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Upper Extremity Orthopedic Specialist in Portland, OR

Hand, Wrist & Elbow

When pain or injury affects your hands, wrists, or elbows, even the simplest tasks can feel overwhelming. Whether it’s opening a jar, typing on a keyboard, or lifting a child, these everyday actions depend on the intricate mechanics of your upper extremities.

At Orthopedic + Fracture Specialists, we understand how vital these functions are to your life. With over 90 years of trusted care and community involvement, we specialize in diagnosing, treating, and restoring mobility for all types of hand, wrist, and elbow conditions. You don’t have to live with discomfort. You’ve got an experienced partner ready to help you “Put Your Life in Motion.”

Schedule an appointment with our specialists today and take the first step toward better mobility.

Appointments

Senior Woman Watering Flowers.

Hand Conditions

Arthritis of the Thumb

Arthritis of the thumb occurs when the cartilage in the joint at the base of the thumb begins to wear down. This can cause pain, swelling, and difficulty with grip strength and hand function. Treatment options include splinting, medication, physical therapy, and in severe cases, surgery.

Trigger Finger

Trigger finger, or stenosing tenosynovitis, is a condition where a finger becomes stuck in a bent position and may snap when straightened. It occurs when the tendon in the affected finger becomes inflamed. Treatments range from rest and splinting to corticosteroid injections or surgery in severe cases.

Dupuytren's Contracture

Dupuytren's contracture is a hand condition where the tissue beneath the skin of the palm thickens and tightens, leading to bent fingers that are difficult to straighten. While mild cases may not require treatment, advanced cases may need interventions such as enzyme injections or surgical release.

Dislocation and Sprain of Hand Joints

Dislocations and sprains of the MCP (metacarpophalangeal), PIP (proximal interphalangeal), and DIP (distal interphalangeal) joints are common injuries caused by trauma or sudden impact. Dislocations occur when the bones in the joint are forced out of alignment, while sprains involve damage to the ligaments supporting the joint.

Symptoms include pain, swelling, bruising, and limited range of motion. Treatment typically involves rest, immobilization, ice application, and physical therapy, with surgery reserved for severe cases or complex injuries.

Wrist Conditions

Carpal Tunnel Syndrome

Carpal tunnel syndrome occurs when the median nerve is compressed as it passes through the wrist. Symptoms include numbness, tingling, and weakness in the hand. Treatment options include wearing a wrist splint, physical therapy, steroid injections, or surgery to relieve pressure on the nerve.

Wrist Fractures

Wrist fractures happen due to trauma, such as falls or accidents, and can range from minor cracks to severe breaks that impact joint alignment. Treatment depends on the severity and may include casting, splinting, or surgery to realign and stabilize the bones.

Elbow Conditions

Tennis/Golfer’s Elbow

Tennis elbow (lateral epicondylitis) and golfer's elbow (medial epicondylitis) are conditions caused by overuse of the elbow, leading to pain and inflammation in the tendons around the joint. Rest, physical therapy, and anti-inflammatory treatments are common solutions, with surgical options available for persistent cases.

Elbow Fractures

An elbow fracture occurs when one of the bones in the elbow joint breaks, often due to trauma, a fall, or a direct impact. Treatments typically include immobilization with a cast or splint, pain management, and, in severe cases, surgery to realign and stabilize the bones.

Cubital Tunnel Syndrome

Cubital tunnel syndrome arises when the ulnar nerve, which passes through the inside of the elbow, becomes compressed. This can cause numbness, tingling, and weakness in the hand and arm. Treatments include avoiding prolonged elbow bending, bracing, and in severe cases, surgery to relieve nerve pressure.

Frequently Asked Questions

What are the first steps for treating hand, wrist, or elbow pain?

The first step is to schedule an evaluation with one of our specialists. During your visit, we’ll assess your condition, recommend diagnostic tests if needed, and create a personalized treatment plan tailored to your goals. Hand surgeries with Orthopedic + Fracture Specialists will typically be performed in either our Ambulatory Surgery Center(opens in a new tab) or our Clinic Procedure Room.

When is surgery necessary for hand, wrist, or elbow conditions?

Surgery is usually considered a last resort if non-surgical treatments, such as physical therapy or injections, haven’t provided relief. In cases of fractures or severe conditions, surgery may sometimes be necessary to restore function and mobility.

How can I prevent further injuries to my hand, wrist, or elbow?

Preventing injuries often involves simple lifestyle changes. Using ergonomic tools, taking breaks during repetitive tasks, and strengthening surrounding muscles can all help reduce strain and avoid future issues.

Can I recover full mobility after treatment?

With proper care and rehabilitation, many patients regain full mobility and return to their favorite activities. Recovery timelines depend on the severity of your condition and adherence to follow-up care.

Orthopedic + Fracture Specialists: Put Your Life in Motion

Get Started With Upper Extremity Care in Portland

Appointments