Multiple Wrist and Elbow Tendinopathies + Rheumatoid Arthritis

[fbc91]

Hello,

I’m a 29 year old male with a history of tendon problems and RA:

1. Bilateral golfer’s elbow for 15 years, last 6 years debilitating due to unloading a semi truck + lifting + calorie deficit.
2. Bilateral tennis elbow for past year.
3. Wrist extensor tendonitis for 15 years – that’s what I think at least, not diagnosed. Pain does NOT feel like rheumatoid arthritis and is exacerbated by typing on computer and pressing movements.
4. Bilateral dequervain’s for past 7 months, triggered by guitar + too much scrolling on phone. *I want to reiterate all the above problems were caused by overuse and feel distinct from my RA, and are exacerbated by lifting + typing + guitar, whereas my RA comes on randomly. I’ve had RA for the past decade.

Four years ago I received cortisone injections directly into both medial epicondyles and into the joint space as well, from the lateral side. I think this why I developed bilateral tennis elbow.

My current rehab is every other day:

1. 1 set of each: wrist deviation, extension, flexion, supination, and flexion + finger curl.
2. thumb flexion with iron mind band, 1 set.
3. started w/ 1 pound, 1 rep and have worked up to 4lb, 8 reps over two months.
4. I increase by 2 reps per session, then increase weights by 1 pound once I hit 10 - 12 reps.
5. been trying to rehab since May 2019 w/ multiple setbacks. Dequervain’s has improved – pain is no longer at base of wrist on thumb side and is limited to base of thumb, only on left hand.

My goal is to recover 100% so I can type unrestricted (want to become web dev) and lift weights.

Want some guidance, willing to pay for consult + programming since this is complex case.

Thx,

Frank

[Michael_Ray]

@fbc91

Hello,

I’m a 29 year old male with a history of tendon problems and RA:

1. Bilateral golfer’s elbow for 15 years, last 6 years debilitating due to unloading a semi truck + lifting + calorie deficit.
2. Bilateral tennis elbow for past year.
3. Wrist extensor tendonitis for 15 years – that’s what I think at least, not diagnosed. Pain does NOT feel like rheumatoid arthritis and is exacerbated by typing on computer and pressing movements.
4. Bilateral dequervain’s for past 7 months, triggered by guitar + too much scrolling on phone. *I want to reiterate all the above problems were caused by overuse and feel distinct from my RA, and are exacerbated by lifting + typing + guitar, whereas my RA comes on randomly. I’ve had RA for the past decade.

Four years ago I received cortisone injections directly into both medial epicondyles and into the joint space as well, from the lateral side. I think this why I developed bilateral tennis elbow.

My current rehab is every other day:

1. 1 set of each: wrist deviation, extension, flexion, supination, and flexion + finger curl.
2. thumb flexion with iron mind band, 1 set.
3. started w/ 1 pound, 1 rep and have worked up to 4lb, 8 reps over two months.
4. I increase by 2 reps per session, then increase weights by 1 pound once I hit 10 - 12 reps.
5. been trying to rehab since May 2019 w/ multiple setbacks. Dequervain’s has improved – pain is no longer at base of wrist on thumb side and is limited to base of thumb, only on left hand.

My goal is to recover 100% so I can type unrestricted (want to become web dev) and lift weights.

Want some guidance, willing to pay for consult + programming since this is complex case.

Thx,

Frank

Hey fbc91 - thanks for the post. We have outlined our approach to tendinopathies HERE. in regards to co-occurring RA, the consideration here would relate to medication management and how that process has been going as well as programming for desired activities. We would need a consultation to weigh in on your programming and questions. If you are interested, please complete our intake paperwork HERE.