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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  • DR Henry and staff have done a great job to get me back on track.Thank you. - 07/16/14
  • Very impressed with this entire operation and how smoothly everything ran. - 06/18/14
  • very prfessional, put my needs and health above everything else! - 08/12/14
  • The staff is wonderful and Dr. Henry is amazing. - 03/31/15
  • 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
  • All medical staff prior to todays visit have been exceptional. Very friendly and helpful in all areas. - 07/10/14
  • I took some of your cards for my colleagues as well. very pleased. - 07/16/14
  • 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
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  • 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
  • good - 02/25/15
  • Karen was Outstanding!! - 11/24/14
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  • felt confident on the treatment and the outcome of the results - 07/16/14
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  • THE DOCTOR EXPLAINED AND MADE SURE YOU HAD AN UNDERSTANDING OF WHAT WAS HAPPENING. - 10/02/14
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  • 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
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  • they exolain everything and are very helpful thnks alot. - 11/14/14
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  • 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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  • the servcie provided was great. some wait time improvements. overall a good experinece. Thank you - 07/11/14
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  • Doc and staff were awesome!! Thanks a lot. - 02/03/15
  • 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
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  • Teresa was very professional. - 07/15/14
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  • Great staff, good attitudes. everyone was helpful - 09/29/14
  • Thanks to the staff and Dr. Henry for being so helpful and attentive through the healing process. - 06/13/14
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  • 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
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  • 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
  • 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
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  • Thanks - 02/20/15
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  • Very good experience and immediate treatment. - 05/27/15
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  • David and Luis were also very professional and helpful - 07/11/14
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  • A pleasant experience considering the reason for the visit. Couldnt be better - 11/12/14
  • Great Job! - 06/03/15
  • Great Job - 06/09/14










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