Elbow Hand Hand Surgery Hand Therapy Stiff Elbow

How to Treat a Stiff Elbow

A stiff elbow can be caused by a couple different things. It could be the result of a injury, such as a fall, and it could also result from a certain condition such as arthritis. Having a stiff elbow likely means that you are unable to move the elbow as you normally would. It makes it difficult to perform simple, everyday tasks. You likely cannot bend or straighten the elbow to pick up objects or rotate your palms to do things like wash your hands.

Here are different methods that your surgeon may recommend for treating a stiff elbow:

  • Exercises/stretching
  • Splinting
  • Surgery
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Bones Broken Hand Hand Fracture Hand Surgery

Ask a Doctor – Hand Fractures

Hand surgeon Brian P. Kelley, MD, answers your questions about a broken hand.

How do I know if I broke a bone in my hand?

Breaking a bone, or fracturing a bone as a doctor may refer to it, is a common injury that can occur at any age.  In fact, fractures of the bones of the hand represent one of the most common reasons for a visit to the emergency department in the United States (about 1.5% of all emergency visits). Also, fractures of the fingers represent about 10% of all types of fractures.

Fractures often occur after physical trauma, such as during sports, work, or falls. However, it’s important to remember that not all hand injuries involve a fracture of the bone.  Other injuries, such as sprains or dislocations, may occur around the bones, but may not actually involve a break. In these cases, the soft tissues that hold bones together may be injured (such as ligaments, tendons, muscles, or cartilage).

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Hand Therapy TFCC Wrist Wrist Pain

Advice From a Certified Hand Therapist: Wrist Pain

Have you been experiencing pain in your wrist during day-to-day activities? Wrist pain may be attributed to many things, as the wrist is a complex network of tendons, ligaments, bones, vessels, and cartilage in and around the joints.

A common location of wrist pain is on the small finger side of the wrist, as highlighted in the image above. Pain in this area is referred to as ulnar sided wrist pain because it is on the same side of the wrist as the ulna bone.  This area has a large collection of ligaments and cartilage that form a complex structure called the Triangular FibroCartilage Complex, TFCC for short. Pain here can greatly interfere with and limit day-to-day activities. So what should you look for?

What causes ulnar-sided wrist pain?

Acute injuries such as falling on your hand and/or a twisting injury while gripping can cause pain on this side of your wrist. Another culprit for such wrist pain can be repetitive stress from continued gripping and/or weight bearing. Sports such as tennis, baseball and gymnastics are examples of activities where these types of recurring injuries most often happen.

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Complex Regional Pain Syndrome Hand Pain Nerves Pain

8 Signs of Complex Regional Pain Syndrome (CRPS)

Complex Regional Pain Syndrome (CRPS) – formerly known as Reflex Sympathetic Dystrophy (RSD) – is a pain condition that can be present for a long period of time. Those with this condition have a dysfunction in their central or peripheral nervous systems, causing the system to send frequent or constant pain signals to the brain, which results in the nervous system becoming overactive.

Here are 8 signs that you may have CRPS:

  1. “Burning” pain
  2. Sensitive skin
  3. Changes in skin temperature (warmer or cooler compared to other parts of the body)
  4. Changes in skin color (often blotchy, purple, pale or red)
  5. Changes in skin texture (shiny and thin, and sometimes excessively sweaty)
  6. Changes in nail and hair growth patterns
  7. Swelling and stiffness in affected joints
  8. Decreased ability to move the affected body part
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Hand Hand Pain Technology

The Surprising Side Effects from Using Technology

from Harvard Health Letter

You’ve mastered the art of texting, emailing, and web surfing on your smartphone and computer. But along with that digital prowess, you’ve picked up an unexpected side effect.

“We get a number of patients who develop injuries from these activities,” says Dr. Tamara Rozental, an orthopedic surgeon who specializes in hand, wrist, and elbow disorders at Harvard-affiliated Beth Israel Deaconess Medical Center.

Hand pain

The repetitive motions of texting and typing can lead to general hand pain from underlying osteoarthritis (the wearing away of cartilage in the joints). “Using these gadgets doesn’t cause osteoarthritis, but if you’re prone to it, it can increase your symptoms,” Dr. Rozental says.

Using your thumbs too much to text can cause strain or overuse injuries of the tendons that run from the wrist to the thumb (a condition called De Quervain’s tenosynovitis). Symptoms include pain over the thumb side of the wrist, which can appear gradually or suddenly and move up the forearm.

Read the full story.

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Boutonnière Deformity Finger Joints Thumb

What is a Boutonnière Deformity?

Boutonnière deformity is when the finger or thumb is bent down at the middle joint and bent backwards at the end joint (see photo above). This deformity can happen for a couple of different reasons, including:

  1. A cut tendon on the back of the finger or thumb
  2. Tearing or weakening of the tendon from a disease such as rheumatoid arthritis

These two reasons are what can cause the middle joint to bend down. The backwards bending of the end joint is caused after the middle joint bends because there is more pull on the end joint of the finger.

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Anatomy Bicep Tendon Tear Hand Muscles Tendons

Anatomy 101: The Distal Biceps

The distal biceps muscle is located in the front of your arm (see image above). This muscle helps you to bend your elbow and twist your forearm. Unfortunately, the biceps is prone to injury, especially the biceps tendon, which connects the bicep muscle to the radius bone in your forearm. This tendon can weaken over time, which is called tendonosis. If you have tendonosis of the biceps tendon, you may feel a dull or sharp pain just past the elbow in the forearm. There’s also a chance that you will feel no pain.

Tendonosis can sometimes lead to a tear or rupture in the tendon. Tears or ruptures can happen when you are lifting something heavy such as furniture or weights.

Some signs that you may have torn or ruptured your biceps tendon include:

  • A popping feeling at the time of the rupture or tear
  • Pain in the elbow area
  • Weakness
  • Swelling
  • Bruising
  • Warmth in the elbow area
  • Muscle spasms
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Brachial Plexus Nerves Shoulder

Ask a Doctor: Brachial Plexus Injuries

Hand surgeon Ryan Zimmerman, MD answers your questions about brachial plexus injuries.


What is the brachial plexus? 

The brachial plexus is a complicated web of nerves located near the base of your neck and top of your shoulder.  Typically, five nerves from the spinal cord at your neck weave together and eventually form the nerves for your shoulder, arm and hand.

How do brachial plexus injuries happen?

Brachial plexus injuries usually happen due to a stretching injury across the nerves.  Most of the time, the nerves get stretched but stay connected.  In severe cases, the nerves can tear. There are a few common ways for brachial plexus injuries to happen.  In newborns, the injury can occur during birth, This is more likely if the baby gets stuck during delivery.  During sports, tackles or collisions can cause a stretch injury.  This is commonly referred to as a “stinger” or “burner.”  In car or motorcycle accidents, the brachial plexus can be stretched by the force of the impact.

What are the symptoms of a brachial plexus injury?

Each injury is unique, and the symptoms are due to the exact nerves that get stretched and how badly they get stretched.  Many patients with brachial plexus injuries describe “electrical” or shooting pains that can run all the way down to the hand.  Numbness and weakness are also common.  The numbness can range from a slight funny feeling to total numbness. Weakness can range from mild loss of strength to total inability to move the shoulder, elbow, or hand.

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