Weeks 1–2
Pain
Calm the pain down.
Hands-on work settles the irritated tendon or the compressed nerve, and the grips that keep flaring it get changed on day one.
What We Treat
A grip that gives out on a jar lid you used to open without thinking. Often the elbow and the wrist are paying for something happening further up the arm.
Sound Familiar?
Two or more? You use these hands for everyone. They’re worth an hour of somebody’s full attention.
Why It Happens
Your arm doesn’t hurt for no reason. And it’s rarely one thing. Usually it’s a mix: tendons at the elbow that got overloaded and never got the chance to rebuild. A nerve getting squeezed in a tight tunnel at the wrist or the elbow. Small joints that stiffened up. And a grip you use hundreds of times a day, at a keyboard, a steering wheel, a toolbox, reloading the same tissue before it heals.
The sore spot is often just where the pain lands. Tennis elbow regularly traces back to weak grip and a shoulder that isn’t steadying the arm. Numb fingers can start at the neck, not the wrist. Brace the wrist alone and the symptoms come back. A cause-first evaluation follows the chain from your neck to your fingertips and finds the link that’s actually failing.
The Honest Truth
Nobody regrets starting too early. Plenty of people regret waiting.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like from your elbow to your fingertips.
Weeks 1–2
Pain
Hands-on work settles the irritated tendon or the compressed nerve, and the grips that keep flaring it get changed on day one.
Weeks 2–6
Prime
Wrist, forearm and finger motion come back, and the nerve gets room to glide again instead of catching.
Weeks 6–10
Perform
Graded loading rebuilds grip and forearm strength, with the shoulder steadying the arm so your elbow stops taking the hit.
Weeks 10+
Prevent
Your keyboard, your tools and the way you carry and lift get set up so the same load stops piling on. That’s the endpoint, not another appointment.
From the moment I walked through the door, Namrata Agarwal made me feel welcomed, heard, and genuinely cared for. Her depth of knowledge and clinical expertise is immediately evident, but what truly sets her apart is how she combines that professionalism with an incredibly warm, encouraging, and patient approach.
Shared by Mohan S. · Neck pain
Questions, Answered
Usually not to get started. Most elbow, wrist and hand problems can be sorted out by hand, with movement testing, grip testing and specific nerve tests that tell us where the trouble actually sits. Imaging often shows tendon wear and tear in people who have no pain at all, so a picture doesn’t always name the cause. If a scan or a nerve study becomes genuinely necessary, we’ll help you get it. Waiting on one mostly costs you time you could have spent getting better.
In most cases yes, and the right amount of load is what actually heals a tendon. Hurt does not always mean harm. Full rest, or a brace worn all day for weeks, tends to leave the tendon weaker and the wrist stiffer, so the pain comes straight back when real life does. What matters is how much, how often, and which grips to change in the meantime. That gets dialed in one-on-one with a Doctor of Physical Therapy, every visit.
Many people feel meaningful change within the first four to six visits. Tendons take longer to rebuild than they take to calm down, so a full plan works through all four phases, Pain, Prime, Perform, and Prevent. Either way you get a plan with an endpoint. You’ll always know which phase you’re in and what’s left, instead of an open-ended string of appointments. And you spend it one-on-one with a Doctor of Physical Therapy, every visit.
Book Your Visit
Request a time and a real person calls you back, usually within one business day. No phone tree. No ‘someone will reach out.’ Just a plan.
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Typical response: within one business day
Step 1 of 5
That’s the hard part done. We’ll call during business hours to lock in your time and find you the earliest one that works.
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