Common Conditions Treated by Dr. Mahooti

Elbow & Forearm Pain

Common Conditions Treated

• • Tennis Elbow (outer elbow pain)  (Web designer: hyperlink to detailed Tennis Elbow section)
  • Golfer’s Elbow (inner elbow pain)  (Web designer: hyperlink to detailed Golfer’s Elbow section)
  • Olecranon bursitis
  • Forearm pain / muscle tightness
  • Peripheral Nerve entrapments, including:
    • Radial tunnel / Posterior Interosseus Nerve (PIN)
    • Superficial radial nerve (Wartenberg’s syndrome)
    • Pronator teres syndrome
    • Anterior Interosseus Nerve entrapment syndrome
    • Cubital tunnel syndrome
    • Lateral Antebrachial Cutaneous (LAC) nerve entrapment
    • Medical Antebrachial Cutaneous (MAC) nerve entrapment

    (Web designer: link to Peripheral Nerve Entrapments section.)

Tennis & Golfer’s Elbow (Detailed Section)

Despite their names, most cases are not caused by sports but by repetitive daily activities, or short term overuse (for example spending a few hours on yardwork or another project around the house).  Pain can be quite severe and may limit your ability to…:    

• Lift a coffee mug (the horror!)
• Type and mouse/ computer use
• Open doors
• Pour beverages
• Get dressed

Traditionally, Tennis and Golfer’s elbow are described as a tendinitis or tendinopathy (wear and tear of the elbow tendons) – but Dr. Mahooti’s experience successfully treating thousands of patients with Therapeutic Needling of the adjacent muscles in the forearm has led him to question the tendon theory and focus on the underlying tight, knotted up muscles in the forearm that create excessive tension on the tendon that pulls on its attachment site (the bone), which results in pain and tenderness along the outer or inner (or both) bones.  Therapeutic Needling releases the knots in the muscle, which immediately relaxes the muscle and tendon, which in turn takes the tension off the bone and results in immediate pain relief.  In most cases, one or two treatments coupled with home exercises solves the problem.  

What about cortisone injections?  Dr. Mahooti offers cortisone for various conditions because it often provides immediate pain relief that can last for several weeks or longer.  The ultimate purpose of the cortisone injections from Dr. Mahooti’s standpoint is not to cure the problem (it doesn’t!), but rather to get you feeling better for a period of time so you can rehabilitate and strengthen the muscles in order to prevent the condition from returning… if you don’t rehab it, it will likely come back.  

Effective non-surgical treatments for Tennis and Golfer’s Elbow include:

1. Therapeutic Needling
2. Home exercise program (stretching, massage, strengthening)
3. Cortisone injections:  often provides relief – but only for a short period of time and may harm the tendon.  Generally not offered by Dr. Mahooti for Tennis or Golfer’s elbow because the other treatments he offers are more effective and lower risk)
4. Physical Therapy
5. Nitroglycerin patches (increase local blood flow)
6. PRP when symptoms persist – or Dr. Mahooti diagnoses a tear in the tendon with Point of Care UltraSound (POCUS). 

(Web designer: link to POCUS description under “Services”)