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.
What We Treat
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.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
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.
The Honest Truth
Nobody regrets starting too early.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like for elbow, wrist and hand pain.
Weeks 1–2
Pain
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
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
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
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
Questions, Answered
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
Request a time and a real person calls you back. No phone tree. No ‘someone will reach out.’ Just a plan.
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A real person calls you back
Step 1 of 5
That’s the hard part done. We’ll call during business hours to lock in your time.
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