Hand and Wrist Manhattan

Carpal Tunnel Syndrome

• Caused by pressure on the median nerve in the wrist, carpal tunnel syndrome leads to numbness, tingling, or weakness in the hand
• We begin with non-surgical options such as night splinting, corticosteroid injections, and physical therapy
• For persistent cases, we offer carpal tunnel release, a minimally invasive surgery to relieve pressure on the nerve and restore hand function

Arthritis (Base of the Thumb and Other Joints)

• Arthritis commonly affects the base of the thumb and other hand joints, often due to age or genetic predisposition
• It causes pain, stiffness, and difficulty with grasping or pinching
• We treat arthritis with conservative methods like bracing, activity modification, and steroid injections
• In advanced cases, we offer joint fusion (arthrodesis) or arthroscopic wrist surgery to alleviate pain and improve stability

Tendonitis and Repetitive Stress Injuries

• Overuse or repetitive motion can inflame the tendons in the wrist and hand, leading to pain, swelling, and limited motion
• Initial care includes rest, bracing, and anti-inflammatory therapy
• If symptoms persist, we provide ultrasound-guided injections, minimally invasive tendon sheath release, or surgical tendon repair
• We also address repetitive strain injuries with tailored physical therapy and, if needed, surgical intervention

Trigger Finger

• This condition occurs when the tendon sheath thickens, causing the finger to catch or lock during motion
• We treat trigger finger with splinting, anti-inflammatory injections, or trigger finger release surgery—a quick outpatient procedure that restores smooth movement

Ganglion Cysts

• Ganglion cysts are fluid-filled lumps that form near joints or tendons, commonly on the wrist or fingers
• While often painless, they can interfere with function or cause pressure
• Treatment includes aspiration or ganglion cyst removal surgery, depending on the size, location, and symptoms

Hand and Wrist Fractures

• Fractures can result from trauma, falls, or sports injuries, affecting any of the many bones in the hand or wrist
• We use advanced imaging for accurate diagnosis and provide fracture repair through splinting, casting, or surgical stabilization using the latest techniques to ensure proper healing and function.

Wrist Sprains and Ligament Injuries

• Injury to the ligaments—especially the scapholunate ligament—can cause wrist instability and pain
• Our treatment options include bracing, physical therapy, and, when necessary, arthroscopic ligament repair surgery to restore wrist stability and prevent long-term damage

Extensor Tendon Injuries

• These tendons lie just beneath the skin and help straighten the fingers and wrist
• They can be easily damaged by cuts or trauma
• We offer tendon repair surgery, splinting, and rehabilitation programs tailored to your specific injury and lifestyle

De Quervain’s Tenosynovitis

• This condition involves inflammation of the tendons on the thumb side of the wrist, leading to pain during gripping or lifting
• Our treatment plan may include rest, splinting, anti-inflammatories, and injections
• For more severe cases, we offer surgical release of the tendon sheath to relieve tension and restore motion

Nerve Injuries and Repair

• Nerve damage in the hand or wrist—whether due to trauma or chronic compression—can cause numbness, weakness, or functional loss
• Our specialists offer nerve repair surgery to restore sensation and motor function through microsurgical precision and advanced techniques