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The wrist is made up of eight small bones called carpals that are arranged in two rows. One row connects with the ends of the bones in the forearm-radius and ulna, and the other with the bones of the palm of the hand. The synovial joints between the carpal bones and the wrist are covered with articular cartilage that facilitates movement.

The bones of the hand and wrist are held together by ligaments, tough bands of fibrous tissue. Six major ligaments give stability to the wrist by joining the radius to the carpal bones, linking the wrist to the hand. Other ligaments bind the two rows of carpal bones together. When the carpal ligaments become damaged from overuse, the tunnel encasing the tendons and nerves becomes irritated.

Ulnar muscles in the forearm and palm keep the wrist and hand moving, stable, and aligned. The tendons connecting these muscles to the bones in the wrist run down our fingers and are held in place by a series of ligaments called "pulleys" that cross over the tendons forming a tunnel-like sheath. In healthy joints, these tendons glide easily through the tunnel. Repetitive use or injury can cause irritation with subsequent inflammation and pain. Structural dysfunction prevents this complex structure from working as it should, causing pressure on the median nerve. Pain, numbness and tingling of carpal tunnel syndrone results. Traditional treatment for this condition has been surgery. However, healing of the damaged ligaments and tendons through nonsurgical orthobiologic procedures can allow the wrist and hand to function smoothly, eliminating pain and numbness.


Osteopathic Manipulative Medicine focuses on correcting mechanical dysfunction. Structural integrity allows these complex joints to function as they were designed, reducing irritation, inflammation and pain. Healthy function improves blood flow to nourish tissue and further reduce inflammation. Strain on surrounding body tissue caused by compensation is reduced preventing further complications.

Platelet Rich Plasma Therapy (PRP), promotes and accelerates the natural healing process of tissue injury and osteoarthritis. PRP accelerates re-growth of healthy tissue, stabilizing and strengthening the joint. Condensed platelet injected into damaged tissue stimulates the release of mesenchymal stem cells residing in local tissue. The concentrated solution of platelets and plasma contain healing cells, alpha-granules, result in new cell growth and increased blood flow.

Dextrose Prolotherapy accelerates the healing process through the injection of a solution that includes dextrose. The dextrose acts as an irritant, deliberately causing inflammation. The controlled, localized inflammation triggers a healing cascade that deposits collagen molecules to repair damaged ligaments and tendons.

Hand & Wrist

Pain, numbness and tingling in your hand may be from carpal tunnel syndrome. The small space in your wrist where the median nerve passes, the carpal tunnel, becomes too tight. This condition is often caused when the carpal ligaments that form this tunnel become damaged and inflammed from overuse. This condition can be treated nonsurgically using PRP injections to help heal these ligaments and reduce inflammation and when the carpal ligaments that form this tunnel become damaged and inflammed from overuse. This condition can be treated nonsurgically using PRP injections to help heal these ligaments and reduce inflammation and pain.

Regenerative Orthopedics

Common hand and wrist conditions

Carpal tunnel syndrome. Repetitive motion can damage the transverse carpal ligaments supporting the tunnel containing the tendons and nerves. It is generally characterized by numbness or pain in the thumb and first 2 fingers and occurs when the median nerve is compressed at the wrist. Carpal tunnel syndrome is often a common complaint in individuals who use their hands for prolonged periods of time in a particular occupation such as computer work. Nonsurgical orthobiologic procedures treat damage to the ligaments, reducing inflammation and allowing the tendons to flow smoothly through the tunnel created by the carpal ligaments. Healthy functio is restored to the wrist and hand.

Sprains and strains. Sprains and strains are the two most common injuries affecting the hand and wrist. A sprain refers to an injury to a ligament and a strain refers to an injury to a muscle or tendon. Sprains and strains occur due to excessive force applied during a stretching, twisting, or thrusting action.

Ligamentous injuries. Ligaments are tissues that connect bones to other bones. They are made up of several fibers and one or all of the fibers may be involved. A ligament injury may cause pain and swelling and limit the movement of hand and wrist joints.

Other common hand and wrist conditions include:

  • Muscle tear
  • Tendinitis
  • De Quervain's Tenosynovitis
  • Trigger finger
  • Jammed finger
  • Arthritis
  • Basal joint osteoarthritis

We Can Help

To learn more about what we can do to help with your condition, call our office at 817.416.0970. We will thoroughly diagnose your condition and present you with treatment options. From there we will guide you along your road to recovery.