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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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  • Everyone was friendly and professional.I would return if needed. The girl at the front desk is an asset to your office. - 08/01/13
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  • I look forward to healing. Thank You Doctor and Staff. - 02/20/14
  • Outstanding care throughout my surgery treatment and followup care - 04/14/14
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  • I was going to therapy here and Courtney was my therapist - she was Great! She was concerned and helpful. - 06/04/13
  • I AM SO GLAD I CHOSE THIS DR HE IS GREAT AND SO IS ALL STAFF MEMBERS - 04/18/14
  • Dr. Henry is excellent! I would recommend him to any one! My experience was very comforting. - 07/18/13
  • Everyone in the office was professional kind and attentive. I would recommend friend/relative to this office. Thank you for your care. - 04/26/13
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  • Wish I would have come to Dr. Henry years ago! Staff courteous and helpful. - 04/14/14
  • You guys are awesome - 07/03/13
  • Most organized and efficient doctor visit of my life. Excellent. - 06/12/13
  • Rock on! - 05/07/13
  • The Dr took my appointment last minute. I'm very appreciative of that. - 03/04/14
  • Thank you so much for taking my concerns and wishes into consideration and allowing me to try the removeable splint. Your staff were all wonderful, and I really appreciate their efforts, kindness and consideration. - 09/05/13
  • The entire staff was outstanding in assisting me before and during the appointment. I appreciate all they did helping me from out of town. - 07/19/13
  • This is the best of the BEST! - 01/08/14
  • Ya'll were awesome! I did't mind the waiting length because everyone was helpful, focused and very attentive when they arrived. I"d type more, but I"m mildly incapacitated. - 11/22/13
  • I'll like to thanks all the staff,they are very outstanding emlploee very kind ,nice,very patience with me to explaining every thing that is going on and thank you all so much - 05/29/13
  • Thanks so very much to all of you ..Venanzia Grafton - 05/29/13
  • mine was an excellent experience from appointment desk all the way through surgery and physical therapy. This is an extremely knowledgable and professional doctor and staff. - 10/29/13
  • Under the circumtances, the staff was excellent, but Teresa was awesome throughout the unpacking and packing of the wound. Thank you Dr. Henry for saving my finger. Leanora - 05/03/13
  • Awesome as always :) - 02/24/14
  • Thanks to the entire staff. Wonderful experience. - 11/22/13
  • From the first call everyone I have encountered has been amazing! Thanks - 06/05/13
  • dr henry was extemely thorough luis was very helpful and exceptionally friendly with one hand only david was very friendly as well and very good at placing the splints. - 09/05/13
  • Outstanding Staff - 05/14/13
  • Discussed all of my options. Listened carefully to what I said and suggested different options that would help me to gain satisfaction. - 02/26/14
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  • Most professional and helpful for a first fracture in my life at 60 years old. Loved all staff and therapy. Thanks - 02/25/14
  • I had an excellent experience. thank you and your staff. - 09/06/13
  • This is a great environment and I would definitely recommmed this place to others. I am very pleased of the outcome of the surgery! - 10/15/13
  • really glad i chose to come here, every aspect of service was great - 04/01/14
  • Had I known this process would be as successful and pleasant as it was, I would have done it years ago. - 04/19/13
  • Wonderful to find a Doctor who still strives to fulfill his Oath as a healer! Thank You - 07/02/13
  • I BELIEVE THAT I AM IN GREAT HANDS WITH DR. HENRY AND HIS STAFF AND I APPRECIATE THE CARE HE SHOWED TODAY DURING MY VISIT. THANK YOU - 10/08/13
  • very outstanding visit and the personal all where outstanding. Doctor is very outstanding. thank you for getting me in at the short notice. thank you again - 02/27/14
  • If there was a category over outstanding I would have checked that one! - 03/07/14
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  • I am very well satisfied with the outcome of this surgery. All involved here at the doctor's office and hospital were very friendly, professional and considerate. Thank You! - 06/21/13
  • Dr. Henry, as in the past, engendered my confidence and gave me peace of mind as a result of his exam and explanation. - 04/22/14










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