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.
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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.

Common Conditions that Affect the Hand and/or Wrist

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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

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Regenerative Healthcare: Human Tissue Allograft Treatments
Regenerative Healthcare 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 Healthcare: 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.
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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.
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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.
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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.
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If you're looking for non-invasive and effective solutions for your hand and wrist pain and want to feel better NOW.


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.
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