Hand | Wrist | Elbow
Common Conditions We Treat:
- Tennis Elbow (Lateral Epicondylitis)
- Nerve Injuries
- Golfer’s Elbow (Medial Epicondylitis)
- Ulnar Collateral Ligament Repair (Tommy John’s Repair/Pitcher’s)
Carpal Tunnel Syndrome (CTS)
Epicondylitis (lateral and medial)
Lateral epicondylitis is also referred to as tennis elbow and is the most common overuse injury of the elbow, observed up to 10 times more frequently than medial epicondylitis. Lateral epicondylitis is usually precipitated by repetitive extension of the wrist and is characterized by aching pain that is worsened with activity. The patient usually describes lateral elbow pain of gradual onset and the aching pain generally increases with activity. The patient may describe symptoms occurring during simple activities of daily living (ADL), such as picking up a cup of coffee or a gallon of milk. Pain may be present at night. Symptoms are typically only on one side.
Medial epicondylitis is an overuse injury affecting inside of the elbow. Medial Epicondylitis often is discussed in conjunction with lateral epicondylitis, which occurs much more frequently. It is characterized by pain over the medial epicondyle (elbow). Pain worsens with activities of bending and pronating the wrist. Patients may report discomfort even when simply shaking hands with someone. History of an acute injury may be reported (eg, taking a divot in golf, throwing a pitch in baseball, a hard serve in tennis). Up to 50% of patients complain of occasional or constant numbness and/or tingling sensation that radiates into their fourth and fifth fingers, suggesting involvement of the ulnar nerve.