Carpal Tunnel Syndrome (CTS) is a common condition that occurs when the median nerve, which runs from the forearm into the hand, becomes compressed or squeezed at the wrist. This compression can lead to numbness, tingling, weakness, or pain in the hand and fingers. Carpal Tunnel Syndrome often develops gradually and may worsen over time if left untreated.

Symptoms:

• Numbness, tingling, weakness, or pain in the hand and wrist.
• Difficulty with fine motor tasks.
• Symptoms worsen at night.

Causes:

• Repetitive hand movements.
• Prolonged wrist flexion.
• Trauma or injury to the wrist.
• Conditions like diabetes or arthritis.

Diagnosis by the Joint Care Specialist:

• Medical history and physical examination.
• Tests including Tinel's and Phalen's.
• Nerve conduction studies and electromyography.

Treatment with Ultrasound-Guided Injections:

• Corticosteroid injections reduce inflammation.
• Precise needle placement guided by ultrasound.
• Alleviates symptoms and improves function.

Contact Us if you are  experiencing any symptoms for evaluation and personalised treatment. Early intervention can prevent worsening symptoms and improve recovery.

Trigger finger, medically known as stenosing tenosynovitis, is a condition that affects the tendons in the fingers, causing one or more fingers to catch or lock in a bent position. This condition occurs when the flexor tendon becomes inflamed or swollen, making it difficult for the tendon to glide smoothly through the tendon sheath. Trigger finger can cause discomfort, pain, and limited mobility in the affected finger, impacting daily activities.

Symptoms:

• Clicking, popping, or catching sensation in the finger.
• Finger stiffness, especially in the morning.
• Pain or tenderness at the base of the affected finger.
• Finger may lock in a bent position or straighten with a snap.

Causes:

• Repetitive hand movements.
• Prolonged gripping or grasping activities.
• Overuse or strain of the finger tendons.
• Underlying conditions such as diabetes or arthritis.

Diagnosis by the Joint Care Specialist:

• Medical history and physical examination.
• Assessing finger movement and flexibility.
• Identifying triggering of symptoms.
• Sometimes imaging tests like ultrasound or MRI.

Treatment with Ultrasound-Guided Injections:

• Corticosteroid injections into the affected tendon sheath.
• Ultrasound guidance ensures precise placement.
• Reduces inflammation and relieves symptoms.
• Often improves finger mobility and function.

Contact Us if you are  experiencing any symptoms for evaluation and personalised treatment. Early intervention can prevent worsening symptoms and improve recovery.

Tendon inflammation, also known as tendinitis, occurs when tendons become irritated or swollen. This can cause pain and limited movement in the affected area. In the wrist, tendon inflammation commonly affects the tendons passing through the carpal tunnel, leading to a condition known as tenosynovitis.

Symptoms:

• Pain, tenderness, or swelling in the wrist or hand.
• Difficulty with gripping or performing repetitive tasks.
• Stiffness and limited range of motion.
• Symptoms may worsen with activity.

Causes:

• Repetitive hand or wrist movements.
• Overuse or strain of the tendons.
• Prolonged or awkward wrist positions.
• Injury or trauma to the wrist.

Diagnosis by the Joint Care Specialist:

• Medical history and physical examination.
• Assessment of symptoms and functional limitations.
• Tests such as ultrasound or MRI for imaging.
• Occasionally, diagnostic injections to confirm the affected tendon.

Treatment with Ultrasound-Guided Injections:

• Corticosteroid injections into the inflamed tendon sheath.
• Ultrasound-guided precision ensures accurate placement.
• Reduces inflammation and relieves pain.
• Facilitates tendon healing and improves function.

Contact Us if you are  experiencing any symptoms for evaluation and personalised treatment. Early intervention can prevent worsening symptoms and improve recovery.

Ganglion cysts are noncancerous lumps that often develop along tendons or joints in the hand and wrist. These cysts are filled with fluid and can vary in size. While they are generally harmless, they can cause discomfort or interfere with hand and wrist function.

Symptoms:

• Visible or palpable lump on the hand or wrist.
• Discomfort or pain, particularly with movement or pressure.
• Changes in sensation, such as tingling or numbness.

Causes:

• Exact cause unknown; thought to be related to joint or tendon irritation.
• Overuse or repetitive activities may contribute to their formation.
• Trauma or injury to the hand or wrist.

Diagnosis by the Joint Care Specialist:

• Medical history and physical examination.
• Assessment of the size, location, and characteristics of the cyst.
• Sometimes imaging tests like ultrasound or MRI for further evaluation.
• Aspiration of fluid from the cyst for analysis or to relieve symptoms.

Treatment Options:

• Observation: In some cases, ganglion cysts may resolve on their own without treatment.
• Immobilisation: Wearing a splint or brace may reduce movement and alleviate symptoms.
• Aspiration: Draining fluid from the cyst with a needle can relieve pressure and discomfort.
• Surgery: If conservative measures fail or if the cyst is causing significant symptoms, surgical removal may be recommended.

If you have a visible or painful lump in your hand or wrist our specialist can help alleviate discomfort and restore function to your hand and wrist.

Contact Us if you are  experiencing any symptoms for evaluation and personalised treatment. Early intervention can prevent worsening symptoms and improve recovery.

De Quervain's tenosynovitis is a condition characterised by inflammation of the tendons located on the thumb side of the wrist. These tendons, responsible for thumb movement, become irritated and swollen, leading to pain and restricted motion. The condition is named after the Swiss surgeon Fritz de Quervain.

Symptoms:

• Pain and tenderness at the base of the thumb.
• Swelling and discomfort along the thumb side of the wrist.
• Difficulty gripping or holding objects.
• Pain worsens with thumb and wrist movement.

Causes:

• Repetitive hand or wrist movements, such as lifting, gripping, or twisting.
• Overuse or strain of the thumb tendons.
• Prolonged or repetitive activities involving thumb motion.
• Certain activities or hobbies, such as gardening or playing musical instruments.

Diagnosis by the Joint Care Specialist:

• Medical history and physical examination, focusing on thumb and wrist movement.
• Assessment of pain, tenderness, and swelling in the affected area.
• Finkelstein test: A specific manoeuvre where the thumb is bent across the palm, reproducing pain if positive.
• Occasionally, imaging tests like ultrasound or MRI for further evaluation.

Treatment Options:

• Rest: Avoiding activities that aggravate symptoms and resting the affected hand.
• Immobilisation: Wearing a splint or brace to stabilise the thumb and wrist and reduce movement.
• Ice therapy: Applying ice packs to the affected area to reduce pain and inflammation.
• Medications: Over-the-counter pain relievers or non-steroidal anti-inflammatory drugs (NSAIDs) may help alleviate pain and swelling.
• Corticosteroid Injections: Injecting corticosteroids into the inflamed tendon sheath to reduce inflammation and relieve symptoms.
• Physical Therapy: Exercises and stretches to improve thumb and wrist strength and flexibility.
• Surgery: In severe cases that do not respond to conservative treatments, surgical release of the affected tendon sheath may be necessary.

If you're experiencing thumb or wrist pain or difficulty with hand movements our specialist can help alleviate your symptoms and restore function to your hand and wrist.

Contact Us if you are  experiencing any symptoms for evaluation and personalised treatment. Early intervention can prevent worsening symptoms and improve recovery.

Osteoarthritis is a degenerative joint disease that affects the cartilage and underlying bone, leading to pain, stiffness, and loss of function. When it affects the hand or wrist joints, it can impact daily activities and quality of life.

Symptoms:

• Joint pain, stiffness, and swelling, particularly after periods of inactivity or overuse.
• Decreased range of motion in the affected joints.
• Bony nodules or bumps (osteophytes) may develop around the joints.
• Difficulty with gripping, grasping, or performing fine motor tasks.

Causes:

• Wear and tear on the joints over time.
• Age-related changes in cartilage and bone structure.
• Previous joint injuries or trauma.
• Genetic factors may predispose some individuals to osteoarthritis.

Diagnosis by the Joint Care Specialist:

• Medical history and physical examination, focusing on hand and wrist joints.
• Assessment of joint pain, stiffness, swelling, and range of motion.
• X-rays or other imaging tests to visualise changes in the affected joints.
• Occasionally, blood tests to rule out other forms of arthritis.

Treatment Options:

• Conservative Management:
  • Pain management with over-the-counter medications or prescription pain relievers.
  • Heat or cold therapy to reduce pain and inflammation.
  • Splinting or bracing to support and stabilise affected joints.
  • Physical therapy to improve joint mobility, strength, and function.
• Intra-Articular Injections:
  • Corticosteroid injections into the affected joints to reduce inflammation and relieve pain.
  • Hyaluronic acid injections may provide lubrication and cushioning for the joints.
• Surgery:
  • Joint fusion (arthrodesis) or joint replacement (arthroplasty) may be considered for severe cases that do not respond to conservative treatments.

If you're experiencing hand or wrist pain, stiffness, or difficulty with daily activities our specialist can help manage your symptoms and improve your quality of life despite osteoarthritis.

Contact Us if you are  experiencing any symptoms for evaluation and personalised treatment. Early intervention can prevent worsening symptoms and improve recovery.

Wrist tendinitis, also known as wrist tendinosis, is a condition characterised by inflammation or degeneration of the tendons in the wrist. These tendons, which connect muscles to bones, can become irritated or damaged, leading to pain, swelling, and limited movement in the wrist.

Symptoms:

• Pain and tenderness in the wrist, especially with movement or pressure.
• Swelling or warmth around the affected tendons.
• Stiffness or decreased range of motion in the wrist.
• Weakness or difficulty performing activities that involve wrist movement.

Causes:

• Overuse or repetitive motions of the wrist, such as typing, gripping, or sports activities.
• Sudden or forceful movements that strain the wrist tendons.
• Poor ergonomics or improper wrist positioning during activities.
• Age-related changes in tendon structure and function.

Diagnosis by the Joint Care Specialist:

• Medical history and physical examination, focusing on wrist symptoms and function.
• Assessment of pain, tenderness, swelling, and range of motion in the wrist.
• Sometimes imaging tests like ultrasound or MRI for further evaluation of tendon damage or inflammation.
• Occasionally, diagnostic injections to confirm the affected tendons.

Treatment Options:

• Rest and Activity Modification:
  • Avoiding activities that exacerbate symptoms and resting the wrist.
  • Using ergonomic tools or modifying techniques to reduce strain on the wrist.
• Ice Therapy:
  • Applying ice packs to the affected area to reduce pain and inflammation.
• Immobilisation:
  • Wearing a splint or brace to limit wrist movement and promote healing.
• Physical Therapy:
  • Stretching and strengthening exercises to improve wrist flexibility and function.
  • Modalities such as ultrasound or electrical stimulation may also be used.
• Anti-Inflammatory Medications:
  • Over-the-counter pain relievers or non-steroidal anti-inflammatory drugs (NSAIDs) to reduce pain and swelling.
• Corticosteroid Injections:
  • Injecting corticosteroids into the inflamed tendon sheath to reduce inflammation and relieve pain.
• Platelet-Rich Plasma (PRP) Therapy:
  • Using the patient's own blood components to promote tendon healing and reduce inflammation.

If you're experiencing wrist pain, swelling, or difficulty with movement our specialist can help alleviate your symptoms and restore function to your wrist.

Contact Us if you are  experiencing any symptoms for evaluation and personalised treatment. Early intervention can prevent worsening symptoms and improve recovery.

Contact Us if you are  experiencing any symptoms for evaluation and personalised treatment. Early intervention can prevent worsening symptoms and improve recovery.

Wrist joint effusion, also known as synovitis, occurs when excess fluid accumulates within the joint space of the wrist. This swelling is typically a result of inflammation, injury, or an underlying medical condition, leading to pain, stiffness, and limited mobility in the wrist.

Symptoms:

• Swelling, warmth, or redness in the wrist joint.
• Pain or discomfort, especially with movement or pressure.
• Stiffness or decreased range of motion in the wrist.
• Difficulty performing activities that involve wrist movement.

Causes:

• Trauma or injury to the wrist joint.
• Inflammatory conditions such as rheumatoid arthritis or gout.
• Infection of the joint (septic arthritis).
• Overuse or repetitive strain on the wrist.
• Degenerative joint diseases like osteoarthritis.

Diagnosis by the Joint Care Specialist:

• Medical history and physical examination, focusing on wrist symptoms and function.
• Assessment of swelling, tenderness, warmth, and range of motion in the wrist.
• Imaging tests such as X-rays, ultrasound, or MRI to visualise the extent of joint effusion and identify underlying causes.
• Occasionally, aspiration of fluid from the joint for analysis and to relieve symptoms.

Treatment Options:

• Rest and Immobilisation:
  • Avoiding activities that aggravate symptoms and resting the affected wrist.
  • Using splints or braces to stabilize the wrist and reduce movement.
• Ice Therapy:
  • Applying ice packs to the swollen area to reduce pain and inflammation.
• Medications:
  • Non-steroidal anti-inflammatory drugs (NSAIDs) to relieve pain and reduce inflammation.
  • Corticosteroid injections into the joint to reduce swelling and alleviate symptoms.
• Physical Therapy:
  • Gentle exercises and stretches to improve wrist mobility and strength.
  • Modalities such as ultrasound or electrical stimulation to promote healing.
• Treatment of Underlying Conditions:
  • Managing underlying medical conditions like arthritis or infection to address the root cause of joint effusion.

If you're experiencing wrist swelling, pain, or difficulty with movement our specialist can help determine the cause of your wrist joint effusion and develop a tailored treatment plan to alleviate your symptoms and improve your wrist function.

Contact Us if you are  experiencing any symptoms for evaluation and personalised treatment. Early intervention can prevent worsening symptoms and improve recovery.

Wrist bursitis is a condition characterised by inflammation of the bursa, small fluid-filled sacs that cushion and lubricate the joints. When bursae in the wrist become inflamed, it can lead to pain, swelling, and limited mobility in the affected area.

Symptoms:

• Swelling, tenderness, or warmth around the wrist joint.
• Pain or discomfort, especially with movement or pressure.
• Stiffness or decreased range of motion in the wrist.
• Redness or skin irritation over the inflamed bursa.

Causes:

• Repetitive motions or overuse of the wrist joint.
• Trauma or injury to the wrist, such as a direct blow or fall.
• Prolonged pressure or friction on the wrist, such as resting on hard surfaces.
• Infection of the bursa (septic bursitis).
• Underlying medical conditions like arthritis or gout.

Diagnosis by the Joint Care Specialist:

• Medical history and physical examination, focusing on wrist symptoms and function.
• Assessment of swelling, tenderness, warmth, and range of motion in the wrist.
• Occasionally, imaging tests such as ultrasound or MRI to visualise the extent of bursitis and identify underlying causes.
• Sometimes, aspiration of fluid from the bursa for analysis and to relieve symptoms.

Treatment Options:

• Rest and Immobilisation:
  • Avoiding activities that aggravate symptoms and resting the affected wrist.
  • Using splints or braces to stabilise the wrist and reduce movement.
• Ice Therapy:
  • Applying ice packs to the swollen area to reduce pain and inflammation.
• Medications:
  • Non-steroidal anti-inflammatory drugs (NSAIDs) to relieve pain and reduce inflammation.
  • Corticosteroid injections into the bursa to reduce swelling and alleviate symptoms.
• Physical Therapy:
  • Gentle exercises and stretches to improve wrist mobility and strength.
  • Modalities such as ultrasound or electrical stimulation to promote healing.
• Treatment of Underlying Conditions:
  • Managing underlying medical conditions like arthritis or infection to address the root cause of bursitis.

If you're experiencing wrist swelling, pain, or difficulty with movement our specialist can help determine the cause of your wrist bursitis and develop a tailored treatment plan to alleviate your symptoms and improve your wrist function.

Contact Us if you are  experiencing any symptoms for evaluation and personalised treatment. Early intervention can prevent worsening symptoms and improve recovery.

A scaphoid fracture is a common injury involving a break in the scaphoid bone, a small bone located near the base of the thumb on the wrist's thumb side. This fracture can occur due to falls on an outstretched hand or direct trauma to the wrist and may lead to pain, swelling, and limited wrist movement.

Symptoms:

• Pain and tenderness in the wrist, especially at the base of the thumb.
• Swelling and bruising around the wrist area.
• Difficulty gripping or holding objects with the affected hand.
• Limited range of motion in the wrist, particularly during movement.

Causes:

• Falls onto an outstretched hand, commonly occurring during sports activities or accidents.
• Direct impact or trauma to the wrist, such as a blow or collision.
• Overuse injuries or repetitive stress on the wrist, particularly in athletes or manual labourers.

Diagnosis by the Joint Care Specialist:

• Medical history and physical examination, focusing on wrist symptoms and function.
• Assessment of pain, tenderness, swelling, and range of motion in the wrist.
• X-rays or other imaging tests to visualise the scaphoid bone and detect fractures.
• Sometimes, additional imaging tests such as MRI or CT scans for further evaluation of complex fractures.

Treatment Options:

• Immobilisation:
  • Placing the wrist in a splint or cast to immobilise the fractured bone and promote healing.
  • Immobilisation may last several weeks to months, depending on the severity of the fracture.
• Surgery:
  • For displaced or unstable fractures, surgical intervention may be necessary to realign and stabilize the bone.
  • Surgical options may include internal fixation with screws or pins, bone grafting, or arthroscopic procedures.
• Pain Management:
  • Over-the-counter or prescription pain relievers to manage pain and discomfort during the healing process.
• Physical Therapy:
  • Once the fracture has healed, physical therapy may be recommended to restore wrist strength, flexibility, and function.
• Follow-up Care:
  • Regular follow-up appointments with the healthcare provider to monitor healing progress and adjust treatment as needed.

If you suspect a scaphoid fracture or experience wrist pain, swelling, or limited mobility after a fall or injury

A scaphoid fracture is a common injury involving a break in the scaphoid bone, a small bone located near the base of the thumb on the wrist's thumb side. This fracture can occur due to falls on an outstretched hand or direct trauma to the wrist and may lead to pain, swelling, and limited wrist movement.

Symptoms:

• Pain and tenderness in the wrist, especially at the base of the thumb.
• Swelling and bruising around the wrist area.
• Difficulty gripping or holding objects with the affected hand.
• Limited range of motion in the wrist, particularly during movement.

Causes:

• Falls onto an outstretched hand, commonly occurring during sports activities or accidents.
• Direct impact or trauma to the wrist, such as a blow or collision.
• Overuse injuries or repetitive stress on the wrist, particularly in athletes or manual laborers.

Diagnosis by the Joint Care Specialist:

• Medical history and physical examination, focusing on wrist symptoms and function.
• Assessment of pain, tenderness, swelling, and range of motion in the wrist.
• X-rays or other imaging tests to visualize the scaphoid bone and detect fractures.
• Sometimes, additional imaging tests such as MRI or CT scans for further evaluation of complex fractures.

Treatment Options:

• Immobilization:
  • Placing the wrist in a splint or cast to immobilize the fractured bone and promote healing.
  • Immobilization may last several weeks to months, depending on the severity of the fracture.
• Surgery:
  • For displaced or unstable fractures, surgical intervention may be necessary to realign and stabilize the bone.
  • Surgical options may include internal fixation with screws or pins, bone grafting, or arthroscopic procedures.
• Pain Management:
  • Over-the-counter or prescription pain relievers to manage pain and discomfort during the healing process.
• Physical Therapy:
  • Once the fracture has healed, physical therapy may be recommended to restore wrist strength, flexibility, and function.
• Follow-up Care:
  • Regular follow-up appointments with the healthcare provider to monitor healing progress and adjust treatment as needed.

If you suspect a scaphoid fracture or experience wrist pain, swelling, or limited mobility after a fall or injury, our specialist can provide expert care to help you recover and regain function in your wrist.

Contact Us if you are  experiencing any symptoms for evaluation and personalised treatment. Early intervention can prevent worsening symptoms and improve recovery.

Arthritis of the hand and wrist is a common condition characterised by inflammation and degeneration of the joints, resulting in pain, stiffness, and reduced mobility. Various types of arthritis can affect the hand and wrist, including osteoarthritis, rheumatoid arthritis, and psoriatic arthritis.

Symptoms:

• Joint pain, especially with movement or pressure.
• Swelling, warmth, and redness around affected joints.
• Stiffness and decreased range of motion, particularly in the morning or after periods of inactivity.
• Bony nodules or bumps (osteophytes) may develop around the joints.
• Weakness and difficulty with gripping or fine motor tasks.

Causes:

• Osteoarthritis: Wear and tear on the joints over time, leading to cartilage breakdown and joint damage.
• Rheumatoid Arthritis: Autoimmune disorder where the immune system attacks the synovium, leading to inflammation and joint destruction.
• Psoriatic Arthritis: Inflammatory arthritis associated with psoriasis, causing joint inflammation and damage.
• Trauma or injury to the hand or wrist.
• Genetic predisposition or family history of arthritis.

Diagnosis by the Joint Care Specialist:

• Medical history and physical examination, focusing on hand and wrist symptoms and function.
• Assessment of pain, swelling, warmth, and range of motion in the affected joints.
• Imaging tests such as X-rays, ultrasound, or MRI to visualise joint damage and assess disease severity.
• Blood tests to detect specific antibodies and markers of inflammation, depending on the type of arthritis suspected.

Treatment Options:

• Medications:
  • Non-steroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation.
  • Disease-modifying anti-rheumatic drugs (DMARDs) to slow disease progression in autoimmune forms of arthritis.
  • Corticosteroid injections into the affected joints to reduce inflammation and alleviate pain.
• Physical Therapy:
  • Exercises and stretches to improve joint flexibility, strength, and function.
  • Modalities such as heat or cold therapy, ultrasound, or electrical stimulation to manage pain and stiffness.
• Assistive Devices:
  • Splints, braces, or orthotics to support and stabilise affected joints and reduce strain.
  • Assistive devices or adaptive tools to help with activities of daily living.
• Surgery:
  • Joint replacement surgery (arthroplasty) for severe joint damage and pain that does not respond to conservative treatments.
  • Arthroscopic procedures or joint fusion (arthrodesis) may be considered in certain cases.

If you're experiencing hand or wrist pain, swelling, or stiffness, our specialist can help manage your arthritis symptoms and improve your quality of life.

Contact Us if you are  experiencing any symptoms for evaluation and personalised treatment. Early intervention can prevent worsening symptoms and improve recovery.