Even though your pain may be in your wrist/hand, we examine your entire upper body including posture or mechanics of your work/sport. The way you move is influenced by your neck, back, shoulders and hands. Muscle weakness, decreased flexibility or decreased mobility of a joint can impact surrounding joints. At CPTC, we do a thorough examination of all the joints, supporting muscles and ligaments of the wrist/hand and may also assess the cervical spine, shoulder and elbow for involvement.
The wrist is comprised of many joints through the forearm and the carpal bones (8 small bones). The carpal bones then form joints with the metacarpals (hand/palm) that attach to the phalanges (two to three bones each) to form fingers.
• Radio-ulnar joint – continuation from the elbow that also forms a joint at the wrist
• Intercarpal joints – all of the 8 carpals form joints to adjacent carpals
• Carpo-metacarpal joints – carpal bones of the wrist connect to the bones of the hand/palm
• Inter-metacarpal joints– all of the 5 metacarpal bones form joints to adjacent metacarpals
• Metacarpo-phalangeal joints – metacarpal bones (hand/palm) connect to the fingers
• Interphalangeal joints – connects each bone in the finger, the thumb has 2 phalange bones, whereas the other fingers have 3 bones each
Commonly seen Forearm/Wrist/Hand disorders we treat include (but not limited to):
• Muscle strains
• Ligament sprains
• Carpal tunnel syndrome (CTS)
• De Quervain’s tenosynovitis
• Carpal, metacarpal, phalangeal fractures; example Scaphoid fracture
• Radial and/or ulnar fractures; example Colle’s fracture
• Osteoarthritis and Rheumatoid Arthritis changes to hand/fingers
We are also trained to treat all post-surgical conditions following appropriate tissue healing parameters and the referring physician’s rehabilitation guidelines or protocol.
Depending on your individual needs, your treatment plan may include a wide variety of interventions such as joint mobilizations of the spine, soft tissue mobilizations to surrounding muscles, modalities (electrical stimulation, ultrasound, or iontophoresis if indicated), exercises for strengthening and/or stretching and posture education.