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Conditions & Treatments

Hand & Wrist


Hand & Wrist Pain Treatment

The hand and wrist are among useful parts of the human body, offering a high-five or the ability to close a deal. Hand and wrist injuries should be treated carefully… and immediately. Research shows that one out of six disabling work injuries involves the fingers, and one fourth of athletic injuries involve the hand and wrist.

OSS Health has physicians who are specially trained in the diagnosis, treatment and care of the hands and wrist. Many times, hand injuries are treated with non-surgical options such as medications, injections and therapy. Certified Hand Therapists are also on staff to help restore your hand or wrist function after injury or disease. When surgery is needed, advanced procedures are performed on an outpatient basis, not requiring an overnight stay.

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Hand/Wrist Conditions

Hand & Wrist Pain

General hand/wrist pain, which is often referred to simply as hand or wrist pain, is a common orthopedic condition, especially in patients who spend a lot of time working with their hands. General hand/wrist pain is a condition that causes inflammation of the bones and soft tissues of hand/wrist joint, which results in pain and decreased function of the hand/wrist. As the condition progresses, more inflammation occurs and it becomes more difficult to move the hand/wrist.

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Hand/Thumb/Wrist Arthritis

The hand, thumb, and wrist are comprised of dozens of bones and the ends of these bones are covered with a thin layer of cartilage that helps the bones glide smoothly when using the hands or wrist. Arthritis causes inflammation within the joints as well as deterioration of the cartilage within the joints. As the cartilage deteriorates, the bones may begin to rub together and cause increased pain as well as the formation of bone spurs. Hand, Thumb or Wrist Arthritis can be the result of the aging process, repeated injuries to the hand or wrist as well as genetic factors.

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Carpal Tunnel Syndrome

Carpal Tunnel Syndrome is a common condition that is caused by a compressed nerve that begins in the forearm and runs through the wrist and hand. Known as the median nerve, this nerve travels under the transverse carpal ligament of the wrist on its way through the thumb, index, middle, and part of the ring finger.

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Wrist Sprain

The wrist is held in place by several small bones and is connected by several small ligaments. A sprain occurs when one or more of these ligaments is overstretched and usually occurs due to an impact or fall onto the outstretched hand.

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Broken Wrist

The bones of the forearm (radius and ulna) extend to the wrist and carpal bone that comprise the wrist joint. The larger of these two bones is known as the distal radius and this is the bone that is most often affected by a wrist fracture. This injury is most often caused by a high impact or a fall onto an outstretched hand.

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Trigger Finger
Trigger Finger is a condition caused by inflammation and enlargement of the tendons that pull the fingers towards the palm of the hand. A locking, catching, or popping of the finger when trying to straighten it are key signs of Trigger Finger Syndrome. It is also common to have the finger appear in the locked or curled position throughout the day.

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Ganglion Cyst

A cyst is a fluid-filled sac that can appear within the joints of the wrist or in the palm of the hand. The cysts tend to appear around the ligaments and tendons as well as the back of the wrist. The cause of cysts is typically unknown but appear to affect women more than men. In many cases, the cysts do not require treatment unless they are causing pain as they are otherwise harmless.

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Dupuytren’s Contracture

Dupuytren’s disease is characterized by the thickening of tissue in the hand. As the fascia found beneath the skin thickens and tightens, hard, visible knots form in the palm of the hand. These are known as Dupuytren’s contractures. While there is no known cause for the condition, it is most prevalent in men over 40.

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Ulnar Tunnel Syndrome of the Wrist

Ulnar tunnel syndrome of the wrist, which is often referred to simply as a pinched nerve of the wrist, is a common orthopedic condition, especially in people who work with their hands. Ulnar tunnel syndrome of the wrist is a condition that causes the ulnar nerve to be compressed or pinched at the wrist, which results in numbness, decreased wrist and hand function and other symptoms. As the condition progresses, the nerve becomes more compressed and symptoms increase. Once the nerve is completely compressed it may be difficult to use the wrist and hand without experiencing severe symptoms.

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DeQuervain’s Tendinosis

Within the thumb, there are two major tendons that begin in the wrist and allow for motion and flexibility in the thumb. When these tendons, or the sheaths around them, become irritated or inflamed it is known as De Quervain’s Tendinosis. This condition seems to affect women more than men and is common during pregnancy and among those with rheumatoid arthritis.

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Hand/Wrist Treatments

Tendon Transfer Surgery
Tendon transfer surgery is a procedure that is used to repair a partially or completely torn tendon in the forearm, wrist, hand, ankle or foot. The goal of this procedure is to replace the torn tendon with a working tendon using small sutures to create strength and stability in the tendon. Once the sutures are put in place and the tendon heals, the tendon and muscle work properly.

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Wrist Arthroscopy

Wrist Arthroscopy is a procedure that uses a small surgical camera and surgical tools to treat chronic pain or loss of function in the wrist due to damaged cartilage, ligaments or bone spurs. Damage to the cartilage, ligaments or bone spurs can be the result of previous injuries (such as repetitive sprains or a fracture) or arthritis and can limit day-to-day mobility.

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