Hand and Wrist Care
Comprehensive orthopedic care for hand and wrist injuries and chronic conditions
Hand and wrist pain, numbness, weakness and injuries can interfere with work, sleep and everyday tasks. Monument Health Orthopedic & Specialty Hospital provides evaluation and treatment for a range of hand and wrist conditions, from acute injuries and fractures to chronic hand problems such as carpal tunnel.
Our team focuses on relieving pain, restoring function and helping you return to daily life with confidence. Treatment recommendations are based on your diagnosis, symptoms, activity level and goals for recovery.
Conditions We Treat
Conditions we evaluate and treat include:
- Carpal tunnel syndrome
- Chronic hand ailments
- Ganglion cysts
- Hand arthritis
- Hand fractures
- Hand injuries
- Ligament injuries
- Nerve compression
- Tendon injuries
- Thumb arthritis
- Trigger finger
- Wrist pain
Hand and wrist treatments and procedures
Treatment options may include:
- Carpal tunnel release
- Cyst removal
- Fracture care
- Hand surgery
- Joint replacement
- Joint and tendon injections
- Dupuytren’s surgery and injection
- Minimally-invasive orthopedic procedures
Your care plan may include non-surgical treatment, procedural care or surgery depending on the condition being treated and how much it affects your daily function.
When to seek care
It may be time to schedule an evaluation if you have persistent hand and wrist pain, numbness, weakness, swelling, limited motion or an injury that is not improving. For certain recent injuries, Monument Health also offers walk-in orthopedic care through OrthoExpress, which treats common injuries including those involving the hands, wrists or shoulders.
Need care now? Explore OrthoExpress.
Explore OrthoExpress
Find a Provider
At Monument Health, you’ll receive expert care from a comprehensive team of healthcare providers and specialists. Our providers diagnose, treat and manage a wide range of health conditions and concerns. Find a provider who can help you understand your options and build a care plan around your individual needs.
Take the next step toward hand relief
Whether you are dealing with a recent injury or an ongoing hand problem, Monument Health Orthopedic & Specialty Hospital can help you find the right orthopedic care for your needs.
What hand conditions does Monument Health treat?
Conditions we evaluate and treat include:
- Carpal tunnel
- Chronic hand ailments
- Hand fractures
- Hand injuries
- Trigger finger
- Arthritis of the hand
- Tendon injuries
- Nerve compression
- Ligament injuries
What treatments are available for hand conditions?
Treatment options may include:
- Carpal tunnel release
- Fracture care
- Hand surgery
- Joint injections
- Minimally-invasive orthopedic procedures
Your care plan may include non-surgical treatment, procedural care or surgery depending on the condition being treated and how much it affects your daily function.
When should I see a doctor for hand pain?
If you have persistent numbness, swelling, limited motion or an injury that is not improving, it may be time to see a doctor. Schedule an appointment if you have hand pain that gets in the way of your usual activities and sleep patterns. Lasting nerve and muscle damage can occur without treatment.
Can I walk in for a hand injury, or do I need an appointment?
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Where are Monument Health hand care providers located?
Hand care providers are located at Monument Health Orthopedic & Specialty Hospital in Rapid City.
Should I go to the ER, urgent care or OrthoExpress for a hand injury?
Content coming soon.
Do I need a referral to see a hand specialist?
Content coming soon.
What are the symptoms of carpal tunnel syndrome?
Symptoms of carpal tunnel syndrome tend to start slowly and include:
- Tingling and numbness. Tingling and numbness may occur in the fingers or hand and come and go. Most of the time, the thumb, index, middle and ring fingers are affected, but not the little finger. You might have a feeling like an electric shock in these fingers. These symptoms often happen while holding a steering wheel, phone or book, or they may wake you from sleep. The feeling also can travel from the wrist up the arm. Many people “shake out” their hands to try to lessen their symptoms. The numb feeling may become constant over time.
- Weakness. People with carpal tunnel syndrome may have weakness in the hand and drop objects. This may be due to numbness or to a lack of strength in the thumb’s pinching muscles, which the median nerve also controls.
Are there non-surgical treatments for carpal tunnel or arthritis?
Yes. If the condition is diagnosed early, nonsurgical treatments may help improve carpal tunnel syndrome, including:
- Wrist splinting. A splint that holds the wrist still while you sleep can help ease nighttime symptoms of tingling and numbness. Even though you only wear the splint at night, it can help prevent daytime symptoms. Nighttime splinting may be a good option if you’re pregnant because it does not involve the use of any medicines to be effective.
- Pain relievers. Pain relievers may help lessen pain from carpal tunnel syndrome in the short term, but no evidence shows that they improve carpal tunnel syndrome. To lessen discomfort from carpal tunnel syndrome, consult with a physician first before trying a pain reliever that you can buy off the shelf as there are some risks with these medications: acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve).
- Corticosteroids. A healthcare professional may inject the carpal tunnel with a corticosteroid medicine such as cortisone to ease pain. Ultrasound imaging might be used to guide the needle. By reducing swelling, corticosteroids lessen pressure on the median nerve. Oral corticosteroids aren’t as effective as corticosteroid shots for treating carpal tunnel syndrome.
If rheumatoid arthritis or some other inflammatory arthritis causes carpal tunnel syndrome, treating the arthritis may lessen symptoms of carpal tunnel syndrome. But research has not proved this.