Hand and Wrist Pain

Non-invasive and effective solutions for your hand and wrist pain.

Address Your Hand and Wrist Pain at Balance Wellspace Integrative Medicine

Hand and wrist pain can occur for a multitude of reasons, including Osteoarthritis, Carpal Tunnel Syndrome, de Quervain’s Tenosynovitis, Trigger Finger, and trauma. Hand and wrist pain can be debilitating for anyone, whether it is getting dressed, using the restroom, holding utensils to eat, lifting a mug, driving, working on a computer, or a host of other activities one navigates any given day. We need our hands and wrists to function properly to accomplish most tasks and not being able to do so is very frustrating for most.

If you have noticed that your hand and/or wrist pain has not improved with rest or with other treatment options, make an appointment to see our Roanoke, Virginia integrative team. We will evaluate your symptoms and x-rays to provide the best recommendations for the optimal treatment and fastest relief possible.

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Common Conditions that Affect the Hand and/or Wrist

Osteoarthritis

Osteoarthritis is the slow wear and tear of the ligaments and cartilage in your joints until eventually there is no more space. Once the joint space is gone, there is significant pain until there is no other treatment option other than surgery.

Osteoarthritis takes years to develop, so patients do not start seeking relief until the later stages of the disease. While most people eventually end up with some amount of osteoarthritis in their joints, expect it to be worse in those with previous injury histories, prior surgeries and the obese.

Carpal Tunnel Syndrome (CTS)

The carpal tunnel is an opening in your wrist that is formed by the carpal bones (wrist bones) on the bottom of the wrist and across the wrist there is the transverse carpal ligament. The median nerve travels through the tunnel to supply both sensory and motor functions to the thumb, index finger, middle finger, and half of the ring finger. If this nerve gets compressed or irritated in any way, patients will often experience symptoms including numbness, tingling, and weakness.

CTS often begins in the dominant hand, but symptoms often affect both hands. In patients suffering with CTS, it is essential to examine the lower neck, upper back, shoulder, elbow, forearm musculature, and of course the hand and wrist. Many patients have issues throughout the chain and if left unaddressed, the symptoms will persist.

Causes of Carpal Tunnel Syndrome (CTS)

Most often triggered by repetitive overuse activities involving the hands or wrist, but other factors also contribute to higher risk of developing CTS, including:

Typing
Working with hand tools
Prolonged vibration
Knitting or sewing
Painting
Awkward sleep positions
Inflammatory health conditions
Bodybuilding
Rock Climbing
Archery
Racquet sports
Genetics

Risk Factors for Carpal Tunnel Syndrome

High-force vibrational activities
Wrist fracture and dislocation
Extreme or awkward wrist motions
Genetics predisposing to smaller carpal tunnels
Pregnancy
Hand or wrist deformity
Chronic health conditions, including rheumatoid arthritis, gout, hypothyroidism, diabetes, etc
Alcoholism
A mass or cyst in the carpal tunnel
Older age

De Quervain’s Tenosynovitis

This painful condition affects the tendon responsible for the mobility of the thumb. Repeated tendon friction caused by excessive overuse of the thumb is responsible for the irritation and inflammation associated with this condition.

Symptoms of de Quervain’s Tenosynovitis

Wrist pain on the thumb side – especially when a fist is made
Difficulty moving the thumb and wrist during activities involving grasping or pinching
Swelling and tenderness at the base of the thumb and the outside of the wrist
Feeling or hearing noise when you move the thumb
Numbness in the back of the thumb and index finger
A fluid-filled cyst in the same region as swelling and pain

Risk Factors for de Quervain’s Tenosynovitis

Awkward or unnatural body posture when using the thumb
Use of excessive force with thumb to perform a task
Repetitive use of the thumb for any tasks
Repetitive use of the thumb for any tasks
Extended periods of static work without moving the thumb
Chronic illnesses, including Diabetes or Rheumatoid Arthritis
Pregnancy

Stenosing Tenosynovitis (i.e., Trigger Finger)

A trigger finger is a painful inflammatory condition affecting the flexor tendons in the hand. When you attempt to straighten out the finger, it can cause the finger to catch or lock. Most people experience a trigger finger in the ring finger or thumb, but a trigger finger can occur in any finger.

Risk Factors for Trigger Finger

Female
40-50 years old is a higher risk age category
Previous hand injury
Jobs or activities that require repetitive hand use or gripping
Chronic diseases, include Diabetes, Rheumatoid Arthritis, auto-immune diseases, Gout, Amyloidosis, Hypothyroidism, and other auto-immune diseases – is a lifelong condition that causes a person's blood sugar level to become too high
Dupuytren's Contracture
De Quervain's Tenosynovitis

Signs and Symptoms of Trigger Finger

Finger stiffness is usually worse in the morning
A nodule or tenderness at the base of the affected finger on the palmar side
A popping or clicking sensation as you move your finger
Finger catching or locking in a bent position that will either pop straight or suddenly pop straight
Finger locked in a bent position, which you are unable to straighten

Typical Medical Recommendations for Addressing Hand and/or Wrist Pain

⦁ Rest.
⦁ Splinting.
⦁ Pain medications.
⦁ Anti-inflammatory medications.
⦁ Cortisone injections.
⦁ Physical therapy.
⦁ Surgery when conservative care fails.

Innovative Options for Hand and/or Wrist Pain

Regenerative Medicine: Human Tissue Allograft Treatments

Regenerative Medicine offers incredible advantages in the healing process by providing the body with the necessary materials required to heal, including growth factors, Hyaluronic Acid, amino acids, cytokines, etc. These therapies help boost the body’s natural healing processes to reduce inflammation, dysfunction, and pain caused by conditions such as Tennis Elbow, Golfer’s Elbow, arthritis, and other soft tissue-related conditions contributing to pain.

Regenerative Medicine: Platelet Rich Plasma (PRP) Therapy

Platelet-Rich Plasma (PRP) is a regenerative medicine procedure that involves utilizing the liquid portion of your blood to accelerate the healing process. The procedure itself is accomplished by having tube(s) of blood collected from the patient that is spun down at a precise speed in a centrifuge that allows for the separation of the plasma from the red blood cells that concentrates them into an injection for healing. Plasma is the liquid portion of your blood that is composed of protein, water, and thrombocytes that aid in blood clotting and healing.

When made into an injection, PRP can be used to alleviate joint and muscle pain, tendinitis, trigger points, sprains, strains, and conditions including osteoarthritis, carpal tunnel syndrome, and even hair loss.

The platelets release growth factors into the muscle, tendon, joint, and other target tissue, encouraging cell repair and renewal. The theory is that with PRP injections, the platelet-rich plasma triggers and encourages the body’s natural healing process. This is why this treatment falls under the category of regenerative medicine. PRP injections are an excellent choice for those looking for minimally invasive recovery from the damaging effects of chronic inflammation and arthritis.

Extracorporeal Pulsed Activation Therapy(EPAT) (Shockwave Therapy)

Shockwave Therapy is a non-invasive modern and highly effective treatment method: high-energy sound waves are introduced into the painful areas of the body. EPAT technology accelerates the healing process in the body by stimulating metabolism and enhancing blood circulation to regenerate damaged tissue. Strong energy pulses are applied to the affected area. These pulses occur for short periods, creating micro-cavitation bubbles that expand and burst. The force created by these bubbles penetrates tissue and stimulates cells in the body that are responsible for bone and connective tissue healing.

Shockwave therapy accelerates the healing in patients with nerve conditions or tissue damage by addressing any adhesions/scar tissue present in the area, increasing blood flow to the extremities, stimulating tissue cell and nerve growth, and decreasing inflammation.

Functional Physical Rehabilitation

The goal of our physical rehabilitation approach for hand and/or wrist pain (and any other pain) is to improve the function and balance of all muscles that contribute to your movement. When someone is suffering from hand and/or wrist pain, this could mean addressing muscle imbalances in the forearm, shoulder, and upper back or neck. It could also mean addressing forward head position, joint dysfunction in the hand, wrist, elbow, shoulder, or even the neck. The key difference is to understand that our body is functioning as one and should not be compartmentalized – addressing each of the structures contributing to movement patterns is essential for a long-term, successful outcome.

Quality Results for Those Looking for a Better Solution for Hand and Wrist Pain

At Balance Wellspace, we have helped many patients improve function and decrease pain. For patients with acute injuries and tendinitis, we offer regenerative medicine programs to help with the fastest pain relief and most complete recovery possible. For severe degenerative arthritis, our comprehensive program in Roanoke, Virginia offers the best approach to addressing pain.

Many of our patients can get back to participating in activities without the pain that once hindered their life. At Balance Wellspace Integrative Medicine in Roanoke, Virginia, every treatment option we provide is effective, minimally invasive, requires no downtime, or has no major adverse effects.

If you're looking for non-invasive and effective solutions for your hand and wrist pain and want to feel better NOW.

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TESTIMONIALS

Dr. Walker and the entire staff are thorough and actually take the time to LISTEN to my concerns. I never feel rushed and always feel cared for. They offer options for my care that will fit my budget and lifestyle and are always available to answer questions! Everyone there is committed to giving me the best care possible! Balance is truly heads above the rest with their integrative approach to health and wellness!

Lori Rosen

2022-06-03

I have been a patient with Balance for 15 years. There is no other place I trust more for my regular health care. Dr. Walker’s knowledge about the body is truly impressive and they offer a large variety of aids and treatments for whole body wellness. Highly recommend if you want to get to the root of your health problems!

Suellen Wine

2022-07-17

This place is amazing. Normally you have to go to many different places to receive a regiment of care for a injury, NOT here. You have a team of people who coordinate your care. There is no lag time while waiting for one office to send over recommended treatment to another. The Chiropractor walks to the next room and speaks with the Provider or PA-C for regenerative injections, or vice-versa, to make sure your getting the best treatment as your condition changes. Everyone here is very friendly and caring. I recommend anyone suffering from back pain, neck pain, or needing physical rehabilitation to check out Balance Wellspace.

Rodney Nordstrom

2022-07-14

If you want to get a solution to your pain without medication and surgery, this is your place! The team is super friendly and truly cares about helping you get well!!

Elliot Hirshorn

2022-03-03

It is all positive from the moment I step off of the elevator and upon leaving. I am impressed by the team concept and plan to treat my issues and excited about going forward with my treatment and feeling better. And seeing and greeting those two adorable canines with each visit is just an added plus!

Robin Kuhfeldt

2022-06-23

Great job referred by Charnelle!!!

Ted Puzio

2022-03-03

The team at Balance Wellspace helped me overcome a shoulder injury and build strength. I enjoyed the personal attention and how well the team worked together. The facility is lovely and I enjoyed every day of my care plan.

Megan Wade

2021-09-01

Amazing place! I am so impressed with everyone who works at Balance. Everyone greets you by name, is friendly and attentive, and the staff does everything they can to get you feeling your best! My back has improved so much and I now have the tools to keep it in a better state! I highly recommend balance and their staff of professionals for anyone in pain who is looking for relief! Thanks guys!!

Morgan Nilhas

2021-06-02

If you want to get a solution to your pain without medication and surgery, this is your place! The team is super friendly and truly cares about helping you get well!!

Elliot Hirshorn

2022-02-24

Quick scheduling, super friendly staff that remembers your name right away and are very knowledgeable. They truly are focused on how you feel and what needs improvement. They push you to keep moving, keep trying, keep improving and they are your biggest cheerleaders while you're doing it. Best of all: one top shop for chiropractic, physical rehabilitation, and trigger point injections! No need to see multiple providers when you can go to a place that does it all and greets you with warmth and humor.

Beverly Davis

I had IV therapy here because I was feeling tired and sluggish. The experience was life changing and the full body approach is what I needed. From the friendly staff to the relaxing and beautiful atmosphere. I would highly recommend Balance Wellspace to anyone.❤

Melanie Hawco

Highly recommend... great service and excellent staff!

Laura MacDonald

I travelled from Canada for neuropathy treatment at Balance Wellspace Integrative Medicine. Amazing staff and treatment!

Stephen Antle

Major Insurance Providers Accepted

We gladly accept most health insurances. Balance Wellspace Integrative Medicine is a participating provider in most insurance plans. It is important that you contact the customer service number on your insurance card to verify your chiropractic coverage. Please contact our office directly at (540) 824-1005 for additional information regarding these payment plans.