- Osteoarthritis of the Thumb
- Osteoarthritis of the Hand
- Carpal Tunnel Syndrome
- Tennis and Golfer’s Elbow (lateral and medial epicondylitis)
- Ulnar Neuropathy

Carpal Tunnel Syndrome
CTS is a problem of the median nerve which runs from the forearm into the hand. When there is excessive pressure in the wrist, it causes swelling of the median nerve. This small area called the carpal tunnel is a narrow tunnel at the wrist made up of bones, soft tissues, nerves, tendons, ligaments and blood vessels. When the median nerve which runs through this tunnel gets compressed it causes pain, weakness, numbness or tingling in the hand and wrist which radiates into the forearm. The carpal tunnel is the most common area that gets compressed in both the hands and feet.
CTS should be diagnosed and treated early. During your consultation, you will receive a standard physical examination of the hands, arms, shoulders and neck to help determine if your symptoms are related to daily activities or to an underlying disorder. We will also utilize other orthopedic tests to try to produce the symptoms of carpal tunnel syndrome. Laboratory tests and x-rays can reveal diabetes, arthritis, fractures, and other common causes of wrist and hand pain.

Tennis Elbow
Also known as lateral epicondylitis, tennis elbow is an overuse and muscle strain injury in which the tendons in your elbow are overworked, causing severe pain and discomfort. The pain primarily occurs where your forearm muscle tendons attach to the bony bump on the outside of your elbow.
This painful condition is not exclusive to athletes and affects people frequently engaging in strenuous, repetitive wrist and arm motions such as home service professionals like carpenters, handymen, and painters.
Tennis elbow can be identified through the presence of the following symptoms:
- Pain radiating from the outside of your elbow into your forearm and wrist
- Weakness in your hands and wrists
- Elbow or wrist stiffness
To treat your tennis elbow, we may prescribe certain exercises or massages to alleviate the pain, to wear an elbow strap, refrain from strenuous activity, or take medicine such as ibuprofen, naproxen or aspirin, to help your body heal.
If you are experiencing the symptoms mentioned above or suffering from tennis elbow, call us today at (971) 383-1960 to request your appointment at Pacific Northwest Spine and Joint Physicians with us.