What We Treat

Elbow, wrist and hand pain treatment in Slidell.

The jar you hand to somebody else. The grip that lets go without warning. It’s fixable, and it starts with an evaluation that looks for the cause.

Tennis elbow Carpal tunnel Grip weakness Talk to a Specialist

Sound Familiar?

Does this sound like you?

  • Handing the jar to somebody else and pretending it’s nothing
  • A full coffee mug slipping out of your grip halfway to the table
  • Pins and needles in your thumb and fingers that wake you at 3am
  • Shaking your hand out under the desk between emails
  • Switching the car seat and the diaper bag to your other arm every single time
  • A hot streak on the outside of your elbow the second you lift a gallon of milk

Two or more? Keep reading.

Why It Happens

Your hand hurts. Your hand isn’t always the cause.

Gripping is a chain. Forearm tendons anchor at your elbow. The nerves that feed your fingers pass through tunnels at the wrist and the elbow. Your shoulder holds the whole arm in position. When one link stops doing its share, the others absorb it. That is why tennis elbow, carpal tunnel symptoms and thumb pain show up in people who never had a single injury: thousands of repetitions, one grip, no recovery.

Here is why it did not clear up on its own. A worn tendon is not simply inflamed. It is disorganized tissue that rebuilds only under graded load, and rest rebuilds nothing. A compressed nerve needs room and motion, not a splint forever. Meanwhile the tool, the keyboard and the steering wheel have not changed. An evaluation that looks for the cause sorts tendon from nerve from joint, then treats the one actually driving your symptoms.

Clinician guiding a patient through a wrist and hand strengthening exercise

The Honest Truth

A hand you can’t trust doesn’t get a day off.

If you keep waiting

  • Grip strength keeps slipping, and jobs you did one-handed start taking two
  • The tendon keeps getting loaded and never gets a chance to rebuild, so flare-ups run closer together
  • Numbness that used to come and go starts staying, and compressed nerves get slower to recover

If you start this week

  • You leave visit one knowing whether it’s tendon, nerve or joint
  • Hands-on work on the wrist and elbow starts the same day
  • A plan with an endpoint, and grip loading you can actually progress

Nobody regrets starting too early.

How We Fix It

The same four phases. Built for your hands.

Every plan has an endpoint. Here’s what the four phases look like for elbow, wrist and hand pain.

Weeks 1–2

Pain

Calm the pain down.

Hands-on work at the forearm, elbow and wrist settles the irritated tendon or nerve. Dry needling and taping get used when they fit, starting your first visit.

Weeks 2–6

Prime

Get your motion back.

Joint mobilization and nerve glides give the median or ulnar nerve room to move again, and give your wrist its full range back.

Weeks 6–10

Perform

Make it strong enough to trust.

Graded grip and forearm loading rebuilds the tendon, with shoulder and scapular strength so your hand stops doing the whole arm’s work.

Weeks 10+

Prevent

Return better than before.

Tool grips, keyboard height, and how you lift and carry get retested under real load. That’s the endpoint, not just another appointment.

Dr Ryan is amazing. He listens to your concerns and allows you the time to move forward at the pace you are comfortable with. I had very little use of my right arm and hand and now I am almost completely normal.

Shared by Carolyn H. · Arm and hand

Very little use of her right arm and hand

Almost completely normal

Arm and hand

Questions, Answered

What people ask before booking for hand and elbow pain.

Usually not first. Imaging and nerve studies earn their keep when the picture is unclear or surgery is on the table, and they are easy to arrange later. Scans also show tendon changes and joint wear in hands that feel completely fine, so a picture alone rarely names the cause. A hands-on exam can separate tendon from nerve from joint by how the tissue answers load and position. If a study would change your plan, we will say so and help you get it.

Yes, and how you use it matters more than whether you use it. Complete rest quiets a tendon down, then leaves it weaker than the job you need it for. That is why the pain returns with your first hard week. An irritated nerve wants gentle motion, not a hand that never moves. A licensed physical therapist sets what to load, what to back off, and when to add more, so you keep working while it heals.

You get a plan with an endpoint instead of an open tab. At your evaluation you find out which phase you are starting in, what has to change to earn the next one, and what the whole arc looks like for your hand. Grip strength, motion, and how long you can work before symptoms start are all measurable, so progress is not a feeling. Clear a phase early and you finish early.

No referral needed. Louisiana has direct access, so you can book a physical therapy evaluation without seeing a physician first. We run a benefits check before your first visit and tell you what your plan actually pays, with a Good Faith Estimate if you are paying yourself. We accept Medicare, Medicaid, Blue Cross Blue Shield, Aetna, Cigna, Humana, UnitedHealthcare, TRICARE, TriWest and Peoples Health, plus workers’ compensation and auto accident claims.

Book Your Visit

Ready when you are.

Request a time and a real person calls you back. No phone tree. No ‘someone will reach out.’ Just a plan.

  • Hours Mon & Wed 8:00am to 6:00pm · Tue, Thu, Fri 8:00am to 5:00pm · Sat & Sun Closed
  • (985) 326-7260 Prefer to talk now? Call us.
  • No referral needed to start

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A real person calls you back

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So we know who to look for when you walk in.

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Care this good, this close.

Alpha Physical Therapy