Hand & Wrist
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Symptoms
When symptoms such as pain, stiffens, or numbness develop, they may point to a wide range of underlying condition. Early evaluation can make a significant difference in your treatment
Pain or Swelling
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Pain may range from a mild ache to sharp, persistent discomfort. It is commonly caused by overuse, arthritis, inflammation, or injury and should be assessed if it interferes with daily activities or persists over time.
Swelling of the wrist, hand, or fingers may develop after injury or in association with tendonitis, arthritis, or cysts. If the swelling is persistent, painful, or accompanied by redness or warmth, medical evaluation is recommended.
Lumps or Bumps
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Soft or firm masses that appear on the wrist or hand such as ganglion cysts, lipomas, or arthritic nodules are often benign. However, any new, enlarging, or painful lump should be professionally assessed.
Numbness or Tingling
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A pins and needles sensation in the fingers or palm may indicate nerve compression. Conditions such as carpal tunnel syndrome or cubital tunnel syndrome are frequent causes and should be addressed early to prevent lasting nerve damage.
Weak Grip or Dropping Objects
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A reduction in grip strength or frequent dropping of items may signal muscle weakness, tendon injury, or nerve dysfunction. This symptom often indicates a deeper structural issue requiring medical attention.
Clicking or Popping Sounds
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Audible or tactile snapping, clicking, or popping during finger or wrist movement may be caused by tendon irritation, trigger finger, or underlying joint problems. Evaluation is advised, especially if these sounds are painful or affect function.
Limited Motion or Stiffness
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Swelling of the wrist, hand, or fingers may develop after injury or in association with tendonitis, arthritis, or cysts. If the swelling is persistent, painful, or accompanied by redness or warmth, medical evaluation is recommended.
Common Hand and Wrist Conditions and Their Treatments
The hand and wrist are composed of delicate joints, tendons, ligaments, and nerves that work together to allow precision, flexibility, and strength. When injury, overuse, or disease disrupts these structures, a range of orthopedic conditions can develop. Below are some of the most common conditions we treat, along with the treatments typically recommended.
Carpal Tunnel Syndrome
Overview: Compression of the median nerve at the wrist, leading to numbness, tingling, and weakness in the hand.
Treatment: Wrist splinting, anti-inflammatory medication, corticosteroid injections. In persistent cases, carpal tunnel release surgery may be performed to relieve nerve pressure.
Trigger Finger
Overview: A condition in which a finger becomes stuck in a bent position due to tendon inflammation.
Treatment: Rest, splinting, steroid injections. If symptoms do not improve, a minor surgical release of the tendon sheath can restore full movement.
Thumb Arthritis: Basal Joint Arthritis
Overview: Degenerative joint disease affecting the base of the thumb, often causing pain during gripping or pinching.
Treatment: Anti-inflammatory medication, thumb braces, cortisone injections. Surgical reconstruction or joint replacement may be considered in advanced cases.
De Quervain’s Tenosynovitis
Overview: Inflammation of the tendons at the base of the thumb, leading to pain with movement or gripping.
Treatment: Thumb splinting, ice, anti-inflammatory medications, steroid injections. Surgery may be recommended to release the constricted tendons if conservative treatments fail.
Ganglion Cysts
Overview: Fluid-filled sacs that develop near joints or tendons, most commonly on the back of the wrist.
Treatment: Observation if painless. Aspiration may provide temporary relief. Surgical removal is recommended for cysts that are painful, recurring, or limit function.
Dupuytren’s Contracture
Overview: A progressive thickening of tissue in the palm that causes the fingers to curl inward.
Treatment: Mild cases may be observed. For functional impairment, options include needle aponeurotomy or surgical fasciectomy to release the contracted tissue.
Rheumatoid Arthritis: RA
Overview: An autoimmune condition that causes joint inflammation and deformity in the hands and wrists.
Treatment: Medical management with disease-modifying drugs. Surgical options include joint replacement, tendon repair, and joint fusion in advanced stages.
Wrist Fractures
Overview: Common injuries from falls or trauma that cause pain, swelling, and loss of motion.
Treatment: Immobilization with a cast or splint for stable fractures. Displaced or complex fractures may require surgical fixation using pins, plates, or screws.
Wrist Instability or Ligament Injury
Overview: Ligament damage can lead to pain, clicking, and a sense of looseness in the wrist.
Treatment: Bracing and rest in mild cases. Surgical repair or reconstruction may be necessary for torn ligaments or chronic instability.
Wrist Arthroscopy
Overview: A minimally invasive surgical technique used to diagnose and treat wrist problems such as ligament tears, arthritis, and loose bodies.
Treatment: Outpatient procedure using a small camera and instruments inserted through tiny incisions. Recovery is typically quicker than open surgery
Tendon Injuries
Overview: Tendons in the hand and wrist can tear or become irritated from trauma or repetitive strain.
Treatment: Rest, splinting, physical therapy, and corticosteroid injections. Surgery may be needed for complete ruptures or chronic damage.