Tendinitis

[Rover]

. . . make an obscene gesture at least 25 times per day.

"That's so funny, I forgot to laugh!" - Gilda Radner

And refrain from excessive masturbation.

[Digitfixer]

Tennis elbow is usually self limiting which means it will go away on its own. Unfortunately it can take up to 2 years (90% will improve). However most will improve quickly with a cortisone injection. This usually lasts about 6 months by which time the symptoms may have resolved. As far as the pain in the middle finger, if it is in the palm at the base of the finger then it is most likely a trigger finger. I was an orthopedic hand surgeon for about 40 years and retired now. I used to see 2-3 trigger fingers a day and 3-4 tennis elbows a week so I am very familiar with both conditions. I recommend seeing an orthopedic surgeon or better yet one who specializes in hands. Do yourself a favor and get back to enjoying life.

[left360]

A cortizone shot, one of these https://www.amazon.com/OTC-Band-Forearm ... 390&sr=8-5 and paying attention to what I was doing to cause it, took care of my tennis elbow.

[Azmodan]

As far as the pain in the middle finger, if it is in the palm at the base of the finger then it is most likely a trigger finger.

hi
it's not in the palm. it's on the back of the hand, at the knuckle.

area circled in red

[seamaster]

Tendonitis diagnosis is pretty straight forward.

Anatomically, end of muscle is tendon, and tendon attaches to bone. Muscle is dynamic, it contracts. Tendon is a non-dynamic fixed rope. This rope is fixed to bone. Muscle contracts, pulls tendon, which then pulls bone.

Muscles have good circulation, if torn or contused, heals reasonably well.

Tendon has no circulation, if torn or contused, don’t heal well at all.

Most tendonitis is not from tendon tear, but from tendon micro-detachment from bone. Then inflammation sets in.

If you can put your finger to where pain is. If you can pin point exactly, exactly where pain is where your finger presses down. It is usually micro tendon detachment from bone. Bone periosteum cover has all the pain receptor endings.

Microdetachments might heal over time. True tendon tears, forget it, it won’t heal. If you are a MLB pitcher, you get a Tommy John tendon replacement.

Tendon has two ends. One end to bone, one end to muscle. If the problem is at the muscle/tendon side, you are in luck. Time might heal. If you suffer problem from tendon/bone side, VAYA CON DIOS!

[Digitfixer]

Ah, thanks for the picture. That’s not trigger finger. That’s arthritis. Very common in the index and middle finger big knuckles. It is aggravated by over use like power gripping and trauma. I’m glad it doesn’t hurt because once it does it can take months to calm down. Treatments are:
1. Rest and NSAIDs OTC Naproxen or ibuprofen with food.
2. Splinting. Difficult to immobilize that joint but you can reduce the lateral strain sometimes by buddy taping to an adjacent finger, whichever one is the most comfortable. Or get a referral to a hand therapist to make a rigid splint. Do this until it stops hurting. Same as NSAIDs
3. Cortisone injections. Really work but….. It doesn’t last and you’re likely to continue doing what was causing the problem and ultimately making it worse when the pain returns. Repeated injections into a joint will speed up the cartilage destruction and weaken the collateral ligaments so don’t do it more that’s once or twice. If you do that you should also rest it for at least 3 weeks.
4. Surgery. Joint replacement. Does help. May not last. May have complications. And you will not be able to shoot for 3-4 months.

Sorry for the curbside consult but I can’t help it.

[Ricardo]

A possible (partial) remedy might be to raise the pistol gangsta style and then rotate the wrist. Your elbow will end up facing a little more R-L than up-down. Don't know why or how I discovered this, but I feel less strain that way (I have no tendonitis, though).

[atomicgale]

. . . remedy might be to raise the pistol gangsta style and then rotate the wrist . . . .

Hmmm . . . tendonitis-free Gangsta's . . . .

Ricardo, that's a strong argument for selling the pistols & training for Olympic Break Dancing. Breakin' Paris 2024, baby, breakin' Paris24!