually occur until several months after surgery as the healing tissues become more mature.
 
 
 
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  • Karen was Outstanding!! - 11/24/14
  • Fantastic Doctor and Staff. I would highly recommend (and often do) refer others to this clinic. Thanks for everything!!! - 07/17/15
  • Had a great experience here with both Doctor and staff. Very friendly and professional. - 04/30/15
  • Great Job! - 06/03/15
  • Very good staff and and excellent Dr. I would recommend this office to friends and family. - 06/06/14
  • This was a rare experience - service that was exceedingly competent, and exceedeingly considerate. A combination of the two = grateful patient. Thank you! - 08/15/14
  • Very good experience and immediate treatment. - 05/27/15
  • I feel the doctor gave honest and very professional assessment. - 07/23/14
  • Felt informed and heard. - 06/06/14
  • The staff was very professional and timely. I will recommend Hand and Wrist Clinic to family and friends. Thank you guys - 06/05/15
  • I am impressed and happy to see considerate individuals in the health profession. I would recommend this facility to anyone needing hand/wrist evaluation/medical assistance. - 02/06/15
  • It feels nice to be in a big Dr. office and still have that small town feeling. Thank you very much!! - 05/28/15
  • Thank y'all so much. Looks like im healing well... - 05/21/15
  • best doctors office - 03/06/15
  • Very thoughough in his examination of my issue and in the explanation of the possible causes. - 07/02/14
  • Awesome facility and staff! - 02/06/15
  • outstanding experience. - 06/03/14
  • Great Job. I have full confidence in Dr. Henry'a ability to diagnose and take care adequately of the problems on my left hand. - 06/26/14
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  • Doc and staff were awesome!! Thanks a lot. - 02/03/15
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  • Great facility and people - 05/28/15
  • Thank you all for everything you do! Keep up the good work. - 07/21/14
  • A pleasant experience considering the reason for the visit. Couldnt be better - 11/12/14
  • very impressed with the time and care given to me by the doctor and Karen. They each made me feel like I was of their utmost importance! - 06/08/15
  • Thank you for your professionalism - 05/20/15
  • Dr Henry saved my broken hand. David and Lois were amazing. Thank you all so much for fixing my hand. - 06/06/14
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  • Great Doctor. - 05/29/15
  • I cannot say enouhg good things about this place. Thank you all so much!!! - 06/06/14
  • I loved the service that I received at this facility. - 06/03/14
  • The entire staff has been more than amazing through this process, I will for sure refer you all. - 06/12/15
  • Great care! Would highly recommend - 09/19/14
  • great service thanks soooooooo much - 09/30/14
  • Outstanding customer service! I would highly recommend this office to famly/friends. - 06/08/15
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  • awesome service and treatment. facility was very nice too - 06/24/14
  • I am pleased we came to Dr. Henry for my sons long finger fracture. - 06/05/15
  • Dr. Henry has been has done an excellent job getting my finger back in shape. The staff has been very helpful and attentive to my needs during this recovery. - 07/16/14
  • Outstanding. Keep up the excellent work. - 05/19/15
  • I took some of your cards for my colleagues as well. very pleased. - 07/16/14
  • I continue to be exceptionally pleased with the doctor and staff at this clinic. Thank you for your professionalism and friendliness. - 05/29/15
  • The attention and the expertize is overwhelming. All I can say is, "I am playing the piano again" and I thank Dr. Henry and his staff for that. - 02/06/15
  • Thanks to the staff and Dr. Henry for being so helpful and attentive through the healing process. - 06/13/14
  • they exolain everything and are very helpful thnks alot. - 11/14/14
  • dr and staff r kick ass in helping me get my hand better thanks guys!!! - 07/10/14
  • He was so thouough and knowledgeable and detailed!! Looking forward to getting this taken care of. Thanks. - 07/18/14
  • Great job! - 07/11/14
  • Spot on diagnosis. 90 days later back to doing everything as promised. - 08/20/14
  • Thanks - 02/20/15
  • felt confident on the treatment and the outcome of the results - 07/16/14
  • great job to all keep it up,wish more offices were like you all... - 12/01/14
  • Both of my experiences here with Dr. Henry and his staff have been awesome. I appreciate him giving me my life back. Thank you Dr. Henry - 11/03/14
  • Love the Dr and the staff and I do refer everyone that has any complaint about their hands to come see Dr Henry because he is the best in Texas. I even had my mother come here after another "Dr." screwed up her hand. - 07/23/14
  • Teresa was very professional. - 07/15/14
  • Great difference from my first doctor. Everything was better. My pain has subsided and I am well aware of the possibility of my recovery being okay. - 07/16/14
  • I would recommend Dr. Henry and his staff. - 09/22/14
  • Outstanding experience!!! - 09/19/14
  • I feel taken care of - 05/27/15
  • great place was in and out. - 07/11/14
  • Absolutely would reccommend Dr. Henry and staff!Thank you! - 07/30/14
  • Thank you. - 06/11/15
  • Have always had a good experience here. I have never had to wait more than 5 min in the waiting room nor more than 5 min in the exam room. Received surgery the same day as I was diagnosed. Best experience with a doctor's office ever! - 08/06/15
  • I don't like the diagnosis but that's not Dr. Henry's fault. - 06/06/14
  • The staff is wonderful and Dr. Henry is amazing. - 03/31/15
  • the servcie provided was great. some wait time improvements. overall a good experinece. Thank you - 07/11/14
  • David and Luis were also very professional and helpful - 07/11/14
  • Luis, Joel, Teresa and all the staff were very professional and helped me when needed. They are all an asset to your staff. - 08/14/14
  • So glad to have my hand problem diagnosed and solved. Thank you so much. Great outcome. - 02/06/15
  • Very pleased with doctor & staff. - 10/14/14
  • The facifility was able to get me in right away for what seemed liked a minor issue that ultimately required surgery that was done the same day (no waiting). - 09/22/14
  • All medical staff prior to todays visit have been exceptional. Very friendly and helpful in all areas. - 07/10/14
  • I've been treated great by the staf. I think you'll are angels from heaven. - 12/18/14
  • Great staff, good attitudes. everyone was helpful - 09/29/14
  • I knew my son was in good care my sister worked with Dr. Henry before in surgery and recommended this practice stating you all are excellent! - 05/28/15
  • Very impressed with this entire operation and how smoothly everything ran. - 06/18/14
  • THE DOCTOR EXPLAINED AND MADE SURE YOU HAD AN UNDERSTANDING OF WHAT WAS HAPPENING. - 10/02/14
  • Great visit, I am very pleased. - 07/21/15
  • Great Doc - 08/11/14
  • The care and treatment was exceptional. Staff was always friendly, and helpful. Could not have asked for a more satisfactory medical experience! - 10/31/14
  • First visit. Very impressed and very comfortable with wound management decisions. - 06/08/15
  • everyone VERY Professional! - 08/21/14
  • I feel privileged to live where I can easily come to such a competent doctor. - 07/16/14
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  • Very outstanding - 06/25/14
  • Always looking forward to visits, medical assistants and doctor care a lot about their patients! - 07/25/14
  • The doctor spoke to me with a genuine concern and I was able to understand options for treatment. - 06/03/14
  • This has been a life changing experience! Thank You Dr. Henry. - 08/27/14
  • Great Job - 06/09/14
  • Great staff! - 07/23/14
  • DR Henry and staff have done a great job to get me back on track.Thank you. - 07/16/14
  • good - 02/25/15
  • love the friendliness and efficiency of the office - 02/11/15
  • Dr. Henry provided good clear explanations of my condition and answered all of my questions. - 08/01/14










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