Our Team: Mark Greenfield
Our Team: Mark Greenfield
Pain Relief for
Hands, Wrists & Forearm
Post Injury Repair and Pain Relief for HAND, WRIST and FOREARM
Located in Manhattan - Midtown and Upper West Side
Overview
Injuries to the hand, wrist and forearm can result from single traumas, repetitive use and can be in part the result of poor posture and muscle imbalances in the upper arm, shoulders and upper back. This is why it is very important to have injury recovery therapists who can not only treat the local symptoms but also help identify if and what other factors may need to also be addressed.
Poor upper back strength, rounded shoulders and a forward head posture can lead to overuse of the forearm and hand musculature. This is not uncommon in musicians, athletes, office workers and manual laborers. In addition, a nerve entrapment at the neck or anterior shoulder can mimic some of the same symptoms as carpal tunnel syndrome. So can nerve entrapment of the median nerve by the Pronator Teres muscle. This accounts in part for the low success rate of carpal tunnel surgeries because the surgeries may not have addressed the actual problem.
That is why it is so important to distinguish between local injuries that involve true tissue damage and pathology compared to secondary symptoms coming from problems somewhere else. Treating someone strictly at their wrist for carpal tunnel symptoms will have no use if the origin is a nerve entrapment in the neck. This is just one of the important skill-sets that Mark possesses which distinguishes him from other providers in the injury recovery landscape.
Injuries he and his team treats include:
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Tennis Elbow
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Golfer's Elbow
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Carpel Tunnel Syndrome
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Pronator Teres Entrapment
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Tendonitis in finger and wrist tendons
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Nerve Entrapments
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Muscle Strains
About Our Treatments
Like with other body regions, the specific type of injury and its severity will impact the treatment strategy. Treatment for a nerve entrapment at the carpal tunnel are vastly different than treatments for nerve entrapments coming from the thoracic outlet or brachial plexus. A treatment plan involving thoracic outlet may also involve a completely diffeent set of exercises than a true carpal tunnel patient. This is why diagnosis by a Physician for those with severe hand and wrist pain and assessment by Mark at your initial visits is key.
The length of each session may need to vary depending on how complicated the overall profile is. For example, if the issue is a straightforward and localized problem in the shoulder joint itself that just needs focussed work, then the sessions may only need to be 30-45 minutes. But if there are definitely contributing factors coming from the neck, thoracic region or surrounding nerves, it is possible that longer, more frequent and/or a few extra sessions may be needed to see optimal results.
For forearm treatments, Mark uses a lot of ART, Graston, myofascial release, trigger point release and light to moderate deep tissue massage. Given the smaller and sometimes more delicate structures in the wrist and hands, he will primarily use ART, joint mobilization and trigger point release on those tissues and joints.