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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:

  • Prolotherapy: injections that irritate injured tissues to stimulate healing
  • Platelet-rich plasma (PRP): injectable serum with a high concentration of platelets, which contain growth-factors that repair tissues
  • Cellular Therapy: your own cells injected into damaged tissue and bone to stimulate a healing response and regrowth

Dr. Silva uses ultrasound and x-ray guidance when administering injectable therapies to ensure that the healing agents are delivered precisely to the area of injury.

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 We Treat

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 We Treat

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 Areas We Treat

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 Areas We Treat

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

Hand & Wrist Treatment Types Offered

Image-Guided Prolotherapy
Image-Guided PRP injections
Intra-Articular Joint Injections
Nerve Blocks for Procedural Comfort

*This is not a complete list. Please call our office if you do not see what you’re looking for.

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