Tennis elbow, carpal tunnel, nerve entrapment — small joints with big consequences. Precise diagnosis first, then targeted relief.
Writing, cooking, opening jars, holding a grandchild's hand — hand and arm pain interferes with everything that makes a day yours. These conditions respond well to precise, targeted treatment once the exact nerve or tendon at fault is identified.
Not sure which is yours? That's normal — and exactly what the first visit is for.
Same-week appointments in most cases. Bring your imaging if you have it — we'll handle the rest.
Your physician reviews your history, imaging, and goals. You leave understanding what's actually causing your pain.
A stepwise plan starting with the least invasive option that works — most procedures happen on-site.
The complete clinical explanation, in plain language — the same material we use to educate patients and referring physicians.
Elbow pain usually isn't serious, but because you use your elbow in so many ways, elbow pain can be very frustrating. Your elbow is a complex joint; it allows you to both extend and flex, as well as rotate your hand and forearm. Since most movements are a combination of these actions, you may sometimes find it difficult to describe exactly which movement brings on the pain. Common causes of elbow pain include but are not limited to:
Treatments commonly include:
Interventional injections such as steroid injections under X-ray guidance, nerve blocks.
Regenerative Medicine treatment may provide relief in patients who are not responding to standard treatment options.
Surgical treatments should be a last resort, in cases where interventional injections are not effective.
From the Southwest Ohio Pain Institute medical library. Reviewed by our physicians.
The wrist is a complex joint made up of eight small bones arranged in two rows between the bones in your forearm and the bones in your hand. Tough bands of ligament connect your wrist bones to each other and to your forearm bones and hand bones. Tendons attach muscles to bones. Damage to any of the parts of your wrist can cause pain and affect your ability to use your wrist and hand.
Sudden impacts. Wrist injuries often occur when you fall forward onto your outstretched hand. This can cause sprains, strains and even fractures. A scaphoid fracture involves a bone on the thumb side of the wrist. This type of fracture may not show up on X-rays immediately following the injury.
Repetitive stress. Any activity that involves repetitive wrist motion — from hitting a tennis ball or bowing a cello to driving cross-country — can inflame the tissues around joints or cause stress fractures, especially when you perform the movement for hours on end without a break. De Quervain's disease is a repetitive stress injury that causes pain at the base of the thumb.
Osteoarthritis . This type of arthritis occurs when the cartilage that cushions the ends of your bones deteriorates over time. Osteoarthritis in the wrist is uncommon and usually occurs only in people who have injured that wrist in the past.
Rheumatoid arthritis. A disorder in which the body's immune system attacks its own tissues, rheumatoid arthritis commonly involves the wrist. If one wrist is affected, the other one usually is, too.
Carpal tunnel syndrome. Carpal tunnel syndrome develops when there's increased pressure on the median nerve as it passes through the carpal tunnel, a passageway in the palm side of your wrist.
Ganglion cysts. These soft tissue cysts occur most often on the part of your wrist opposite your palm. Smaller ganglion cysts seem to cause more pain than larger ones do.
From the Southwest Ohio Pain Institute medical library. Reviewed by our physicians.
Often, especially earlier on. Image-guided injection therapy relieves many patients — and if surgery ever truly becomes necessary, you'll hear it from us honestly.
Less than you're imagining. The area is numbed first, the procedure is image-guided and quick, and most patients tell us the anticipation was worse than the needle.
Most interventional pain procedures are covered by Medicare and major insurance plans. Call us and we'll verify your specific coverage before your visit.
Call and mention this page — same-week appointments in most cases, and we'll verify your insurance before you come in.