End Your Elbow, Wrist & Hand Pain Without Surgery

What Causes Elbow, Wrist, or Hand Pain?

Injuries, overuse syndromes and pain of the upper extremities are common and can be quite disabling. The elbow, wrist and hand can get a lot of beating from repetitive activities such as typing, using power tools, lifting or sporting activities. Falls, car accidents and other injuries can disrupt the surrounding muscles, tendons and ligaments. This creates weakness and instability that can lead to chronic joint degeneration and arthritis. 

Tendonitis is a common condition in the elbow and wrist as these areas get plenty of wear and tear during daily activities. There are two common types of tendonitis in the elbow: tennis elbow on the outside and golfer’s elbow on the inside. Both are a result of overuse from work and sporting activities. In the wrist and hand, tendonitis often develops around the thumb with repetitive lifting or gripping activities. 

Arthritis, a degenerative condition of the joint, can also develop in the elbow, wrists and hand.  This is more common in mature adults and can be a result of overuse and injuries. The most common arthritis of the hand is that of the base of the thumb. It is more prevalent in women, but can occur in anyone who uses their hands for work. Nerve injuries are also common in the upper extremities. The most common overuse nerve syndromes are carpal tunnel syndrome and ulnar neuropathy. 

Common Elbow, Wrist & Hand Conditions We Treat:

Estero elbow pain
  • Lateral Epicondylitis (tennis elbow) 
  • Medial epicondylitis (golfers elbow) 
  • Wrist and hand arthritis 
  • Instability and ligament sprains
  • Hypermobility 
  • Tendonitis 
  • Carpal tunnel syndrome 

Symptoms and Diagnosis

In the extremity overuse syndromes such as tendonitis, pain is typically increased with activity while rest can provide relief. Elbow tendonitis can refer to pain down towards the wrist. Arthritis of the extremity joints can present as pain with activity and rest as well as joint swelling and weakness. If nerves are involved, numbness, pins and needles and weakness can also be present. 

 Thorough history and evaluation by a physical medicine specialist should identify all the contributing factors involved. This may include ultrasound scan, X-ray, an MRI and electrodiagnostic nerve studies.  Structural and functional evaluation of the surrounding joints and evaluation of diet and lifestyle factors are also beneficial when designing a treatment strategy. 

a girl holding her in pain pulse muscles
healthy wrists in Estero

Non-Surgical Treatment for Elbow, Wrist & Hand Pain

At Integrative Rehab Medicine, we offer the best comprehensive treatment for your  elbow, wrist and hand pain. Our Integrative Advantage is a team approach that addresses all the contributing factors, this can provide best results for your condition. 

  • Regenerative Medicine Injections (Prolotherapy, Platelet Rich Plasma (PRP), and Bone Marrow Stem Cells) used to stimulate healing and stability of the tendons, ligaments and cartilage
  • Physical Therapy to strengthen and re-educate the muscles and ligaments and improve general strength and fitness
  • Anti-inflammatory Diet with adequate nutrients to support the healing process along with natural anti-inflammatory supplements
  • Energy Modalities such as low level laser and PEMF to further support tissue healing, decrease swelling and improve function
  • Acupuncture to decrease pain and improve shoulder function 

Schedule Your Elbow, Wrist or Hand Consult Today!

Our Patients Say...

Local Guide

Dr. Sebastian Klisiewicz always takes time to really listen to what I have to say concerning my symptoms. He is warm and welcoming. He’s a benevolent and patient-doctor whose holistic approach has been a tremendous benefit for me. Dr. Sebastian has helped me regain mobility and reduce the number of fibromyalgia flares I have. It’s evident to me that he truly cares for his patients.


Dr. Sebastian Klisiewicz has been my doctor for quite a while now & he's been fantastic in getting me answers/results as quick & painless as possible. He has been stellar & very attentive to hearing my physical issues then getting me set-up with great Doctors that help make me able to have a functional life given my prior injuries/surgeries.

Tina Brink

Dr Sebastian has gone over and beyond to help me!! Office is real nice and very clean office.. highly recommend this Dr if anyone has severe pain.