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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  • Great care! Would highly recommend - 09/19/14
  • 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
  • the servcie provided was great. some wait time improvements. overall a good experinece. Thank you - 07/11/14
  • could not be better - 02/19/14
  • Spot on diagnosis. 90 days later back to doing everything as promised. - 08/20/14
  • Thank you all for everything you do! Keep up the good work. - 07/21/14
  • I don't like the diagnosis but that's not Dr. Henry's fault. - 06/06/14
  • This is the best of the BEST! - 01/08/14
  • best doctors office - 03/06/15
  • Doc and staff were awesome!! Thanks a lot. - 02/03/15
  • Great staff! - 07/23/14
  • Very impressed with this entire operation and how smoothly everything ran. - 06/18/14
  • Outstanding care throughout my surgery treatment and followup care - 04/14/14
  • Wish I would have come to Dr. Henry years ago! Staff courteous and helpful. - 04/14/14
  • A pleasant experience considering the reason for the visit. Couldnt be better - 11/12/14
  • This has been a life changing experience! Thank You Dr. Henry. - 08/27/14
  • 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
  • love the place and doc!!! - 07/10/14
  • great job to all keep it up,wish more offices were like you all... - 12/01/14
  • So glad to have my hand problem diagnosed and solved. Thank you so much. Great outcome. - 02/06/15
  • good - 02/25/15
  • the office was grate! - 05/08/14
  • 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
  • Thanks to the staff and Dr. Henry for being so helpful and attentive through the healing process. - 06/13/14
  • thanks for all the kindness and help - 05/15/14
  • 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
  • THE DOCTOR EXPLAINED AND MADE SURE YOU HAD AN UNDERSTANDING OF WHAT WAS HAPPENING. - 10/02/14
  • I AM SO GLAD I CHOSE THIS DR HE IS GREAT AND SO IS ALL STAFF MEMBERS - 04/18/14
  • Awesome as always :) - 02/24/14
  • 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
  • very pleasant experience thanks for your help. - 12/16/14
  • Always looking forward to visits, medical assistants and doctor care a lot about their patients! - 07/25/14
  • efficient not hurried helpful - 05/19/14
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  • I've come here for two separate injuries & have been treated with kindness & respect both times. - 05/08/14
  • Great job! - 07/11/14
  • 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
  • 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
  • Most professional and helpful for a first fracture in my life at 60 years old. Loved all staff and therapy. Thanks - 02/25/14
  • Awesome as always. - 05/27/14
  • Great Job - 06/09/14
  • Dr Henry saved my broken hand. David and Lois were amazing. Thank you all so much for fixing my hand. - 06/06/14
  • He was so thouough and knowledgeable and detailed!! Looking forward to getting this taken care of. Thanks. - 07/18/14
  • Very outstanding - 06/25/14
  • Felt informed and heard. - 06/06/14
  • 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
  • This was the most professional, responsive and ethical evaluation I have received during my 63 years of receiving physician evaluations. - 05/28/14
  • All medical staff prior to todays visit have been exceptional. Very friendly and helpful in all areas. - 07/10/14
  • 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
  • Thanks for spending the time to answer many complex questions. - 05/19/14
  • everyone is very professional - 05/23/14
  • dr and staff r kick ass in helping me get my hand better thanks guys!!! - 07/10/14
  • I cannot say enouhg good things about this place. Thank you all so much!!! - 06/06/14
  • Thanks for saving my wrist! I'm Forever greatful. - 05/23/14
  • really glad i chose to come here, every aspect of service was great - 04/01/14
  • I took some of your cards for my colleagues as well. very pleased. - 07/16/14
  • Great staff, good attitudes. everyone was helpful - 09/29/14
  • Very good staff and and excellent Dr. I would recommend this office to friends and family. - 06/06/14
  • Karen was Outstanding!! - 11/24/14
  • David and Luis were also very professional and helpful - 07/11/14
  • Overall, my association with the office was a very good experience. - 04/29/14
  • I enjoy the decore and the attention and the young lady that sits in the front is very proffesional !!!! - 05/15/14
  • I feel the doctor gave honest and very professional assessment. - 07/23/14
  • Awesome facility and staff! - 02/06/15
  • thanks for getting her in so quickly - 05/21/14
  • everyone VERY Professional! - 08/21/14
  • Thanks - 02/20/15
  • love the friendliness and efficiency of the office - 02/11/15
  • I enjoy the decore and the attention and the young lady that sits in the front is very proffesional !!!! - 05/15/14
  • very prfessional, put my needs and health above everything else! - 08/12/14
  • Dr. Henry is an incredible surgeon and would recommend to anyone. His staff (David in particular) was very helpful and made sure I got what I needed. - 05/23/14
  • 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
  • The Dr took my appointment last minute. I'm very appreciative of that. - 03/04/14
  • Dr. Henry provided good clear explanations of my condition and answered all of my questions. - 08/01/14
  • DR Henry and staff have done a great job to get me back on track.Thank you. - 07/16/14
  • Overall this is a top 10% medical experience (perhaps top 1%) - 05/27/14
  • Great Doc - 08/11/14
  • great service thanks soooooooo much - 09/30/14
  • Dr. Henry explained the options in much more detail than the initial orthopedic hand specialist. His questioning, examination, and explantion of my condition was very thorough. - 05/30/14
  • 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
  • I've been treated great by the staf. I think you'll are angels from heaven. - 12/18/14
  • If there was a category over outstanding I would have checked that one! - 03/07/14
  • very professional staff and services - 05/19/14
  • 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
  • I look forward to healing. Thank You Doctor and Staff. - 02/20/14
  • WE were highly satisfied with the service we received and the friendliness of the entire staff! Thank you!! - 05/09/14
  • outstanding. - 07/09/14
  • The doctor spoke to me with a genuine concern and I was able to understand options for treatment. - 06/03/14
  • Outstanding healthcare staff !!! - 05/19/14
  • 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
  • Teresa was very professional. - 07/15/14
  • I feel privileged to live where I can easily come to such a competent doctor. - 07/16/14
  • I loved the service that I received at this facility. - 06/03/14
  • My first visit was wonderful, and every staff member that I encountered was extremely helpful. - 05/16/14
  • Outstanding experience!!! - 09/19/14
  • The staff is wonderful and Dr. Henry is amazing. - 03/31/15
  • 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
  • All of the medical assistants have been extremely outstanding during my care. - 05/20/14
  • awesome service and treatment. facility was very nice too - 06/24/14
  • Very pleased with doctor & staff. - 10/14/14
  • I would recommend Dr. Henry and his staff. - 09/22/14
  • As long as he is here i will come to him and even if he move i will follow him and everyone in the office was nice - 05/19/14
  • outstanding experience. - 06/03/14
  • Absolutely would reccommend Dr. Henry and staff!Thank you! - 07/30/14
  • Very thoughough in his examination of my issue and in the explanation of the possible causes. - 07/02/14
  • good job! - 05/28/14
  • they exolain everything and are very helpful thnks alot. - 11/14/14
  • felt confident on the treatment and the outcome of the results - 07/16/14










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