Wrist & Hand
Redwood Orthopaedic Surgery Associates provides a full scope of orthopaedic services of the wrist and hand including:
Carpal Tunnel Syndrome
Carpal tunnel syndrome is a common condition involving numbness, pain, and tingling in the wrist, hand, and fingers. It occurs when pressure is put on a nerve in the wrist, called the median nerve, which controls motor function in the thumb. This pressure is most often caused by thickening of a ligament on the palm side of the wrist, called the transverse carpal ligament. The exact reason why this ligament thickens is unknown. It is thought to be a combination of the person’s anatomy, physiology, and external stresses experienced by the hand and wrist.
Carpal tunnel syndrome can be diagnosed by history and physical exam and confirmed with a nerve conduction study. It can often be effectively treated with non-surgical therapies such as wrist splints. In specific circumstances, corticosteroids injections can be used for treatment. In cases where pain and numbness persist, surgery may be necessary to relieve pressure on the nerve.
Trigger finger is a painful condition that occurs when a finger begins to click or lock when a person tries to flex or extend that finger. The condition is caused by a narrowing of the sheath that surrounds the tendons in the hand. The exact reason why trigger fingers occurs is unknown. It is probably due to a combination of the person’s anatomy and physiology being predisposed to this condition. It is more common in people that have diabetes or rheumatoid arthritis. Most cases can be effectively treated with a corticosteroid injection. The few cases that do not respond to injections can be treated with a surgical release of the tendon sheath.
De Quervain’s Disease
De Quervain’s disease is an inflammation of tendons in the thumb that causes pain and swelling in the thumb and wrist. This condition may be caused by overuse, trauma, repetitive motion, or pregnancy. It is much more common in women than in men.
De Quervain’s disease can be diagnosed through physical exam. Treatment for this condition, which focuses on relieving pain and minimizing swelling, includes splints, corticosteroid injections, and rest. Surgery to make more room for irritated tendons may be recommended for cases that do not respond to non-surgical treatments.