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










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