The radial nerve originates from the side of the neck and crosses through a tunnel, known as radial tunnel, which is formed by bone and muscles in the elbow, while passing down to the forearm. Radial Tunnel Syndrome, also known as Radial Nerve Entrapment, is a condition that results due to compression, pressing or pinching of the radial nerve while passing through the radial tunnel.


  • Repetitive pushing and pulling of the wrist
  • Forceful bending of the wrist
  • Direct trauma or blow to the forearm or elbow
  • Constant twisting movements of the arm
  • Small-sized tunnel Improper warm up and contact sports


  • Pain that worsens when turning the palm or twisting the hand
  • Swelling
  • Reduced grip
  • Tenderness in elbow
  • Tingling sensation in hand and forearm
  • Weakness in the wrist and arm


  • In order to diagnose the condition the orthopedic doctor may ask questions about the patient’s medical history and any previous injuries or pain.
  • Certain tests such as Electromyogram (EMG) may help to determine if the muscles of the forearm are working efficiently.
  • Nerve Conduction Velocity (NCV) also helps determine the condition by measuring the speed of the electrical impulse.


  • The orthopedic doctor devises a treatment plan after determining the extent of the condition.
  • The patient may be advised to take rest from any activities that aggravate pain, swelling and other symptoms.
  • Ice treatment may also offer relief.
  • The orthopedic doctor may prescribe anti-inflammatory medicines to control pain and inflammation.
  • Besides medication, the patient may also need to modify the regular work routine and daily activities.
  • The patient may need to wear an arm splint if the pain worsens at night, as it offers support to the elbow and eases any irritation.
  • Physiotherapy also helps by stretching and strengthening the muscles and thus, helping the patient recover.
  • In case the non-surgical methods do not offer relief, then the orthopedic surgeon may recommend surgery. During the procedure, the surgeon decompresses the nerve by relieving pressure. It is usually an outpatient procedure, which is further followed by a rehabilitation period during which the patient is recommended certain exercises.
  • Post-surgery it is advised that the patient follow the surgeons instructions for quick relief and proper healing.

We, at OrthoTexas, provide complete diagnosis and treatment for Radial Tunnel Syndrome. To schedule an appointment with our orthopedic surgeons, you can call at (214) 618 – 5502 or visit 5757 Warren Pkwy, Suite 180, Frisco, Texas 75034.