Elbow, Wrist and Hand
Click on the body parts or the list below to find out more about your pain and how physical therapy can help.
- Sprain / Strain
About Sprain / Strain
Sprains and strains are very common in the hand, wrist and elbow. Sprains refer to injuries of the ligaments (connect bone to bone) and strains refer to injuries of the muscles or tendons (connect muscle to bone). Sprains and strains occur from quick over-stretching or overloading of the tissues causing tearing and subsequent injury. Swelling begins as part of the inflammation process, causing pain and difficulty with movement.The first step in treating sprains or strains in the wrist, elbow, hand or fingers is to rest, ice and elevate it. With severe limitations in movement you should see your physiotherapist right away. There are different levels of sprain or strain from mild to severe. In some cases, the tearing can be complete and even need surgical repair.
How physiotherapy, chiropractic, and massage helps
In most cases, physiotherapy, chiropractic, and massage can effectively help you recover from a sprain or strain. We first evaluate the injured area to determine the extent of the injury and ensure that the ligaments or tendons are still intact. After we pinpoint location and severity of the sprain or strain, we formulate a treatment plan that will quickly relieve your swelling, pain and begin restoring range of motion.The goal of rehabilitation is to restore your normal range of motion and eventually restore normal strength. If you participate in sports or are very active, our sports physiotherapists and sports chiropractors will work closely with you to make sure that we help you fully recover and can participate in those activities you love to do. Call us today to discover how we can effectively treat your sprains or strains.
- Tendon Repair & Post-Surgery Rehab
About Tendon Repair & Post-surgery Rehab
Common surgeries in the elbow, wrist and hand involve repair of the vast amount of tendons and ligaments in these areas. Depending on the type and extent of your surgery, your physician will recommend physical therapy to help you recover completely from your surgical procedure.The fingers, hand and wrist are very tightly packed with tendons, ligaments and intricate structures. Swelling is very common in these areas after surgery leading to stiffness, loss of range of motion and difficulty with gripping, dexterity and normal functioning of the fingers, hand, wrist or elbow.
How physiotherapy helps
We work closely with your physician and their protocol to ensure a complete recovery from your surgical procedure. Our gentle and specialized hands-on therapy manages the swelling in your fingers, hand, wrist or elbow. The better this swelling is controlled, the faster your recovery can be. Per your surgical rehab protocol, we will progress your range of motion and eventually begin strengthening the affected areas.Our goal is to make sure you have a complete recovery with good use of your fingers, hand, wrist or elbow for everyday tasks. For more details on our post-surgical rehab program, call us today!
- Carpal Tunnel Syndrome
What is Carpal Tunnel Syndrome?
Carpal Tunnel Syndrome (CTS) is a very common condition which is becoming more frequent. The carpal tunnel is a narrow tunnel in the wrist where major arteries and nerves pass from the forearm into the wrist. One of the primary nerves that pass through this area is called the median nerve. With repetitive use of the wrist and hand, pressure is applied to the median nerve may cause tingling, pain and even loss of sensation to the thumb and first two fingers of the hand.One common cause of carpal tunnel syndrome is poor posture and repetitive activities such as typing at a computer in the wrong position for many hours a day. The direct pressure on the wrist from the desk along with the repetitive movement of the fingers can lead to a tightening of the carpal tunnel ligaments. Physical labour can cause carpal tunnel syndrome.
Some believe that people who develop carpal tunnel syndrome may have neck or shoulder problems on that side that lead to altered posture and movement of the arm. Since the median nerve exits from the neck and passes through the shoulder all the way down to your fingers, carpal tunnel syndrome may be affected by the flexibility of the nerve higher up.
How physiotherapy, chiropractic, and registered massage therapy helps
Physiotherapy, registered massage, and chiropractic should be the first thing you try when treating carpal tunnel syndrome. They are non-invasive and effective in eliminating symptoms and stopping them from returning.Our treatments focus on improving the mobility of the wrist and the median nerve and reducing pressure in the carpal tunnel so the pressure is relieved on the median nerve. Hands-on treatments mobilize tight joints and stretch tight ligaments. Advice on posture, work habits and even how you sleep will help ensure that you are reducing the activity and positions that caused your carpal tunnel syndrome. Finally, strengthening and range of motion exercises can support the wrist and maintain good posture, helping the normal function of the median nerve.
We also focus on long-term results by training you on specific exercises to perform at home and work. Additionally, we train you on proper postural technique to prevent future reoccurrences. Call us today to discover how we can effectively treat your carpal tunnel syndrome.
- Nerve Entrapment Injuries
About Nerve Entrapment Injuries
There are many nerves traveling along the elbow, forearm, wrist and hand. With injuries to the hand, wrist, forearm or elbow, nerve damage can result. Symptoms may be mild such as mild numbness, tingling or abnormal temperature sense. In severe cases, muscle weakness and paralysis can occur.Many nerve injuries occur because of overuse and chronic irritation. This doesn’t allow proper circulation to the nerves, affecting their functioning. Poor posture while doing common activities may also contribute to overuse injuries and chronic swelling. If you have numbness or tingling into your arm, wrist or hand, it is important to follow up with us and your physician.
How chiropractic, physiotherapy, and registered massage therapy helps
Chiropractic, physiotherapy, and registered massage are very important to the healing aspect of nerve injuries. Whether mild from a small injury or severe after surgery, our experts work with you and your physician to facilitate your recovery.The emphasis of treatment is on improving nerve mobility and reducing pressure on the nerve by restoring normal tissue movement and joint movement. Our hands-on therapy serves to soothe and improve circulation, while stimulating nerves to restore normal function. In some cases spinal joint dysfunction may be one of the points of nerve irritation. Chiropractic therapy may help by restoring proper spinal mobility. Call us today to discover how we help relieve your nerve pain and restore normal function.
- Tennis and Golfer’s Elbow
What is Tennis Elbow?
Tennis elbow is a common term for lateral epicondylitis. It is essentially a tendinopathy affecting where the tendons that extend your wrist and fingers attach to the outside of your elbow. You don’t have to play tennis to develop this condition, it actually happens frequently with many various repetitive tasks which involve grasping or repetitive hand use such as typing, especially when these tasks are done with poor technique or in high doses.Typically with tennis elbow, severe tenderness will be present around the bony area on the outside of the elbow. This can cause pain with gripping objects, lifting objects, twisting of the forearm and more.
What is Golfer’s Elbow?
Golfer’s elbow is a general term for medial epicondylitis. This is similar to tennis elbow (lateral epicondylitis), except that it is on the inside bony area of the elbow. Reasons for this occurring are similar to that of tennis elbow where there is an overuse of the muscles that flex your wrist and fingers. These muscle tendons attach to the inside elbow bony area, and overuse results in irritation.How physiotherapy, chiropractic, or registered massage helps
Tennis elbow and golfer’s elbow can be treated very effectively with physiotherapy. Modifying or reducing the activity that is causing the injury is an important first step. Hands-on therapy, instrument assisted soft tissue therapy such as Graston Technique and shockwave therapy for the tissues and joints helps to restore normal joint movement, break up any scar tissue / adhesions in the tissue and stimulate the area to promote healing.Strengthening programs are crucial to properly stimulate the cells in the area to reorganize and strengthen the injured tissue. In addition, we educate you on proper posture and techniques to manage work and repetitive activities so the condition does not continue. Call us today to discover how we can help quickly relieve your tennis elbow or golfer’s elbow pain.
- Elbow Pain, Wrist Pain, Hand Pain
Elbow Pain, Wrist Pain, Hand Pain
Elbow pain can come from a variety of sources, but typically occurs due to an overuse of the elbow joint from repetitive activities. Often bad posture with typing, writing, lifting or sports, makes the tissues around the elbow become irritated.The elbow actually has three joints that each move in unique ways. The same bones (radius and ulna) that make up the elbow also form the wrist and play a key role in the movements of the hands. Most of the muscles that make your wrist and fingers move are actually located in the forearm.
Poor posture, repetitive activities such as typing, gripping and twisting can cause tightening in the muscles and tissues of the forearm. This can affect the mobility of the elbow, wrist and even hands. This can lead to inflammation and irritation into these areas.
How physiotherapy, chiropractic, and registered massage therapy helps
Our doctors and therapists help to relieve elbow pain, wrist pain and hand pain by examining the mechanics of your joints and muscles. By identifying where you are having limitations, analyzing your daily activities and strength of certain muscle groups, the root cause of your pain can be discovered.A comprehensive plan is then built to improve your range of motion, reduce your pain quickly, soothe stiff and sore muscles and return your strength. In addition, we work with you to educate you on techniques and exercises to prevent future injury or possibly adapt your work environment. Call us today to discover how we can help relieve your elbow pain, wrist pain or hand pain.
- Fractures
About Wrist Fractures
Fractures in the wrist and forearm area are common with falls, as the tendency is to protect oneself during the fall. Common fractures occur in the bones of the forearm near the wrist called the radius and ulna. Two common fractures are called Colles’ fracture and Smith’s fracture. Colles’ fractures typically occur from falls onto an outstretched hand and Smith’s fractures occur from falling backward onto an outstretched hand.
Another common fracture of the wrist and hand is the Scaphoid fracture, which is a small bone in the hand. The scaphoid bone connects with the radius bone of the forearm. Scaphoid fractures are more difficult to heal due to poor circulation to the bone itself.
Fractures are managed medically and depending on the type of fracture and severity you may be placed into a cast or surgically repaired with pins, plates or screws.
How physiotherapy helps
During the healing phase typically in a cast or after surgery, the fingers, wrist and elbow become very stiff, range of motion and strength are lost. Physiotherapy is very important in the rehabilitative process to help you regain normal range of motion, reduce swelling, resolve pain and regain function of your hand and wrist.Physiotherapy is gentle and will help you quickly resolve your pain while working with your doctor to follow protocol and restore your function. With physiotherapy, you can make a complete recovery quickly and safely. Call us today to learn more about how we can help you fully recover after a fracture.