[quote]Wawaweewa25 wrote:
Posted a reply this morning but I guess it didn’t go through for some reason.
Def not trying to set PR’s in any rehab or conditioning exercise, I was more curious on what I can do to get better at them considering I’ve got winging I’m working on and this inner elbow pain.
Here’s the reason this not knowing exactly what is going on is killing me; because it creates some self doubt in all the treatment I have received from all the other therapists I have seen thus far in regards to my inner elbow. Don’t get me wrong I have been lucky to have some great therapists work on my shoulder, help me realize how it works, what to strengthen, the importance of proper posture, the effects of sitting at a desk all day on the kinetic chain etc.
But at the same time many of them, just like any other industry are in it simply to make money and their bed side manner and communication skills are very poor. I realize that the average joe is not going to know what pronator teres syndrome is or thoracic outlet etc, but at least explain what you are thinking and what your plan of treatment is… alright rant off.
I think I am starting to get closer to solving this mystery.
I started keeping a log and also had the head therapist at the clinic I work at take a look at it. He evaluated me, assessed my history and feels very strong that I have median nerve entrapment . My symptoms based on my log over the past couple days tend to agree with that. The pain as I mentioned before is concentrated primarily in the inner elbow right where the median nerve runs through.
Well since I started doing this log I realized I get a “heart beat” like pain in my hand just below my middle finger and sometimes it goes closer to my thumb as well. I looked t some median nerve anatomy and see that it runs through the middle, ring fingers as well as the thumb.
I will communicate all this to my therapist and the next step for me is to figure out where the nerve is entrapped and possibly get an EMG of the area. I had an EMG of my shoulder last year which came back negative, but feel like a closer look at the thoracic outlet & brachial plex area might show something.
This would also run consistent with the reduced grip strength I have in the hand, weakness when doing an sort of arm flexion and intermittent pain I feel there.
Let me know what you think 56. [/quote]
Glad to hear you’re taking my advice about the journal. Amazing how certain things surface when you put pen to paper.
Now that you suspect it could be the nerve, explore that. Determine if it’s the main cause. Based on your findings, you will now know what the next step will be.
It absolutely is torture not knowing. But you need to focus on the task at hand rather than dwelling on the negative. No one smiles when obsessed with the worst-case scenarios.
Yet another reason I suggested keeping a journal is that when you bring this with you to the PT sessions, they’ll recognize how motivated you are to get to the bottom of this. This, in turn, should give your PT enough motivation to bring their A game. Furthermore, it subtly suggests that you are not afraid to escalate this matter to the supervisor. Obviously, don’t make such statements outright; no one reacts well to threats. If the PT has half a brain (and it sounds like they do), they’ll know they are dealing with someone who won’t settle for mediocre treatment. When you show them your journal, casually show that you are mentioning their name in the treatment procedure.
If this doesn’t work, address the matter with someone in charge and document the grievance. Again, don’t make outright threats. However, anyone who made it to upper management will know to treat the matter seriously once they know you are documenting.