Elbow and wrist pain can be extremely irritating for men and women at all ages as it interferes with many daily activities. At Valley Pain Centers, both elbow and wrist pain are treated using safe and effective procedures to provide long-term relief.
In addition to fractures and muscle sprains, elbow pain can be caused by:
Sometimes, elbow pain can be caused by nerve impingement in the shoulder or even the neck.
Tennis elbow (lateral epicondylitis) is caused by inflammation of the large tendons on the outer portion of the elbow. Golfer's elbow (medial epicondylitis) involves inflammation of the tendons on the inner portion of the elbow. Both conditions can be caused by overuse, repetitive use and overextension of the joint. Swelling and warmth may also be present. Tennis elbow and golfer's elbow can be treated with corticosteroid injections to help relieve inflammation and promote optimal healing.
The ulnar nerve is a major nerve that passes through the elbow. When the elbow is struck, it's the ulnar nerve that causes the odd sensation known as the “funny bone." As the nerve travels through the elbow joint, it can become compressed or entrapped, causing local tenderness and radiating pain and numbness in the lower arm and hand. Ulnar nerve entrapment can be caused by traumatic injury, repetitive use injuries or changes in the joint structure due to arthritis or other causes.
Some types of elbow pain can be managed with rest and ice, sometimes accompanied by physical therapy to restore range of motion and reduce stiffness in the joint. In many cases, these approaches are ineffective in achieving rapid and long-term relief of symptoms, especially when a tendon injury or nerve impingement is involved. In those cases, injections of pain relievers and corticosteroids into the joint can be very effective in relieving both pain and inflammation to support long-term healing.
Other treatments include:
Sometimes, wrist pain can be caused by a traumatic injury like a slip-and-fall accident or a car accident that causes a fracture, strain or sprain. But often, wrist pain is caused by repetitive use and overuse, nerve compression and irritation, or inflammatory diseases like arthritis or gout that cause damage to the joint.
Some types of wrist pain can be diagnosed with a review of symptoms and a physical examination to determine which movements and motions are associated with pain and other symptoms. Diagnostic imaging can provide more detailed information about the health and structure of the joint. When more detailed information is needed to determine the cause of pain, a minimally-invasive diagnostic procedure called arthroscopy can be performed. In arthroscopy, a tiny camera is inserted into the joint via a small incision. The camera sends images of the joint to a video screen where they can be viewed by the doctor. Sometimes, nerve conduction studies can be helpful in determining which nerve is responsible for pain signals so treatment can be targeted at that specific nerve pathway.
Carpal tunnel syndrome is a chronic condition that causes painful cramping, aching, numbness and burning sensations in the hands and fingers, sometimes accompanied by muscle weakness and a loss of grip strength and finger coordination. The condition occurs when a major nerve becomes compressed as it passes through a narrow channel (called the carpal tunnel) in the wrist. Compression usually develops as a result of repetitive motions of the fingers and hand or from persistent pressure on the wrist. Arthritis and traumatic injury can also cause carpal tunnel syndrome.
Arm pain can be caused by traumatic injuries, overuse injuries, repetitive use injuries or diseases. Some of the more common causes of arm pain include:
The nerves that transmit sensation to the arms travel from the brain to the arm through the cervical spine (the neck portion of the spine). Sometimes, these nerves can become compressed where they exit the spine, resulting in radiating pain that can extend down the entire length of the arm. Pain may be accompanied by numbness, tingling or loss of muscle coordination.
Thoracic outlet syndrome is a very painful, chronic condition caused when the nerves and blood vessels located between the collarbone and the first upper rib become compressed, usually as a result of trauma, repetitive use or overuse. In addition to causing pain in the shoulders and arms, thoracic outlet syndrome can also cause numbness and tingling in the fingers.
Tendons are surrounded by a protective sheath. During movement, the tendons slip back and forth within the sheath, aided by the slick lining called the synovium. Sometimes, this sheath becomes irritated and inflamed, preventing normal motion of the tendon and causing pain.
Most types of wrist pain, including carpal tunnel syndrome and pain from arthritis and gout, can be treated with injections of pain medications and corticosteroids to reduce inflammation and promote healing. Injections may be combined with physical therapy to help restore flexibility, strength and function in the wrist and hand. Nerve block injections may also help by blocking pain signals between the wrist and the brain. Arm pain associated with nerve, tendon or disc problems can usually be resolved with injections in the area surrounding the joint using medications to relieve inflammation as well as pain.
Other treatments include:
We accept a wide variety of different insurances to make sure you're covered, no matter what. Please call our office if you do not see your insurance provider listed or have any other questions regarding insurance.
"I'm very happy with the results I've had since day one. The whole staff is nice, very sweet and caring and the providers really care about their patients."
"Love going to this office they are good and heathful have great personal. The Drs for pain are the best.Thank you for making us feel better with no pain.Thank you guys."
"To all the staff at Valley pain center Bell location, my prayers for each of you. All of you have my utmost respect. I recommend you and you all deserve a raise!"
"AMAZING.....completely amazing. Dr. Knighton, front desk staff, medical assistant, procedure anesthetist & radiologist. Incredible. HIGHLY RECOMMEND! "
"This Valley Pain Center is wonderful. People that work there are so friendly and the doctors are very professional and handsome."
"I've had my pain for over 10 years and I feel encouraged that there may be a better future for me. I highly recommend their office."
"The care I received was top notch and state of the art. They work with insurance companies so you don't have to. No out of pocket costs for the treatment I received."
"My doctor listened and cared about helping me and addressing all my concerns. Not all doctors do. "
"I was really impressed with Dr. Knighton's demeanor. He seems very thoughtful and patient. This practice is about intervention and regeneration."
"Dr Chinthagada was very kind and reassuring before, during and after the procedure. It has helped me and I thank them immensely."
"On time appointment, very caring staff. Dr. Yuk explained everything carefully"
"The receptionist is my favorite!! Theyve treated my husband very well! "
very pleasant atmosphere, Doctor Yuk listen carefully. would highly recommend
Came in to get a PRP injection. Was in and out within 30 minutes. All the staff was great and Dr. Knighton was very attentive. Will recommend if considering PRP
Dr Knighton is an amazing, knowledgeable, caring and compassionate physician. He listens and always does his best for his patients. I recommend him highly.
Staff was very helpful and friendly. Dr. Yuk is the best! Explained everything about the procedure.
I know pain shots don't work for everyone, but for me a set of three shots have eliminated my right leg nerve pain for over a year now. Could not be more pleased.
I was very impressed with Dr. Knighton and his staff. The doctor is terrific he listens and takes his time with you. So glad I found him!
Friendly staff wonderful Dr. I haven't had to take an ibuprofen since the visit.
Doctor called to review recent MRI, very through and answered all my questions. Discussed treatment options...
As usual, friendly and very professional treatment. Thank you Dr. Knighton & staff!