Radial Tunnel Syndrome: Treatment in Palm Beach
Radial tunnel syndrome involves compression of the radial nerve as it passes through the radial tunnel in the outer forearm, just past the elbow. It is frequently confused with tennis elbow because both cause lateral forearm and elbow pain, but the underlying mechanism and treatment approach are fundamentally different.
Accurate differentiation of radial tunnel syndrome from lateral epicondylitis is an area where Dr. Ghattas’s nerve expertise provides significant value to patients who have not responded to tennis elbow treatment. If you are suffering from this condition, contact our office today.
What Is Radial Tunnel Syndrome?
The radial nerve divides just past the elbow into the superficial radial nerve and the posterior interosseous nerve (PIN). The PIN passes through the radial tunnel, where it can become compressed at the arcade of Frohse (the leading edge of the supinator muscle), producing lateral forearm pain without the grip weakness typical of PIN palsy.
Signs and Symptoms
- Aching pain in the outer forearm and lateral elbow
- Pain worsening with resisted forearm supination or wrist extension
- Tenderness approximately 4 to 5 centimeters distal to the lateral epicondyle (distinguishes from tennis elbow tenderness directly at the epicondyle)
- No significant grip weakness in most cases
- Symptoms that persist despite appropriate tennis elbow treatment
Common Causes and Risk Factors
- Repetitive forearm rotation activities
- Fibrous bands or anomalous vessels at the radial tunnel
- Direct forearm compression
- Prior radial head fracture or elbow surgery
How It Is Diagnosed
Clinical examination with the specific resistance tests and tenderness location are the primary diagnostic tools. Electrodiagnostic studies are often normal in radial tunnel syndrome. A diagnostic ultrasound-guided injection at the radial tunnel that relieves symptoms confirms the diagnosis.
Conventional Treatment Options
- Activity modification and forearm stretching
- Physical therapy targeting the supinator and radial nerve mobility
- Ultrasound-guided injection at the radial tunnel
- Surgical decompression at the arcade of Frohse for refractory cases
The Palm Beach Regenerative Approach
Dr. Ghattas uses real-time ultrasound guidance to identify and treat the radial nerve compression at the radial tunnel with targeted nerve hydrodissection and platelet injection, addressing the perineural inflammation and freeing the nerve from compressive adhesions.
Ensuring the correct diagnosis before treatment is a hallmark of the Palm Beach Regenerative approach. Treating radial tunnel syndrome as tennis elbow will not provide relief. Request an appointment at our clinic today.
The BioMod Advantage: MLS Robotic Laser Therapy applied to the lateral elbow and proximal forearm reduces inflammation at the radial tunnel and surrounding soft tissues. Xymogen nerve support protocols provide nutritional support for radial nerve recovery from chronic compression.
Like all medical procedures, interventional orthobiologics have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery or other interventions may be more appropriate.
Quick Appointments Available
Don't wait in pain. We can see you within 1-2 weeks. Get the orthopedic care you need, fast.
●PATIENT OUTCOMES
Real Patients. Real Results.
No medical procedure can guarantee an outcome. What you should expect is an honest discussion of the evidence, a careful assessment of candidacy, and a recommendation based on your condition.
"Honestly one of the best experiences, I’ve had a really stiff neck for a couple weeks I tried seeing a chiropractor for and it helped marginally but the real jump in relief was coming to see Dr. Ghattas! He has been incredible, wonderful staff, and minimally invasive technique for my pain relief which was super important to me! Thank you Dr. Ghattas recommending to anyone with pain!"Monica A
"Ghattas was instrumental in helping my torn rotator cuff. I did Barbotage for the stone, and then PRP. Great experience. Been about a month or 2 since and I feel great."Ahmet B
"I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them."Roger L
"Over a year ago, both my daughter and I underwent PRP treatment with Dr. Ghattas—PRP for my left knee and PRP for my daughter’s L4-L5 and sacral region. We wanted to wait long enough to truly evaluate the results before sharing our experience. I am pleased to say that the outcomes have been outstanding. My daughter’s improvement has been remarkable, and the treatment has made a significant difference in her quality of life. I have also experienced excellent results with my knee. Dr. Ghattas is an exceptional physician who combines expertise, professionalism, and genuine care for his patients. We are incredibly grateful for the treatment we received and the positive impact it has had on our lives. Thank you, Dr. Ghattas. We are truly grateful for everything you have done. You are simply the best."Dr Jorge A
"Dr. Ghattas is very knowledgable and a sympathetic doctor. Hard to find in America. All questions answered, my procedure went very smoothly, very little pain. Follow up is excellent, I highly recommend his practice."Luciana D
“ I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them. ”Roger L
“Dr. Ghattas was terrific today. He spent a good amount of time examining me and explaining the regenerative process which I intend to have done next month. More to come after the procedure.”Louie R
“I found Dr Ghattas and his staff very welcoming and informative. The process was well explained and gave me encouragement about the potential for fully restoring my knee joint integrity.”Eric C
“I received two treatments from Dr. Ghattas With excellent results, he takes great care in his assessment and in his treatment you couldn’t be in better hands. I highly recommend his work.”Gisela S
“Apart from the exemplary personal service by the reception and the staff that makes us feel we're at home at the clinic, I have experienced remarkable healing in several episodes from shoulder issue to knee injuries and hip pain. The doctor is so thorough in the diagnosis phase that he administered exactly what was needed, no more no less! Thank you folks for a wonderful experience.”RG G
“Went to Dr. Ghattas for chronic knee and neck issue. I’ve already had multiple procedures done on my neck and multiple epidurals with minimal success. My knee I was told needed surgery to fix. I already had surgery in the past with minimal difference. I ended up getting stem cells in my knee and neck and could t be happier with the outcome. Anyone considering surgery I recommend checking out Regenex first. Next I’m doing the ganglion block and look forward to the results.”Logan H
“Dr. James Ghattas and his team are truly top-notch. His office is equipped with state-of-the-art technology and a staff that's exceptional in their fields. I've referred several clients to him, and they've all been incredibly satisfied. Dr. Ghattas is absolutely ahead of the curve, and I wholeheartedly endorse his work.”Ron H
“I am quite active and go to pilates 3-4 times per week. I was having left knee pain and which was treated with PRP. It took about 3 months for me to feel better but then the pain completely subsided. I now am able to exercise without the fear that I will tear a ligament and am pain free.”Ellipsis P
“Transparency, thoroughness, attention to detail, immediate, high quality, follow ups and follow through are just a few words that come to mind throughout my experiences with Palm Beach Regenerative Sport and Spine.”Milton L
