How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Arun Phophalia Your Own Question

Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29198
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
Type Your Health Question Here...
Dr. Arun Phophalia is online now
A new question is answered every 9 seconds

Ive been struggling with tennis elbow on my right arm for

Customer Question

I've been struggling with tennis elbow on my right arm for a couple of months & now have been diagnosed with the start of "trigger thumb" on my left hand,any suggestions? I wondered if ruta grav would help?
regards,XXXXX XXXXX
Submitted: 1 year ago.
Category: Health
Expert:  Charogat replied 1 year ago.

Charogat :

Hi, and thank you for coming to JustAnswer.com with your question.

Charogat :

Can you please tell me what you have tried so far?

Customer :

Hello!

Customer :

have tried ibupfofen intially as suggested by my GP,also a natural remedy called dog oil with some success.Though ruta grav may help but couldn't find over the counter

Charogat :

I am sorry for the long delay

Charogat :

A few things that you have not mentioned is wearing support for your elbow -- they make supports that you can buy in the pharmacy.

Charogat :

Also, a higher dose of ibuprofen might be appropriate,

Charogat :

Another thing is to use topical anti-inflamatories, (you can even try capsasin cream or ointment if they make it in the UK)

Charogat :

And application of moist heat.

Charogat :

The biggest problem is that as long as you use it, the chance of recovery is lower.

Charogat :

And the longer you have it, the lower the chance of a full recovery.

Customer :

yeah sorry,got one of those which helps at work. would ruta grav help both conditions?

Charogat :

ruta grav appears to be a homeopathic remedy. I am not trained in homeopathy.

Charogat :

I will say that I don't mind trying things that are homeopathic as I feel that they might help but are quite unlikely to hurt.

Charogat :

Are you still there?

Customer :

yes,was asking specifically for homeopathic treatment though hence referring to ruta grav.Any thoughts?

Charogat :

Did you see my response to that above?

Charogat :

I think it is worth trying, I don't see how it can hurt. That being said I have not studied homeopathy (as mentioned above).

Customer :

anyone who can help with homeopathy?

Charogat :

I will opt out of the question and see if anyone else picks it up.

Charogat :

G-d Bless

Expert:  Dr. Arun Phophalia replied 1 year ago.
Hello Amanda,

Ruta Grav 30 C may help, as it is known to help in joint and musculoskeletal issues. The dose is 2 globules three times a day. But there are no double blind randomized controlled trial of benefit of Ruta Grav in tennis elbow or trigger thumb, specifically. There are anecdotal evidence of it's benefit in musculoskeletal / joint disorders. So you may take it with the other measures too.

Following are the comprehensive measures for tennis elbow;

1) Anti-inflammatory analgesics like Ibuprofen for around 10-14 days.

2) Elbow brace

3) Physical therapy

4) Warm compresses

5) Local analgesic patch / ointment / spray

 

These are the initial modalities and if the pain does not respond than the further interventions would be required;

 

1) iontophoresis, phonophoresis

2) electrical stimulation

3) shock wave therapy

4) local steroid shots

 

The specialist to handle both the conditions is physical medicine and rehabilitation specialist. Most of the above modalities are done at physiotherapy center.

 

Trigger thumb occurs due to degeneration of the tendon of the thumb and prevents its smooth movement in its covering (sheath). It develops more frequently in individuals with diabetes, thyroid disorders and in patients with osteoarthritis. This may also be associated with inflammatory arthritis, gout, or chronic infection.

 

Treatment entails;

 

1) oral nonsteroidal anti-inflammatory drugs,

2) steroid injection, and

3) splint that prevents motion of the joints of the thumb.

 

If these are not effective; surgery may be needed.


Please feel free for your follow up questions.

 

I would be happy to assist you further, if you need any more information.

 

Dr. Arun

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4013
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4013
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5575
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    16265
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12090
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    8726
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery