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PODCAST

The Hand to Shoulder Solution

Your new resource for hand, shoulder, and elbow pain. Together, we are giving pain the middle finger and gaining knowledge to live a better, pain-free life!Discover what might be causing pain in your fingers, pain in your hand, pain in your wrist, pain in your arm, pain in your elbow, pain in your shoulder. Learn about your body, arthritis, tendinitis, tennis elbow, fractures, golfer"s elbow, and carpal tunnel syndrome.Hosted by Carl Petitto, OT, CHT, and Certified Hand Therapist specializing in

health & fitness medicine

All Episodes

5:14

Ep45: Unlocking the Stiff Elbow

The Hand to Shoulder Solution ·

2025/09/12

Support the show Work with Carl! Check out the website - www.carlpetitto.com SUPPORT THE SHOW HERE: https://www.paypal.com/ncp/payment/BM23TS2LDQVFS Hello and welcome to the show, The Hand to Shoulder Solution, with me, Carl Petitto. If you are experiencing pain in your arms and hands, this is your resource. Subscribe, listen, and share to help us 'give pain the middle finger for good'! This is a resource to help you mitigate pain at home and become more educated on what to ask your d...

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4:51

Ep44: Cast: exercises to do while in your cast

The Hand to Shoulder Solution ·

2025/09/05

Support the show Work with Carl! Check out the website - www.carlpetitto.com SUPPORT THE SHOW HERE: https://www.paypal.com/ncp/payment/BM23TS2LDQVFS Hello and welcome to the show, The Hand to Shoulder Solution, with me, Carl Petitto. If you are experiencing pain in your arms and hands, this is your resource. Subscribe, listen, and share to help us 'give pain the middle finger for good'! This is a resource to help you mitigate pain at home and become more educated on what to ask your d...

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12:51

Ep 43: Funny Bones Aren't Funny: A Guide to Elbow...

The Hand to Shoulder Solution ·

2025/08/29

The elbow plays a critical role in daily movements and needs proper care to maintain optimal function and prevent injury. • Three joints in the elbow allow for bending and turning palms up/down • The ulnar nerve runs through the inside of the elbow and causes that "funny bone" sensation • Never rest on the inside part of your elbow to avoid cubital tunnel syndrome • Muscles that control hand and wrist movements anchor at specific points on the elbow • Squeezing exercises with proper tools (n...

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6:40

Ep 42: Self-Diagnosis Guide: Is Your Wrist Pain...

The Hand to Shoulder Solution ·

2025/08/22

Carl Petito, an occupational therapist and certified hand therapist, explains what carpal tunnel syndrome is and how to test yourself for it at home. He details the anatomical structures involved and why prompt medical attention is crucial for preventing long-term nerve damage. • The carpal tunnel is formed by eight carpal bones connected by ligaments, containing nine tendons and the median nerve • Carpal tunnel syndrome occurs when the median nerve is compressed, causing numbness in the thu...

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5:55

Ep 41: Thumb Side Wrist Pain: Understand and Treat...

The Hand to Shoulder Solution ·

2025/08/15

Thumb pain? Keep reading, watch this video, and subscribe for more tips! Thumb tendonitis (De Quervain's tenosynovitis) is a common condition affecting tendons on the thumb side of the wrist that requires immediate attention to prevent surgery. Early intervention with custom orthoses, therapeutic techniques, and potentially steroid injections can effectively treat this condition and preserve hand function. • Two specific tendons involved: extensor pollicis brevis and abductor pollicis ...

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7:31

Ep 40: Loosening Stiff Joints: Reclaiming Movement in...

The Hand to Shoulder Solution ·

2025/08/08

Arthritis and stiffness in the hands and fingers can severely limit mobility and function over time, but proper stretching techniques can help restore range of motion and reduce pain. We explore effective methods for stretching fingers and wrists that emphasize gentle, consistent approaches rather than pushing through pain. • Arthritis (joint inflammation) causes stiffness that compounds when people move less to avoid pain • Trauma, bone fractures, and healing periods can also contribute to ...

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10:59

Ep 39: Hand and Wrist Stiffness? Exercises for...

The Hand to Shoulder Solution ·

2025/08/01

Stiffness in the hand, wrist, and forearm commonly occurs after injuries, surgeries, or immobilization, and requires specific rehabilitation techniques to restore healthy movement. Understanding the science behind tissue recovery and proper stretching techniques leads to better outcomes and less pain during the rehabilitation process. • Stiffness happens quickly when joints, soft tissues, tendons, and muscles contract during healing • Living tissues need rest periods between stretches—consta...

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8:21

Ep 38: What's Really Happening When Your Thumb Hurts?...

The Hand to Shoulder Solution ·

2025/07/25

Thumb tendonitis causes pain on the thumb side of your wrist due to inflammation of tendons that connect forearm muscles to the thumb. This common condition affects barbers, new mothers, and others who perform repetitive thumb movements, often coexisting with arthritis at the base of the thumb. • Tendonitis of the thumb side wrist occurs when tendons become inflamed at a friction point where they pass through a compartment • A positive Finkelstein's test (bending wrist toward little finger) ...

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5:50

Ep 37: Numb Fingers? How to Test Yourself for Carpal...

The Hand to Shoulder Solution ·

2025/07/18

Are your fingers going numb at night? That tingling sensation might be carpal tunnel syndrome. As a board-certified hand therapist, I've seen countless patients suffering needlessly because they didn't recognize the early warning signs or were using the wrong treatment approaches. The carpal tunnel houses the median nerve, which supplies sensation to your thumb, index, middle, and half of your ring finger. When compressed, this nerve creates that characteristic numbness and tingling many mis...

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17:40

Ep 36: Beyond the Rotator Cuff: Maximizing Shoulder...

The Hand to Shoulder Solution ·

2025/07/11

Your shoulder functions like a golf ball balanced on a tee - a design that prioritizes mobility over stability. This episode reveals how this unique structure creates both remarkable freedom of movement and vulnerability to injury. You'll discover the critical relationship between your shoulder blade and ball-and-socket joint, and learn why coordination between these components is essential for pain-free function. The rotator cuff, particularly the supraspinatus muscle, often faces trouble w...

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5:35

EP: 35 The 5-Minute Prep That Will Change Your...

The Hand to Shoulder Solution ·

2025/07/04

Ever feel rushed during healthcare appointments or wonder why your provider seems to be playing detective? That's exactly what we're addressing in this episode of The Hand-to-Shoulder Solution. Healthcare visits are investigations, and your preparation determines how effectively providers can solve your case. When symptoms appear mysterious or treatment results disappoint, the solution often lies in better preparation. I walk you through creating a simple symptom timeline that transforms you...

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6:28

Ep 34: Streamlining Patient Care in Your Therapy...

The Hand to Shoulder Solution ·

2025/06/27

Breaking the cycle of pain starts with finding the right expertise. For countless patients bouncing between clinics without answers, the frustration compounds their physical discomfort. As a Board Certified Hand Therapist with extensive private practice experience, I am creating a bridge for this critical gap in care. If you are a provider or a clinic email me at thehandtoshouldersolution@gmail.com to set up a one-on-one consultation and we can review all of this details that I am talking abo...

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7:08

EP 33: How to Help Your Scars Heal Properly Without...

The Hand to Shoulder Solution ·

2025/06/20

Let's talk about how to PROPERLY treat scars! Scar tissue maturation takes 1.5-2 years, with the first 8 months being most critical for proper treatment. Aggressive massaging of scars, especially on hands, can lead to hypersensitivity and complications rather than improved healing. • Hand scars require special attention due to the high concentration of nerve endings • Aggressive or frequent scar massage increases sensitivity rather than helping • Pure vitamin E oil is recommended for topical...

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7:56

Ep 32: Golfer's Elbow - Understanding and treating...

The Hand to Shoulder Solution ·

2025/06/13

Ever felt a nagging pain on the inside of your elbow when gripping a coffee mug or lifting a grocery bag? That's likely golfer's elbow—and no, you don't need to be teeing off regularly to experience it. This misunderstood condition affects countless people who've never set foot on a golf course. Board-certified hand therapist Carl Petito breaks down what's actually happening when that tender spot on your inner elbow flares up. The pain stems from inflammation where your forearm muscles ancho...

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9:10

Ep 31: Elbow Pain? The Anatomy and Treatment of...

The Hand to Shoulder Solution ·

2025/06/05

Got elbow pain? Watch this episode for quick and easy tips you can do at home to help ease joint pain. Tennis elbow affects the lateral epicondyle on the outside of the elbow, which serves as the anchor point for muscles controlling wrist extension and rotation. Proper understanding of the condition's anatomy and mechanics is essential for effective treatment and preventing further aggravation of symptoms. • Avoid compression sleeves directly on the elbow as they increase pressure on the pai...

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8:50

Ep 30: Elbow Nerve Pain: Understanding and Treating...

The Hand to Shoulder Solution ·

2025/05/30

Cubital Tunnel Syndrome creates numbness in the pinky and ring finger when the ulnar nerve becomes compressed at the elbow. The condition differs from Carpal Tunnel Syndrome, which affects the thumb side of the hand, and requires specific treatment approaches to prevent long-term muscle problems. • Nerve pressure at the inside of elbow causes painful symptoms different from carpal tunnel • Avoid leaning on elbows, especially on desks, door frames, or consoles to prevent pressure • Use cold r...

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7:07

EP 29: Thumb pain demystified: Understanding...

The Hand to Shoulder Solution ·

2025/05/23

Osteoarthritis at the base of the thumb is one of the most common forms of arthritis, affecting a specialized saddle joint that allows extensive movement but is prone to wear and tear. We explore what happens anatomically when the joint begins to degenerate, including the formation of a visible "shoulder sign" bump and how bone spurs develop as the body attempts to stabilize the damaged joint. In this episode we will go over: • The thumb's saddle joint allows movement in multiple directions ...

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7:44

EP 28: Joint Pain: The BEST Tools, Techniques, and...

The Hand to Shoulder Solution ·

2025/05/16

Arthritis in the hands and shoulders can be managed effectively with the right tools and techniques. From red light therapy to specialized adaptive equipment, these practical solutions help reduce inflammation and pain while supporting continued independence and activity. • Red light therapy devices reduce inflammation while increasing blood flow to affected joints • Use red light therapy for 10-15 minutes, 2-3 times daily, prioritizing morning treatment • Motorized jar openers eliminate pai...

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9:56

Ep 27 - Why Is My Finger Asleep or Numb? Let’s Dive...

The Hand to Shoulder Solution ·

2025/05/09

Understanding cubital tunnel syndrome is vital for managing elbow and hand pain effectively. This episode shares insights into common causes of numbness and tingling in the pinky and ring fingers. • Discussion of cubital tunnel syndrome and its symptoms • Important tips for alleviating pressure on the ulnar nerve • Recommendations for treatment strategies and exercises Thank you for watching, thanks for subscribing to the channel. I hope that this information is help...

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16:06

Ep 26 - Wrist Trouble? A Deep Dive into Distal Radius...

The Hand to Shoulder Solution ·

2025/05/02

Today, we explore the common yet often misunderstood topic of distal radius fractures. Understanding the mechanics of this injury can empower listeners to seek appropriate treatment and foster recovery. • Definition and causes of distal radius fractures • Treatment options: non-displaced vs. displaced fractures • The importance of rehabilitation in recovery Thank you for subscribing to the channel! Support the show Hello and welcome to the new show, The Hand to Sh...

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65 results

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