Julie,
He seems to feel that it is a slight tear in the muscle itself or the fascia. the initial consultaion seemed pretty thorough and he really seemed to palpitate the area extensively and asked me numerous questions about how I got injured, how long ago, etc.
Here’s the complete routine that I do when I go to the PT’s clinic:
- My forearm is wrapped in heating blanket for 8:00
- I warm up on a Schwin Air Dyne bike for 8:00, using only the handles. I push for 1:00 followed by pulling for 1:00
- I then go to towel grips. Roll a towel slightly and grip as tightly as possible for a count of 5. I release for a count of 5. Roll the towel a little more (to make it thicker) and repeat the grip sequence. Roll the towel one more time and repeat the grip sequence. Unroll the towel to the mid section, repeat the grip sequence. Unroll the towel to the starting position and repeat the grip squeezes. Each set of towel grips has 5 positions of three “thicknesses”: beginning, middle, end, middle, beginning.
- I perform the DB handle rotations, 3 sets of 12 reps, followed by stretching in between sets. For the stretching, I hold my arm out in front of me (like I’m saying ‘Stop!’) and alternate between stretching the inner and outer portions of my forearm. I hold each stretch for a count of 5. I do each stretch 10 times.
- I then perform DB wrist curls supersetted with reverse DB wrist curls.
- I repeat the rotations that I did with the DB handle, but this time I use a piece of green, surgical looking type tubing held down with my foot for resistance. I think it’s called Thera-band.
- The last exercise is 8:00 of ‘pedaling with my arms.’ I don’t know what the proper name of the machine is, but you are sitting, facing two handles and you ‘pedal’ or crank them with your arms. 1:00 forward rotations, 1:00 reverse rotations, etc.
- 15:00 of having small electrical pulses delivered to the area via small stick on pads, approximately 2”x2”.
- Massage and stretching of the area by one of the therapist.
I believe he told me that today he is going to introduce a seated row type of movement into the mix. I’ll report back after the session tonight.
I understand that this may take some time to heal, but I don’t want to get caught up in him insisting that I need to go for months and months, especially since I can do some of the movements at home in my gym. I just don’t have the ‘arm pedaler’ machine. All others I can mimic. That will get awfully expensive after a while, even with my insurance. After my deductible is met, BCBS pays 80%, but still. So far I have every reason to think that he knows what he’s doing, and I don’t think he’s the type to insist patients go to his clinic longer than necessary just so he can bill the insurance.
Here’s a link to his clinic if anyone’s interested:
www.smtcstl.com