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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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  • felt confident on the treatment and the outcome of the results - 07/16/14
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  • Thanks for spending the time to answer many complex questions. - 05/19/14
  • thanks for getting her in so quickly - 05/21/14
  • Outstanding healthcare staff !!! - 05/19/14
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  • outstanding. - 07/09/14
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  • 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
  • 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
  • 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 feel privileged to live where I can easily come to such a competent doctor. - 07/16/14
  • Thanks to the staff and Dr. Henry for being so helpful and attentive through the healing process. - 06/13/14
  • I AM SO GLAD I CHOSE THIS DR HE IS GREAT AND SO IS ALL STAFF MEMBERS - 04/18/14
  • I look forward to healing. Thank You Doctor and Staff. - 02/20/14
  • Great Doc - 08/11/14
  • Very impressed with this entire operation and how smoothly everything ran. - 06/18/14
  • The Dr took my appointment last minute. I'm very appreciative of that. - 03/04/14
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  • Awesome as always. - 05/27/14
  • WE were highly satisfied with the service we received and the friendliness of the entire staff! Thank you!! - 05/09/14
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  • 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
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  • Outstanding care throughout my surgery treatment and followup care - 04/14/14
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  • Overall this is a top 10% medical experience (perhaps top 1%) - 05/27/14
  • Very thoughough in his examination of my issue and in the explanation of the possible causes. - 07/02/14
  • Very good staff and and excellent Dr. I would recommend this office to friends and family. - 06/06/14
  • Thanks for saving my wrist! I'm Forever greatful. - 05/23/14
  • 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
  • love the place and doc!!! - 07/10/14
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  • Dr. Henry provided good clear explanations of my condition and answered all of my questions. - 08/01/14
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  • could not be better - 02/19/14
  • I enjoy the decore and the attention and the young lady that sits in the front is very proffesional !!!! - 05/15/14
  • Thank you all for everything you do! Keep up the good work. - 07/21/14
  • 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
  • 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
  • The doctor spoke to me with a genuine concern and I was able to understand options for treatment. - 06/03/14
  • Spot on diagnosis. 90 days later back to doing everything as promised. - 08/20/14
  • Dr Henry saved my broken hand. David and Lois were amazing. Thank you all so much for fixing my hand. - 06/06/14
  • 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
  • I feel the doctor gave honest and very professional assessment. - 07/23/14
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  • He was so thouough and knowledgeable and detailed!! Looking forward to getting this taken care of. Thanks. - 07/18/14
  • I've come here for two separate injuries & have been treated with kindness & respect both times. - 05/08/14
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  • Absolutely would reccommend Dr. Henry and staff!Thank you! - 07/30/14
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  • really glad i chose to come here, every aspect of service was great - 04/01/14
  • Felt informed and heard. - 06/06/14
  • Teresa was very professional. - 07/15/14
  • All of the medical assistants have been extremely outstanding during my care. - 05/20/14
  • the servcie provided was great. some wait time improvements. overall a good experinece. Thank you - 07/11/14
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  • If there was a category over outstanding I would have checked that one! - 03/07/14
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  • 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
  • Great Job - 06/09/14
  • DR Henry and staff have done a great job to get me back on track.Thank you. - 07/16/14
  • Most professional and helpful for a first fracture in my life at 60 years old. Loved all staff and therapy. Thanks - 02/25/14
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  • I enjoy the decore and the attention and the young lady that sits in the front is very proffesional !!!! - 05/15/14
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  • David and Luis were also very professional and helpful - 07/11/14
  • great place was in and out. - 07/11/14
  • I loved the service that I received at this facility. - 06/03/14










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