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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  • Thank you for repairing my injury and being kind in the process. - 01/10/18
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  • Dr. Mark Henry is a true healer; the finest most competent doctor I've ever encountered. I am forever grateful to Dr. Henry and the entire staff for saving my finger and facilitating my complete recovery with grace and seriousness of intent. Thank you. - 01/10/18
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  • I appreciated everyone being friendly and professional and quick and competent at what they do. Dr Henry is straightforward and clear with no extra b/s and I was quite pleased with that. - 09/20/18
  • Awesome facility. Fast results. Thoroughly explained causes of pain, diagnosis and treatment. Staff wonderful. Facility is amazing - 10/10/18
  • Dr. Henry was great, explained my situation and options to me very well and recommended the best option for me. I appreciated his understanding of my situation and feelings, and offering the best solution for me, very much - 12/14/18
  • Awesome staff. - 09/25/18
  • MD was very thorough and spent a good amount of time with the patient (me). MD had good bedside manners which you do not see from a lot of doctors nowadays. He also made sure everything was understood and that I was given a chance to ask questions or address any concerns I had. Everyone was courteous and professional. Thank you for making mu visit a pleasant one. - 05/02/18
  • I am really happy with my experience. I always knew what was going on and over time got to know the staff based on how many times I've been here. Most importantly, I feel I got the right treatment for my injury. - 10/19/17
  • love the circus de sole dvd. everything was amazing. rehab was the best too. - 02/23/18
  • Dr. Henry and his staff are amazing! I was able to get an urgent new patient appointment immediately with surgery that same afternoon. Dr. Henry does an excellent and thorough job explaining my injury and the healing process. Very impressed with his plan of early mobility and physical therapy, which helped restore my function back to normal within 8 weeks of surgery. I would 100% recommend Dr. Henry and his staff! Very pleased and grateful for his help. - 03/23/18
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
  • you were very good, thank you very much - 05/17/18
  • With the severity of my injury I am amazed at how functional my wrist is with the amazing team work shown at the office. From the very start the service and care have been outstanding!! I can't thank everyone enough! - 02/23/18
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  • The staff is nice and everyone is up on the treatment. I feel confident that I am getting the best care and am glad I came here. - 10/30/17
  • Great experience on every visit. Doctor Henry's work is fantastic and his explanations are thorough. I recommend him highly whenever the opportunity presents. - 09/26/18
  • The staffs here was GREAT!!!! - 06/21/17
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  • This was the best choice I have ever made to have my hard repaired. Doctor Henry and his staff did an outstanding job of giving me the use of my hand back! - 12/12/18
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  • The visit was good - 09/27/18
  • Dr. Henry was very informative about the treatment and staff was pleasant. - 01/11/18
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  • Thank you all very much, Everyone was kind and helpful. Dr. Henry did excellent in always explaining the process of the care as well as the injury itself. - 12/14/18
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  • Very happy I came here for the surgery, etc. - 06/09/17
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  • an experience beyond expectation - 10/06/17
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • I was so impressed that Dr. Henry took so much time with me, explaining the whole process of my injury, what should have happened, and what we can do going forward. Thank you! - 09/28/18
  • Fantastic. Very helpful and considerate staff and manner. Very much appreciated. Fully recommend in for the future. Thanks, Andrew - 09/19/18
  • I was very impressed with how I was treated by the doctor as well as the Medical assistant. All my questioned were answered and I was treated with care and respect. Luis was Awesome! Doctor Henry was very informative. I will recommend him to friends and family - 06/09/17
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  • Great doctor and good staff - 10/10/18
  • I couldn't be more pleased with the level of service I received while in Dr. Henry's care. The level of detail in which my injury was explained and resolved, and the level of competency that was displayed throughout the healing was truly outstanding. - 01/30/18










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