Elbow / Wrist / Hand

  • Elbow fractures usually involve a fall onto the outstretched arm or a direct trauma to the elbow. With elbow dislocations there may be associated nerve and/or blood vessel injuries. X-rays may show the fracture or dislocation but small breaks may be difficult to see.

    Fractures are an emergency and immediate reduction (or placing the bones together to allow healing) is necessary. Bone breaks within the joint need special attention to ensure recovery of proper function of the joints.

    Ulnar Nerve Injuries

    This injury is usually the result of excessive valgus stress on the elbow during repeated throwing (especially during the cocking phase of a throw). Sometimes a direct injury to the nerve within the cubital tunnel (“hitting your funny bone”) will result in nerve damage. Symptoms include tingling and numbness in the ring and pinky fingers. This may occur during or after throwing or with prolonged bending of the elbow.

    Changing throwing technique, bracing if necessary, and therapeutic exercise may be helpful. If the problem persists, or there is prolonged weakness, then surgery is indicated.

    Possible Treatment Goals

    • Decrease Risk of Reoccurrence
    • Improve Function
    • Improve Muscle Strength and Power
    • Decrease Nerve Compression
    • Increase Oxygen to Tissues
    • Self-care of Symptoms
    • Improve Safety
    • Improve Tolerance for Prolonged Activities
  • Our hand and wrist therapy services are provided by experienced, skilled, physical therapists. Our therapists work one-on-one with patients using compassion, creativity, and advanced therapy techniques, in a comfortable environment, to help patients achieve their goals and restore function. Individually designed therapy programs are carefully developed for patients with injuries and/or medical conditions related to the shoulder, elbow, wrist, hand and digits.

    Services may include the following:

    • Evaluation (pre- and post-op)
    • Splints (custom & prefabricated)
    • Patient/Family Education
    • Written Home Programs
    • Wound Care
    • Kinetic Taping
    • Thermal and Electrical Modalities
    • Strength & Endurance Training
    • Injury Prevention Programs
    • Scar and Pain Management
    • Edema Control
    • Manual Therapy Desensitization