Do I Have Tennis Elbow?

Now that the fine weather is here, we are ready to get out and play! But activity sometimes brings injuries. The condition labeled “Tennis Elbow” can be caused by overuse of the arm and wrist, but it is not strictly caused by playing tennis. Many other activities that repeatedly stress the wrist, hand and arm can cause a burning pain to radiate from the outside of the elbow into the forearm or wrist. You might have trouble shaking hands or lifting a gallon of milk. Sometimes even lifting a coffee cup can hurt!

Occupations often at risk for this overuse and muscle strain injury are carpenters, plumbers, butchers, painters and cooks. Repetitive strain on the muscles of the forearm can cause tiny tears and subsequent inflammation to occur in the tendons that attach the muscles to the bones on the outside of the elbow. Vigorous games of tennis, and especially hitting backhanded with incorrect form, can have the same result. And it’s no surprise that tennis elbow and its associated pain and tenderness is more likely to occur as we age.

Typical remedies such as icing the area, resting the affected arm, and taking anti-inflammatory medications may help the condition. If, however, the pain persists or does not seem to be lessening, if weakness or numbness are still present, an orthopedic consultation may be needed.

An orthopedic surgeon such as Dr. Rehman will conduct a thorough evaluation of your condition, reviewing how and when the condition developed, and any other factors that may be influencing it such as other health conditions, medication you take, sports and work activities. Physical therapy may be prescribed, with exercises that can be done at home included as follow-up. Using a specialized brace over the back of the forearm may help to lessen the pain and promote healing by relaxing the muscles and tendons. Sometimes steroidal injections, such as cortisone, may be administered to help lessen the pain. In very serious cases, surgery to remove the damaged tissue may be required.

In all such cases, be sure to contact a Board Certified doctor such as Dr. Rehman, before the symptoms and pain become a chronic condition. Her entire team of therapists and staff are dedicated to your health and healing.

 

 

 

 

Arthritis of the Hand and Fingers

Pain, stiffness and swelling in the hands and fingers may be caused by arthritis.

Osteoparthritis
This is the most common form of arthritis, and is a chronic condition. It is the result of the cartilage deteriorating at the ends of bones where they meet to form joints in the fingers, hands or wrists. This breakdown of the cartilage results in bone rubbing against bone, with resultant stiffness, pain and loss of movement in the joint.

Rheumatoid Arthritis
The immune system is a double-edged sword. Designed to protect the body from foreign invaders, sometimes the system turns on itself. In the case of Rheumatoid Arthritis, the immune system incorrectly attacks the synovium, the thin membranes that line the joints in the body. The result can be swelling, inflammation, joint damage and loss of function. This condition can even result in deformities of the hand that make it virtually impossible to use the hand.

Gout
Gout is a form of arthritis that occurs when high levels of uric acid, a bodily waste product circulating in the blood, is deposited as sharp crystals in tissues of the body. Although commonly affecting the legs and toes, this condition can also result in problems with the hand and fingers.

A doctor who specializes in the hand, arm and wrist is the best professional for diagnosing the root cause of pain, inflammation and stiffness in the hands and fingers. During the examination, the doctor will review the history of the problem and do a thorough physical exam of the area of concern. Samples of blood or joint fluid may be collected to confirm a diagnosis. Imaging tests may be ordered that allow the doctor to ascertain exactly what is going on inside the hand. X-Rays, CT scans or MRI (Magnetic Resonance Imaging) may be ordered.

Early detection and intervention are always advisable and increase the chances of a successful outcome with the least invasive procedure possible. If you are experiencing pain in the hands or fingers, contact Dr. Rehman today.