Hand & Wrist Surgery
The complex anatomy of the hand consists of 27 bones, along with muscles, joints, tendons, nerves, and ligaments. If any of these structures become injured, pain and loss of function can put a damper on almost all activities. Hand pain can also be caused by diseases such as arthritis, and even blood vessel disorders. The wrist is one of the most commonly injured joints in the body, and as the hand and wrist are connected, many problems affect the two together – such as carpal tunnel syndrome or arthritis.
Any hand or wrist problem causing pain, swelling, discoloration, numbness or a tingling sensation, or abnormal shape, that persists for more than two or three days should be evaluated by your doctor to establish the cause, and allow treatment as early as possible. Early diagnosis and early treatment generally give the best results.
The Arizona Center for Hand Surgery’s team of board certified and board eligible, fellowship-trained surgeons is dedicated to diagnosing and treating patients of all ages, suffering from injuries, conditions, and diseases affecting the hand, wrist and upper extremity.
You rely on the use of your hands for almost everything you do on a daily basis. However, when you have constant pain and discomfort in your hands or wrists, these simple tasks become more difficult and uncomfortable. Two big culprits that we treat for this type of pain are Carpal Tunnel Syndrome (CTS) and arthritis.
The carpal tunnel is on the palm side of your wrist, surrounded by bones and ligaments. It protects a main nerve to your hand, known as the median nerve, as well as the nine tendons that bend your fingers. The median nerve provides sensation to the palm side of your thumb and fingers, except your little finger. It also provides nerve signals to move the muscles around the base of your thumb. Carpal tunnel syndrome (CTS) is a condition that causes symptoms of tingling, numbness, and pain in your fingers and hand. The symptoms can even wake you during sleep, and may extend from your wrist up your arm. CTS stems from anything that crowds, irritates, or compresses the median nerve, such as a wrist fracture, swelling, or inflammation.
People with this disorder can ease discomfort by taking frequent breaks to rest the hands and wrists, and avoiding activities that worsen symptoms, and by using ice to reduce any swelling and inflammation. If these don’t relieve your symptoms within a few weeks, your doctor may recommend additional options such as wrist splinting, medications, or surgery, depending on how advanced the disorder is.
Arthritis manifests itself in a number of painful, often debilitating ways. The most common joints affected by arthritis are the hands, spine, knees, and hips. Technically, pain is considered chronic when it lasts three to six months or longer, but arthritis pain can last a lifetime. The symptoms of arthritis depend on the type that you have and the location. While there are multiple types of arthritis, the two main types are osteoarthritis and rheumatoid arthritis. Symptoms of arthritis include:
- Joint pain and tenderness
- Inflammation in and around the joints
- Restricted movement of the joints
- Warm, red skin over the affected joint
Osteoarthritis is the most common type of arthritis, which is caused by wear and tear, and often gets worse with age. This type of arthritis affects the smooth cartilage lining of the joint. This makes movement more difficult than usual, leading to pain and stiffness. Once the cartilage lining starts to roughen and thin out, the tendons and ligaments have to work harder.
Rheumatoid arthritis occurs when the body's immune system targets affected joints, which leads to pain and swelling. The outer covering of the joint called the synovium is the first place that becomes affected. This can then spread across the joint, leading to further swelling and a change in the joint's shape, and may cause the bone and cartilage to break down. Unfortunately, people with rheumatoid arthritis can also develop problems with other tissues and organs in their body.
At the Arizona Center for Hand Surgery, we also treat the following conditions:
- Arthritis – Base Thumb
- Brachial Plexus Injury
- Carpal Tunnel Syndrome (CTS)
- Complex Regional Pain Syndrome
- Congenital Hand (Polydactyly)
- Cubital Tunnel Syndrome
- De Quervain Syndrome (Wrist Tendonitis)
- Deep lacerations (cuts) involving the arteries, veins, nerves, and tendons
- Dupuytren’s Contracture
- Extensor Tendon Injury
- Flexor Tendon Injury
- Fractures in Children
- Ganglion Cysts
- Growth Plate Fractures (Children)
- Hand & Wrist Dislocations
- Hand Fracture
- Mallet Finger
- Metacarpophalangeal Joint Arthritis
- Nerve Compressions
- Nerve Injury
- Scaphoid Fractures
- Sports injuries
- Steroid Injections
- Trigger Finger
- Work-related injuries
- Sports injuries
From conservative treatment to the most advanced surgical techniques available, we work with you to develop a treatment plan that fits your needs. While we make every effort to treat your conditions non-surgically, there will be times that surgery is the best approach. Delicate networks of nerves, tendons, and supporting structures of the hand and wrist make this part of the body particularly challenging to treat and our team of doctors offers minimally invasive techniques, such as arthroscopy, to accurately evaluate your condition and treat it accordingly.
If you or a loved one suspects that they are suffering from any hand or wrist conditions, call Arizona Center for Hand Surgery today at (602) 258-4788 to request an appointment with one of our hand and wrist surgeons, or you may request an appointment online. We serve Phoenix, Arizona, and the surrounding communities.