Wrist & Hand

Wrist Q & A
Why does my wrist or hand hurt?
To determine how to best treat your elbow pain, Dr. Silva conducts a physical evaluation, discusses your lifestyle habits, reviews any prior imaging studies, and may perform a diagnostic ultrasound evaluation.
What options do I have for treating my wrist pain?
Dr. Silva’s goal is to resolve the underlying cause of your joint dysfunction to provide long term outcomes. He may recommend lifestyle changes, dietary changes and supplements, physical therapy, joint bracing, and other types of beneficial interventions to help reduce your symptoms. He can also recommend regenerative therapies such as:
- Platelet-rich plasma (PRP) therapy that uses growth factors from your own blood to accelerate healing of your joint structures
- Prolotherapy uses a variety of irritants or proliferants to trigger the body’s innate healing mechanisms which will strengthen the joints
- Stem cell therapy uses cells and growth factors derived from your own bone marrow to regenerate damaged tissues. This is the most powerful form of the regenerative procedures
Get to the root cause of your wrist or hand pain and heal your painful joints from the inside out. Contact Dr. Silva today by calling the Interventional Orthopedics of Washington office or using the “Book Appointment” button.
Wrist Conditions
Wrist Pain
de Quervain’s Tenosynovitis
Carpal Osteoarthritis
Carpal Instability
Triangular Fibrocartilage (TFCC) Tear and Pain
Scapholunate Ligament Sprain and Tear
Lunotriquetral Instability and Pain
Kienböck’s Disease (Avascular Necrosis of Lunate Bone)
Extensor Carpi Ulnaris Tendinitis
Flexor Carpi Radialis Tendinitis
Carpal Tunnel Syndrome
Ganglion Cyst
Unstable Wrist
Hand Conditions
Finger Joint Arthritis (MCP, PIP, DIP)
Trigger Thumb
Trigger Finger
Finger Sprain
Sesamoiditis of the Hand
Dupuytren’s Contracture
Boxer’s Knuckle
Unstable Finger Joint
Skier’s Thumb
Wrist Treatment Areas
Median Nerve Block (at the Wrist)
Ulnar Nerve Block (at the Wrist)
360 Degree Wrist Ligaments
Median/Ulnar/Radial Nerve Hydro-Dissection
Triangular Fibrocartilage (TFCC) Complex
RUC/DUC Ligaments
Radial Collateral Ligament
Intraosseous Carpal Bones
Hand Treatment Areas
Digital Nerve Block
Radial/Median/Ulnar Nerve Blocks
Intercarpal Joint Space
Digit Intra-Articular (Metacarpophalangeal Joint, Proximal Interphalangeal Joint, Distal Interphalangeal Joint)
Carpometacarpal Intra-Articular Joint
Carpometacarpal Capsular Ligaments
Digit Capsular Ligaments
Flexor Tendons (Trigger Finger)
Fascia Contracture
Extensor Pollicis Brevis and Abductor Pollicis Longus Tendons
Scapholunate Ligament