Wrist and Hand Joints
The wrist and hand are commonly injured in falls and during repetitive activities. Wrist and hand pain can come from joint arthritis, tendon and nerve inflammation, and commonly seen conditions such as Carpal Tunnel Syndrome. Overuse wrist injury is frequently a result of weakness of the core and upper and lower limb muscles.
A thorough examination is conducted on every patient. Our osteopathic training allows us to diagnose small subluxation of the wrist and hand joints that can be a source of a previously undiagnosed source of pain. Gentle manipulation of these joints is frequently performed during examination for diagnostic and therapeutic purposes. Structural deficits, restrictions, as well as muscle weakness and imbalances are identified. X-rays and state of the art ultrasound technology are used for diagnosis of structural wrist and hand problems. High-resolution ultrasound imaging is advanced enough to see Carpal Tunnel Syndrome related nerve injury, tendonitis and joint swelling that can be a cause of acute and chronic pain. Advanced imaging techniques such as MRI can be used for further assessment.
Dextrose and Biocellular Prolotherapy
Ultrasound guided steroid injections of the wrist and hand joints can relieve pain and inflammation of the arthritic joints. Frequently these joints are a victim of underlying ligamentous instability. We treat the entire wrist and hand ligament and tendon complex to promote joint stabilization. Unlike a more commonly used target specific approach where just the wrist joint is injected, our technique restores stability to the areas around the joint. This not only allows for better healing but prevents recurrence of breakdown of the area in the future. Regenerative treatments of the wrist and hand effectively restore function and frequently eliminate the need for surgery.
Concentrated dextrose solution is the foundation of our regenerative treatments. When injected around the ligaments and deep muscles of the wrist and hand, it promotes ligament regeneration and mild cartilage repair. It stimulates and enhances both PRP and Stem cell’s regenerative potential.
PRP (platelet rich plasma) is a stronger biocellular treatment. It promotes joint cartilage regeneration and repair of worn cartilage and ligament. PRP Prolotherapy technique is used in more advanced arthritic and degenerative cases. It directly delivers grown factors in the damaged tissue and activates a signaling mechanism that stimulates body’s stem cell production and recruitment to the site of injury. Repair and new tissue growth occurs quickly and naturally.
Stem Cell therapy is the most advanced regenerative technique available. Stem cells are extracted from either the bone marrow or fat and are immediately reinjected in and around the hip joint. Direct delivery of mesenchymal stem cells into the affected area allows for repair by growth of new healthy tissue.
Osteopathic Manual Therapy( OMT) is utilized during every physician encounter as needed for correction of wrist and hand joint restrictions. State of the art personalized one-on-one physical therapy is conducted to address restrictions, correct imbalances and promote strength of the supporting upper and lower body muscles. Spine Force is a revolutionary machime that is used to facilitate rehabilitation and allow for independent exercise during and after the corrective treatment phase. Private and small exclusive therapeutic Yoga classes are prescribed for gentle strengthening and relaxation of the chronically overused neck, upper back and shoulder muscles that can cause wrist and hand overuse. Yoga also addresses stress related causes of upper body and arm tension through teaching of Mindfulness Based Stress Reduction and breathing techniques. Yoga program is typically instituted after completion of the physical therapy and rehabilitation program. It is used in conjunction with Spine Force for continued improvement of postural balance, conditioning, and strength.