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HAND & WRIST CONDITIONS

The wrist is made up of eight small bones called carpals that are arranged in two rows. The synovial joints between the carpal bones themselves and the joints between the carpals and the wrist are covered with articular cartilage that allows for ease of movement. Wearing or injury to this cartilage often results in arthritis.

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 carpal bones to the bones in the wrist. Other ligaments bind the two rows of carpal bones together. When the carpal ligaments become damaged from overuse or injury, the tunnel encasing the tendons and nerves becomes irritated and inflamed.

The tendons connecting the 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 inflammation and pain, preventing this complex structure from working as it should. Pressure on the median nerve causes pain, numbness and tingling of the carpal tunnel. Surgery should not be the first option for this condition. Stimulating the healing process from within using natural orthobiologic procedures can allow the wrist and hand to function smoothly, eliminating pain and numbness.

Treatment

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.

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.

Arthritis. The joints between the carpal bones and the wrist are covered with articular cartilage that allows for ease of movement. When this tissue becomes damaged from overuse or injury, friction between the bones creates inflammation and pain. Excess bone can develop. Basal joint osteoarthritis occurs at the base of the thumb and is generally associated with aging.

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: De Quervain's Tenosynovitis. Tendinitis, Trigger finger

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.



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