Weeks 1–2
Pain
Calm the pain down.
Hands-on techniques calm the irritated tendon or compressed nerve and take the edge off inflammation, starting your very first visit.
What We Treat
The jar lid you can’t twist open anymore. The numbness that creeps into your fingers halfway through typing. It’s fixable, and it starts with a cause-first evaluation, not a guess.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
You’re the one who answers every email and finishes every project, so the ache in your forearm just becomes background noise. That’s not carelessness, that’s just what getting things done looks like. But a grip that keeps giving out is rarely one problem.
It’s usually some mix of overloaded tendons at the elbow, a compressed nerve at the wrist, and forearm muscles that never get a real break between keyboard, phone, and everything else you lift. None of that shows up on a quick glance. It takes a real, cause-first evaluation to sort out which structure is actually driving your pain. That’s why a brace or rest alone so often falls short: they treat the symptom, not the source. Find the real cause, and the fix gets obvious.
The Honest Truth
Nobody regrets starting too early. Every week, someone in our clinic says they regret waiting.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like for elbow and wrist pain.
Weeks 1–2
Pain
Hands-on techniques calm the irritated tendon or compressed nerve and take the edge off inflammation, starting your very first visit.
Weeks 2–6
Prime
Targeted mobility work restores the wrist and forearm motion that’s been quietly guarding the injury.
Weeks 6–10
Perform
Progressive grip and forearm strengthening builds the capacity your tendons were missing in the first place.
Weeks 10+
Prevent
Typing, lifting, and gripping mechanics get tested under real load before you’re cleared to go all-in: that’s the endpoint, not just another appointment.
Whether it’s a grip, a lift, or a repetitive motion at work, I look for the real mechanical cause behind elbow, wrist, and hand pain before building your plan, not just where it hurts.
Dr. Stacy Alvares · Elbow, Wrist & Hand Pain
Questions, Answered
Usually not, and it’s rarely the first step. Most tennis elbow and carpal tunnel symptoms come from overloaded tendons and irritated nerves that a hands-on exam can identify directly, and imaging often shows changes in elbows and wrists that have zero pain at all. We start with a cause-first evaluation to find exactly what’s driving your grip loss and tingling, and if a nerve study or imaging ever becomes genuinely necessary, we’ll help you get it. You don’t have to wait on a test to start feeling better.
Yes, in most cases, with a few smart adjustments. Quitting your job isn’t the fix, and total rest tends to make the tendon and grip weaker, which sets up the next flare-up. The key is dosing the right movement and modifying your setup for your specific elbow or wrist, which is exactly what a Doctor of PT sorts out at your evaluation, then progresses safely as you improve.
Most patients feel meaningful change within 4–6 visits. A full plan for elbow and wrist pain runs through all four phases, Pain, Prime, Perform, and Prevent, typically over 8–10 weeks, depending on how long you’ve been dealing with it. Either way, you get a plan with an endpoint: you’ll always know which phase you’re in and what’s left, not an open-ended string of appointments.
Book Your Visit
Request a time and a real person calls you back, usually within two business hours. No phone tree. No ‘someone will reach out.’ Just a plan.
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Typical response: under 2 business hours
Step 1 of 5
That’s the hard part done. We’ll call during business hours to lock in your time. Most people are on the schedule same week.
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