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What Causes Pain In The Wrist, Forearm And Elbow After Exercise?
Question: hi, after a session of biceps curls I woke with pain in my wrist forearm and elbow. I waited a week to see if the pain would dissipate, it did not. I went to the dr and they diagnosed me with tennis elbow. I was told to stop all activity and stretch. I was not able to stretch it caused me great pain in my wrist/ palm area. I got mri of my elbow which was negative for any tearing, I got an mri of neck which showed herniated discs on the opposite side of my neck from where I was experiencing pain. I got an emg and a nerve conduction study both came back negative for entrapment. I received 2 prp shots in my elbow no relief. I went to the dr 2 weeks ago and got a cortisone shot in my wrist, this is only procedure that brought about some kind of relief. I am almost sure that there is a nerve issue at play here. When the drs examine me they all seem confused because I have no pain when they apply pressure to the lateral epicondyle my pain begins about 2 inches down around the top of my forearm. I was doing some research and found out a lot of people of who have radial nerve entrapments have normal emg's. Are there any other ways of confirming a radial nerve entrapment?
Brief Answer:
Actually EMG and nerve conduction studies are usually accurate , i think it could be tendinitis and will just take more time to heel back .
Detailed Answer:
Hi i am Dr Ahmed Aly
thanks for using HealthcareMagic site ,
I had gone through your question and understand your concerns ..
In my opinion your nerve conduction and EMG are less liable to miss the radial nerve entrapment if it was present . I would recommend clinical evaluation by a neurologist in a good specialist center with your test results will be more diagnostic .
In most of cases with similar wrist problems the cause is usually tendinitis due to stress or over use and exertion on your muscles and joints , sometimes such inflammation could be seen by U/S and MRI to confirm the diagnosis.
For my patients i may recommend physiotherapy with a good chiropractor and resting from any straining exercises also icing it after these exercises is very helpful . gentle massaging with topical anti-inflammatory gels with B12 supplementation is very effective in most of cases with such neuropathic pain. in some cases PRP and steroid injections are of good value in more chronic cases .
In some cases it take time to fully withstand pain during hyper extended movements or maneuvers so i recommend wearing a wrist support and give it time to heel as treatment and medications would not change the need to relax and avoid more straining to your tendons .
Please click and consider a 5 star rating with some positive feedback if the information was helpful. Wish you good health,
Any further clarifications feel free to ask.
Actually EMG and nerve conduction studies are usually accurate , i think it could be tendinitis and will just take more time to heel back .
Detailed Answer:
Hi i am Dr Ahmed Aly
thanks for using HealthcareMagic site ,
I had gone through your question and understand your concerns ..
In my opinion your nerve conduction and EMG are less liable to miss the radial nerve entrapment if it was present . I would recommend clinical evaluation by a neurologist in a good specialist center with your test results will be more diagnostic .
In most of cases with similar wrist problems the cause is usually tendinitis due to stress or over use and exertion on your muscles and joints , sometimes such inflammation could be seen by U/S and MRI to confirm the diagnosis.
For my patients i may recommend physiotherapy with a good chiropractor and resting from any straining exercises also icing it after these exercises is very helpful . gentle massaging with topical anti-inflammatory gels with B12 supplementation is very effective in most of cases with such neuropathic pain. in some cases PRP and steroid injections are of good value in more chronic cases .
In some cases it take time to fully withstand pain during hyper extended movements or maneuvers so i recommend wearing a wrist support and give it time to heel as treatment and medications would not change the need to relax and avoid more straining to your tendons .
Please click and consider a 5 star rating with some positive feedback if the information was helpful. Wish you good health,
Any further clarifications feel free to ask.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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