Elbow, arm and wrist pain
Here are just a few common conditions that are frequently addressed at The Osteo Practice.
Issues in both the elbow and wrist can stem from diverse sources, including arthritis, ligament, tendon, or bone stress injuries. Regardless of the underlying cause, our dedicated team of healthcare professionals is committed to providing thorough diagnosis, effective treatment, and comprehensive management advice.
**In addition to osteopathy and physiotherapy – when appropriate – our clinic provides state-of-the-art ultrasound diagnostic imaging for accurate diagnoses and expertly administered guided injections to alleviate symptoms.
Golfers and Tennis elbow
Medial and lateral epicondylitis, commonly referred to as golfer’s elbow and tennis elbow, are painful conditions that affect the tendons in the arm, specifically at the point where they attach to the bony protrusions on the inside (medial) and outside (lateral) of the elbow. These conditions are not limited to athletes; anyone engaging in repetitive arm movements can develop these problems.
Symptoms of medial epicondylitis (golfer’s elbow) include pain and tenderness on the inside of the elbow, weakness in the wrist and hand, and discomfort that may radiate down the forearm. In contrast, lateral epicondylitis (tennis elbow) is characterised by pain and tenderness on the outside of the elbow, which can extend down the forearm, accompanied by weakness in gripping objects.
Some interesting facts about these conditions are that they are not exclusive to golfers or tennis players but can affect anyone involved in activities such as gardening, typing, or even heavy lifting. The root causes typically involve repetitive overuse of the forearm muscles and tendons, leading to microscopic tears in the tissue.
Patients suffering from these conditions can often find relief and improved mobility through conservative treatments provided by osteopaths and physiotherapists. These professionals can offer a range of therapies, including manual manipulation, exercises, and modalities like ultrasound or laser therapy, which can help reduce pain, inflammation, and promote healing. By addressing the underlying biomechanical issues, patients can regain function and comfort in their daily lives without the need for surgery or extensive medication. If you’re experiencing symptoms of medial or lateral epicondylitis, it’s advisable to consult with a qualified osteopath or physiotherapist for a tailored treatment plan that suits your specific needs.
Carpal tunnel syndrome
Carpal Tunnel Syndrome (CTS) is a common and often debilitating condition that affects the hand and wrist. It occurs when the median nerve, which runs from the forearm into the hand, becomes compressed within the carpal tunnel—a narrow passageway formed by the wrist bones and the transverse carpal ligament. This compression can lead to a range of symptoms and discomfort for those affected.
Symptoms of CTS typically include numbness, tingling, and pain in the hand and fingers. Patients may experience weakness in the affected hand, making it challenging to grasp or manipulate objects. These symptoms often manifest in the thumb, index, middle, and ring fingers, with the little finger usually being unaffected. In severe cases, patients may notice muscle atrophy, or wasting, in the palm.
Several factors can contribute to the development of CTS. These may include repetitive hand and wrist movements, such as typing or using vibrating tools, as well as underlying medical conditions like diabetes, rheumatoid arthritis, or obesity. Pregnancy can also lead to temporary CTS due to fluid retention and hormonal changes.
Patients seeking relief from CTS often turn to conservative treatment options, such as osteopaths and physiotherapists. These healthcare professionals can employ a variety of techniques to alleviate symptoms and improve hand function. They may use manual therapy to mobilise the wrist and reduce pressure on the median nerve, as well as offer advice on ergonomic adjustments to reduce strain. Additionally, specific exercises and stretches can help to strengthen the hand and alleviate symptoms. In some cases, splints or braces may be recommended to immobilise the wrist and alleviate pressure on the median nerve.
It’s important to remember that each patient’s experience with CTS is unique, and the treatment approach may vary based on the severity and underlying causes of the condition. However, with the expertise of osteopaths and physiotherapists, many individuals can find relief from the discomfort of Carpal Tunnel Syndrome and improve their overall hand function. If you suspect you have CTS or are experiencing related symptoms, it is advisable to seek consultation with a healthcare professional to determine the most appropriate course of treatment.
Muscle and tendon pain/injury
Muscle and tendon injuries in the arm, often referred to as musculotendinous injuries, are common conditions that can significantly impact a patient’s daily life. These injuries typically result from overuse, trauma, or repetitive strain and they affect the muscles and tendons responsible for the arm’s movement. Understanding the symptoms, facts, and causes of these injuries is crucial for patients seeking relief and recovery.
Symptoms of muscle and tendon injuries in the arm can range from mild discomfort to severe pain, often exacerbated by specific movements or activities. Patients may experience swelling, tenderness and restricted range of motion in the affected arm. In some cases, there might be weakness or a noticeable loss of muscle function. These symptoms can significantly hinder one’s ability to perform everyday tasks, including simple actions like lifting objects or even combing one’s hair.
Osteopaths and physiotherapists play an important role in the conservative management of muscle and tendon injuries in the arm. Their expertise enables them to create individualised treatment plans tailored to the patient’s specific needs. These treatments may include manual therapy, exercise prescription, and techniques to reduce pain and inflammation. Osteopaths and physiotherapists focus on restoring optimal function and mobility while minimising the risk of recurrence. They work closely with patients to provide education and support, helping them regain strength and range of motion, ultimately improving their quality of life. If you’re suffering from a muscle and tendon injury in your arm, consider consulting with a qualified osteopath or physiotherapist for expert guidance and care.
Dequervains tenosynovitis
De Quervain’s tenosynovitis is a common condition that affects the tendons on the thumb side of the wrist. It occurs when the tendons that control the movement of the thumb become irritated or swollen. This condition can result in pain and discomfort, particularly when using the thumb and wrist.
Common symptoms of De Quervain’s tenosynovitis include pain and swelling at the base of the thumb, which may extend into the forearm. Individuals may also experience difficulty gripping or pinching objects, and a “catching” or “snapping” sensation when moving the thumb. These symptoms can significantly impact one’s ability to perform everyday tasks.
Several factors can contribute to the development of De Quervain’s tenosynovitis, including repetitive thumb and wrist movements, overuse, or direct injury to the affected area. This condition is often seen in new parents due to the repetitive lifting and holding of their infants.
