Elbow and wrist pains

Hoito - Manuaaliterapeutti Hannu Timonen

Tennis and golf elbow, carpal tunnel syndrome, entrapment, tenosynovitis, mouse wrist and mouse hand

Nearly all elbow and wrist problems can be treated using similar manual methods. Treatment response is nearly 100%. The diagnosis is inflammation (-itis as the ending of a disorder (like synovitis) refers to inflammation), but less than 10% of the cases are in fact inflammations, and over 90% are only severely irritated and will recover with an average of four treatment sessions. The treatment consists of three parts. First, the muscles of the shoulder and upper back are treated. Then, the locks in the vertebrae are opened using vertebral mobilisation, which releases the nerve tracks of the arms. Finally, the muscles of the forearm are massaged using highly focused treatment.

Tennis elbow (Epicondylitis Lateralis) and
Golf elbow (Epicondylitis Medialis)

Symptoms of tennis and golf elbows are very similar. Tennis elbow refers to an inflammation of the tendon of the forearm extensor muscles, where they insert into the bony knob on the outside ot the elbow. The results of my manual treatment of these injuries are generally excellent. Unless the patient suffers from a structural defect or trauma, full recovery is very likely.

According to its name, tennis elbow is common with tennis players, but it is also seen in other racket sports, as well as in golf. Tennis elbow is, however, usually caused by repetitive work exerting the same muscles monotonously. The stress transmits up to where the muscle tendon inserts into the outer elbow knob, the lateral humeral epicondyle, and further stress of the arm only aggravates the condition. One contributory reason for the symptoms is often a lesion in forearm innervation, which is caused by problems in the neck region. The best recovery result is obtained by combining highly focused massage seamlessly with chiropractic care. Elbow and wrist ailments (including shoulder troubles) are my speciality. During the treatment, sick leave is not necessary but may be helpful.

Tendovaginitis, tenosynovitis

Irritation/inflammation of a tissue surrounding the sheathed tendon.
Sheatless tendon = peritendinitis


The tendon itself is irritated, thickened or even degenerated.

Carpal tunnel syndrome (CTS)

Wrist entrapment of the central nerve of the wrist. During stress, the tendon membranes swell, and the surrounding tunnel constricts. This causes numbness and tingling in fingers (middle finger, index finger, thumb).

Mouse wrist and mouse hand

Stress injury of a wrist and thumb caused by a static and monotonous muscle exertion, which can be very disabling. It usually manifests in computer workers, which explains its name.

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