Medial epicondylitis is a painful condition affecting the area where the flexor tendons attach to the bone on the inside of the elbow. Degeneration or tearing of the tendon origin occurs, causing localized pain that increases with activities, including pinching and gripping. This condition may be caused by overuse or trauma. Conservative treatment is often beneficial, including activity modification, splints/orthoses, exercise and injection. Surgery may be appropriate in select cases that do not respond to conservative measures.
Nerves carry messages to and from the brain to allow you to move and feel. Nerve injuries range from compression of the nerve (such as carpal tunnel syndrome) to a complete laceration or cut of the nerve and its surrounding sheath. Damage to a nerve can affect your ability to use your muscles and your ability to feel (sensation). Nerves that are compressed or stretched may respond to conservative treatment. If a nerve is completely cut, surgery will be necessary to restore function. (See Nerve Repair.)
The Hand Center treats all sports-related injuries affecting the hand, wrist and elbow. Treated injuries include everything from minor injuries (such as lateral epicondylitis, muscle strain or joint sprain) to more major traumatic injuries (such as fractures or dislocations). Our services include diagnosis, conservative and surgical management, and assessment of your ability to return to your sport activity in an appropriate period of time.
A sprain is an injury to a ligament. Ligaments connect bone to bone, and help stabilize a joint. Injuries commonly occur due to a fall on an outstretched hand, or during sports activities, such as skiing. Symptoms typically include pain, swelling and stiffness. A thorough medical evaluation is necessary to assess the severity of the injury and joint instability. Treatment is often conservative if there is a partial injury using a cast or splint/orthosis. If there is a complete tear, surgery may be necessary.
Trigger finger is caused by inflammation and restriction of the tendons that bend the finger as they pass under the A1 pulley in the palm. This condition may be caused by overuse, trauma or disease. Symptoms include pain, swelling, tenderness at the base of the finger, and “catching” or “locking” when trying to move the finger. While some cases of trigger finger can be treated with steroid injections that relieve swelling and inflammation or splints/orthoses that provide relative rest, others may require surgery. Trigger finger release is a common surgical procedure that releases the tightened portion of the flexor tendon sheath.
The Hand Center is a “full-service” provider of services for patients with work-related injuries. We treat everything from traumatic injuries (such as fractures, tendon, nerve and crush injuries), to those injuries that may occur over a period of time (such as carpal tunnel syndrome or trigger finger). Our highly respected team of qualified professionals includes physicians, physician assistants and certified hand therapists. Our services include diagnosis, conservative and surgical management, and assessment of your ability to return to work in an appropriate period of time.