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Hand and Wrist Pain Conditions and Their Treatments

Woman with hand pain receives treatment from her physical therapist in knoxville

Are you experiencing pain, tenderness, loss of motion, tingling, or loss of sensation in your wrist or hand? You may be exhibiting symptoms of some type of condition or injury to either your hand or wrist. Here at Knoxville Spine & Sports, we have a great team of clinicians between our chiropractors and physical therapy staff that can help figure out what is causing these problems and will create a plan to get rid of these pestering symptoms.  

There could be many different reasons that the symptoms you are having could be happening. Some of the most common causes of these problems are carpal tunnel syndrome, trigger finger, De Quervain’s, sprains/strains, and Dupuytren’s contracture.

Carpal Tunnel Syndrome (CTS)

Woman typing at computer to show cause of carpal tunnel There is a small passageway in the wrist that encompasses a nerve (median nerve) and the tendons that cause the fingers to bend. This nerve inside of this tunnel is what gives the first four fingers feeling on the palm side of the hand and helps move some of the smaller muscles at the bottom of the thumb. If the space in this passageway is lessened by swelling of the tendons, trauma to the wrist, or overuse the median nerve gets squished. When this happens is when you may experience tingling, burning, numbness, pain, or weakness.

CTS can be treated with chiropractic care and physical therapy. One of our chiropractors or physical therapists can examine and evaluate what is going on with your wrist and hand, then come up with a treatment plan to help alleviate your symptoms by reducing the pressure on the median nerve. A treatment plan for CTS can include:    

  • Chiropractic manipulation to the elbow, wrist, and sometimes even the neck to reduce pressure on the nerve
  • Ice massage to reduce inflammation
  • Exercises and stretching to improve strength and range of motion
  • Bracing/splinting to allow the tendons to heal by reducing the hands' ability to move
  • Tips on ergonomic changes to avoid positions that may cause pressure on the nerve
  • Soft tissue mobilization techniques to help reduce pain and inflammation

Trigger Finger

Man with Trigger Finger pain holds his handStenosing tenosynovitis, or more commonly known as trigger finger, occurs because of a repetitive motion or strong use of the fingers. This condition can also occur if there is inflammation or swelling in the tendons of the fingers. If over time, there is scarring to the tendons it can affect the tendon’s movement. Symptoms that may occur with this condition are:

  • Locking of the finger and inability to straighten it
  • A painful snap or click when bending or straightening fingers
  • A nodule at the bottom of the finger that causes soreness
  • Stiffness, more so in the morning due to lack of movement overnight

Treatment for Trigger Finger can vary depending on the severity of this condition. If the symptoms aren’t too severe, they can be treated with rest, NSAIDs, stretching exercise, splints, Active Release Technique, and instrument-assisted soft tissue mobilization. If need be, one of our chiropractors can refer you to have a steroid injection. If the symptoms are severe enough to need surgery, our chiropractors and physical therapists can help you recover after surgery through the use of our class IV laser, soft tissue mobilization, scar tissue mobilization, exercises, and stretches.

De Quervain’s Tenosynovitis

De Quervain’s can be caused by many things such as overuse, direct trauma to the thumb, inflammatory conditions (Rheumatoid arthritis), gaming, repetitive tasks, sports involving rackets, and gardening. This condition can be the result of inflammation of the tendons in the wrist and lower part of the thumb. The swelling tends to cause pain in the wrist and thumb. Other symptoms can be decreased mobility and weakness, especially when trying to grasp or pinch something.

Chiropractic care and physical therapy treatments for De Quervain’s can include:

  • Strengthening exercises
  • Splinting
  • Ice massage
  • Dry needling
  • Soft tissue mobilization
  • Stretching
  • Tips on positioning 
  • Adjustments to the wrist bones

Sprains and Strains

Weight lifter incorrectly uses weights resulting in a hand sprainIf you are experiencing pain and swelling from a sprain or strain our physical therapy team and chiropractors can help you. Sprains and strains can be caused by an injury or repetitive stress, especially if you work at a desk, by creating micro-trauma to the bones, ligaments, and the joint itself. Additionally, we see a good amount of athletes who come in with sprains or strains due to a sports injury. We can help here at Knoxville Spine & Sports by adjusting the wrist, soft tissue mobilizations, using a variety of modalities, ice massage, and Active Release Techniques

Dupuytren’s Contracture

Dupuytren’s contracture is a condition where tissues under the skin that eventually over years knots up making a thick cord that pulls one or multiple fingers (the ring and pinky fingers) down into a flexed, or bent, position that can’t be straightened. This can create problems doing the simplest things throughout your day and life. With this condition, you may have a lump come up on your palm that can be sensitive to touch but is typically painful. Unfortunately, this condition is progressive meaning it gets worse over time. While chiropractic care and physical therapy cannot sure this, they can slow the progression and alleviate symptoms that might accompany it. Some ways that we would be able to help are by stretching, splinting the affected fingers, ultrasound, laser therapy, soft tissue mobilization, and possibly a referral for a cortisone injection.

Contact Knoxville Spine & Sports for Hand and Wrist Pain Treatment

If you are experiencing pain from any of these conditions give us a call and let one of our clinicians here at Knoxville Spine & Sports create a plan of care to help relieve you of your symptoms.

  • Contact Us

    8029 Ray Mears Blvd, Suite 300
    Knoxville, TN 37919
    United States
    Phone: (865) 229-8796
  • Office Hours

    Monday
    7am-12pm & 1pm-6pm
    Tuesday
    7am-12pm & 1pm-5pm
    Wednesday
    7am-1pm
    Thursday
    7am-12pm & 1pm-6pm
    Friday
    7am-12pm & 1pm-4pm
    Saturday & Sunday
    Closed

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    contact information

    8029 Ray Mears Blvd, Suite 300
    Knoxville, TN
    37919
    Phone: (865) 229-8796

    office hours

    Monday
    7am-12pm & 1pm-6pm
    Tuesday
    7am-12pm & 1pm-5pm
    Wednesday
    7am-1pm
    Thursday
    7am-12pm & 1pm-6pm
    Friday
    7am-12pm & 1pm-4pm
    Saturday & Sunday
    Closed

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