Radial Tunnel Syndrome?

What i thought was tennis elbow now does not seem like tennis elbow. While there is still some pain at times at the back of my elbow, there seems to be equal amount of pain about an inch or 2 below my elbow.

Does this sound like Radial Tunnel Syndrome? I remember actionflies had a post about this in March, and this looked to fit the diagram that he showed. If so, how can I heal from this injury? Any help is appreciated.

Side note: I just got this "injury" a couple weeks ago. I am also recovering from my shoulder problems (tendinosis and bursitis) for 3 months now, so it's definitely been a rough few months for me tennis-wise. Gaw...I just wished I could play tennis again :(
 
What i thought was tennis elbow now does not seem like tennis elbow. While there is still some pain at times at the back of my elbow, there seems to be equal amount of pain about an inch or 2 below my elbow.

Does this sound like Radial Tunnel Syndrome? I remember actionflies had a post about this in March, and this looked to fit the diagram that he showed. If so, how can I heal from this injury? Any help is appreciated.

Side note: I just got this "injury" a couple weeks ago. I am also recovering from my shoulder problems (tendinosis and bursitis) for 3 months now, so it's definitely been a rough few months for me tennis-wise. Gaw...I just wished I could play tennis again :(
"Common things occur commonly."

That is, it is much more common to have a slightly uncommon presentation for something like tennis elbow (inflammation of tendon) than to have an uncommon problem like radial tunnel syndrome (inflammation of the radial nerve).

From WebMD:

"Symptoms of radial tunnel syndrome include:

Cutting, piercing, or stabbing pain at the top of the forearm or back of the hand, especially when you try to straighten your wrist and fingers.
In contrast to cubital tunnel syndrome and carpal tunnel syndrome, radial tunnel syndrome rarely causes numbness or tingling because the radial nerve principally affects the muscles.

Just as with cubital tunnel syndrome, if you have any of these symptoms, your doctor may be able to diagnose radial tunnel syndrome by physical examination alone. He or she also may order a test called electromyography, a nerve conduction study, or both to confirm the diagnosis, identify the area of nerve damage, and stage the severity of the condition."
- http://www.webmd.com/pain-management/cubital-radial-tunnel-syndrome

Had you been doing the forearm exercises of the Thrower's Ten prior to your return to tennis? http://www.asmi.org/SportsMed/throwing/thrower10.html
[Unfortunately it is pretty common for "new" problems to appear after an injury, as muscles/tendons have become "deconditioned" during the layoff.]

Have you tried using a Theraband Flexbar? http://www.youtube.com/watch?v=zB3TVb8a5mk
 
"Common things occur commonly."

That is, it is much more common to have a slightly uncommon presentation for something like tennis elbow (inflammation of tendon) than to have an uncommon problem like radial tunnel syndrome (inflammation of the radial nerve).

From WebMD:

"Symptoms of radial tunnel syndrome include:

Cutting, piercing, or stabbing pain at the top of the forearm or back of the hand, especially when you try to straighten your wrist and fingers.
In contrast to cubital tunnel syndrome and carpal tunnel syndrome, radial tunnel syndrome rarely causes numbness or tingling because the radial nerve principally affects the muscles.

Just as with cubital tunnel syndrome, if you have any of these symptoms, your doctor may be able to diagnose radial tunnel syndrome by physical examination alone. He or she also may order a test called electromyography, a nerve conduction study, or both to confirm the diagnosis, identify the area of nerve damage, and stage the severity of the condition."
- http://www.webmd.com/pain-management/cubital-radial-tunnel-syndrome

Had you been doing the forearm exercises of the Thrower's Ten prior to your return to tennis? http://www.asmi.org/SportsMed/throwing/thrower10.html
[Unfortunately it is pretty common for "new" problems to appear after an injury, as muscles/tendons have become "deconditioned" during the layoff.]

Have you tried using a Theraband Flexbar? http://www.youtube.com/watch?v=zB3TVb8a5mk
Yes, I have been doing the Thrower's Ten for a few weeks now. I haven't returned to tennis quite yet though. Still have not played tennis since February/March.

No, I have not tried the Theraband Flexbar. I was going to buy it when I thought I had tennis elbow but reconsidered when I thought I had radial tunnel syndrome instead. Should I buy it anyways, even if I'm unsure what my injury is?
 
If you are going to be seeing your doctor or therapist soon, you can ask their advice what condition you have, and on the Flexbar.

As twisting motions can exacerbate radial tunnel syndrome, it might be better to avoid until then. (Apparently though, radial tunnel syndrome can be hard to definitively diagnose.)

"Nonsurgical Treatment
The most important part of your treatment is to avoid the activity that caused the problem in the first place. You need to avoid repetitive activities that require your wrist to be repeatedly bent backwards. Repeated use of the wrist in twisting motions (such as using a screwdriver) also make the problem worse. If your work tasks caused your condition, you need to modify your work site or your duties. This is crucial for treatment to be successful. You need to take frequent breaks as you work and play. You also need to limit heavy pushing, pulling, and grasping."
- http://www.eorthopod.com/content/radial-tunnel-syndrome
 

actionflies

New User
I sent you a long email. My only cure was 12 months of rest and now I'm playing again but not pain free yet. Send me an email if you have questions.
 
Going to my orthopedist specialist today to test to see what the heck is up with my elbow. I'll report back if there's any significant findings that can help others out here who may have the same issue.
 

tennisenthusiast

Hall of Fame
Going to my orthopedist specialist today to test to see what the heck is up with my elbow. I'll report back if there's any significant findings that can help others out here who may have the same issue.
i_heart_ib: We both seem to be having almost the same symptoms. I also had pain near my arm pad and fifth finger. I am suspecting it has mostly to do with your rotator cuff problem. I had this pain in January but has slowly subsided and I am now almost pain -free w.r.t hand pain after 6 months.

Also sometimes stiff neck can cause pain in the arm. Do you have stiff neck?
 
i_heart_ib: We both seem to be having almost the same symptoms. I also had pain near my arm pad and fifth finger. I am suspecting it has mostly to do with your rotator cuff problem. I had this pain in January but has slowly subsided and I am now almost pain -free w.r.t hand pain after 6 months.

Also sometimes stiff neck can cause pain in the arm. Do you have stiff neck?
Yes, I have stiff neck sometimes! Well, it's mostly lower neck/right upper back area, but sometimes it is indeed stiff.

Well, pertaining to my elbow issue, what my orthopedic specialist said was that since I have been avoiding using my shoulder, he thinks I have been over-using my forearm. Thus, he thinks I have tennis elbow along with overused forearm. So, to solve the forearm pain, he told me to stretch out my forearm, and do some lift weights with the forearm. Now about the tennis elbow...he didn't tell me much about it. Not really sure what I should do.

So, any tips on how I should fix all this? I wanna play tennis!!!!
 
It sounds like now is the time to buy the Flexbar red and use it together with exercises from your doctor to work on the forearm muscles to improve your tennis elbow.

It sounds like you need to do more Thrower's Ten work as well for your shoulder area.

It sounds like you are getting increasingly frustrated that this is all taking so long. No one would blame you. But rehab often takes a long time.
 

RobFL

Rookie
I have just been diagnosed with radial tunnel syndrome by a very reputable hand and elbow specialist. Another ortho doc also stated he believed this was what i had and referred me to the specialist. It is very frustrating because it does not respond like TE or GE which i've had many time. I'm off 2 months now and it doesn't feel closer to being ready. There is a surgical release procedure, if this doesn't get better soon, I'm going to consider it. Very frustrating....
 

g4driver

Hall of Fame
I have just been diagnosed with radial tunnel syndrome by a very reputable hand and elbow specialist. Another ortho doc also stated he believed this was what i had and referred me to the specialist. It is very frustrating because it does not respond like TE or GE which i've had many time. I'm off 2 months now and it doesn't feel closer to being ready. There is a surgical release procedure, if this doesn't get better soon, I'm going to consider it. Very frustrating....
I was diagnosed with this today also.

It is definitely not Tennis or Golfer's elbow - I actually thought I had a stress fracture in the bone - middle of my forearm.

The Orthopedic Surgeon who diagnosed me will most likely be bumped to 4.5 this year and he looked at the X-rays and did a series of probes on my forearm and elbow. My elbow is pain free.

How long did it take for your RTS to heal ?

What else did you do ?
 
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