Hand and Wrist Pain Treatment

Orthopedic doctor specialist in Hand and Wrist Pain

I am Miguel Alfonso Porcar, an orthopedic doctor specializing in injection and surgical treatments for hand and wrist pain.

At Regenerat Traumatology Clinic, we are specialists in the diagnosis and treatment of ailments and injuries that cause pain in the hands or wrists, using bioregenerative therapies such as platelet-rich plasma, growth factors, and cytokine-rich serum.

Our objectives are to:

1. Determine the cause of your wrist or hand pain.
2. Perform appropriate diagnostic tests to assess the extent of your hand or wrist ailment or injury.
3. Apply regenerative traumatology treatment or orthopedic surgery to relieve your pain so that you can recover your well-being as soon as possible.

We aim to help our patients using the safest, most successful and least invasive treatments possible!

What is hand and/or wrist pain?

Wrist pain is defined as any pain or discomfort in the wrist.

The wrist consists of two forearm bones, the radius and ulna, and eight small carpal bones in the palm of the hand.

Bones join together to form multiple large and small joints. Trauma or injury to one or more of these bones causes pain in the wrist.

The wrist is a joint in the body that is often injured.

Wrist pain can occur due to sprains and strains, arthritis and fractures that can occur from lifting and carrying heavy objects, operating machinery, forcing against a fall or from sports-related injuries.

The orthopedic surgeon Dr. Miguel Alfonso Porcar will be able to diagnose the precise causes of your symptoms, and offer you the most appropriate treatment to solve your hand or wrist pain and prevent it from recurring.

Mild cases of pain can be corrected with self-care and rest, but in some more severe cases, physiotherapy treatments , regenerative medicine and orthopedic surgery may be necessary.

Hand or wrist pain causes

Some of the most common causes of hand and wrist pain are sprains and strains.

A sprain refers to an injury to a ligament, while a strain refers to a muscle injury. Sprains and strains occur due to excessive force applied during a stretching, twisting or pushing action.

Other causes of pain in the hands and/or wrists include:

• Hand osteoarthritis: A degenerative joint disease that is the most common type of arthritis affecting older people. It causes the cartilage, the tissue that cushions and protects the ends of the bones in a joint, to wear away, resulting in painful bone-on-bone contact.
• Thumb arthritis: Arthritis affecting the base of the thumb, i.e. the progressive destruction of the articular cartilage between the trapezium and the first metacarpal.
• De Quervain’s tenosynovitis: Also called radial tenosynovitis, this is a painful condition affecting the tendons of the first extensor compartment, producing pain at the level of the anatomical snuffbox.
• Trigger finger: A condition in which the finger locks or catches if you try to straighten or bend it.
• Carpal tunnel syndrome: A condition characterized by numbness or pain in the thumb and first three fingers. It occurs when the median nerve is compressed at the wrist. It is usually a common complaint in people who use their hands for prolonged periodsin particular occupations, such as computer work.

What are the symptoms of hand nad/or wrist pain?

Depending on the cause of wrist pain, it may be accompanied by the following symptoms:

• Swollen fingers.
• Difficulty in making a fist or grasping objects.
• Numbness or tingling sensation in the hands that worsens at night.
• Pain, numbness or tingling, sudden sharp pain in the hand.
• Swelling or redness around the wrist.
• Heat in the wrist joint.
• Restriction of hand and wrist movement.

Call your doctor immediately if your wrist is hot and red and if you have a temperature above 38°C.

These symptoms could indicate infectious arthritis, which is a serious disease.

You should also contact your doctor if you cannot move your wrist or if your hand looks abnormal. You may have broken a bone.

Risk Factors

• Repetitive movements: when the body performs certain repetitive movements, the tissue can become inflamed, but after a period of rest, the tissue can repair itself and return to normal. The major problem arises when there is such a short rest period (if any) that the body cannot repair the microscopic tears that appear in tendons and ligaments.
• Sports: High-impact movements involving various sports can put you at risk for a harmful injury. Falling forward and extending your arms to break your fall, which can lead to a sprained or strained wrist.
• Osteoporosis: osteoclasts and osteoblasts break down and build bone, respectively. When the body produces too little bone or breaks down too much bone, the joint structure can be weakened and the risk of pain and fracture increases. Interestingly, wrist fractures are often the first sign of osteoporosis.
• Pregnancy: the prevalence of carpal tunnel syndrome in pregnancy has been as high as 62%.
• Rheumatoid arthritis: I can cause inflammation of the wrist joint.