Treatments & Procedures
The physicians and specialists at Doctors Hospital of Manteca offer a range of treatments for your hand or wrist pain, including pain management, rehabilitation, physical therapy or minimally invasive surgery.
See the information below on treatments and procedures for hand and wrist conditions.
For a comprehensive diagnosis and personalized treatment plan, schedule an appointment with one of our physicians at (800) 470-7229, or use our Find A Physician tool
A surgeon may use anti-inflammatory or other analgesic medication to treat arthritis pain. In addition to finger or wrists splints and the use of hot and cold modalities to moderate swelling, the surgeon may also require hand therapy to maintain the strength and mobility of hand muscles.
Surgeons perform this minimally invasive surgery to reattach the biceps tendon to the upper or lower biceps when nonsurgical treatment doesn’t relieve pain. Surgery in the shoulder involves two to three small incisions and an arthroscopic camera to navigate and reattach the tendon to the upper arm bone. Surgery in the elbow uses one to two incisions in the forearm.
Carpal tunnel release surgery
To relieve numbness and tingling in the hand, surgeons make a tiny incision in the palm to relieve pressure on the median nerve. The patient may have to wear a wrist splint to allow healing.
Cubital tunnel release surgery
In this outpatient procedure, the surgeon makes a small incision on the inside of the elbow, taking pressure off the ulnar nerve. The patient may feel improvement immediately or over time, but it may take several months to regain full strength in that hand and wrist.
De Quervain’s release surgery
Surgeons perform this outpatient procedure by making a small incision on the wrist near the base of the thumb. Once the inflamed tendon is located, a tiny slit is made to relieve pressure and friction.
Elbow & wrist arthroscopy
Surgeons perform this minimally invasive surgery by using two to three incisions to insert a small camera and miniature instruments into the wrist or elbow joint. While under anesthesia, the camera projects the site onto a monitor so surgeons can review damage surrounding cartilage, tendons and ligaments.
Surgeons tend to use a sling or cast to allow healing, but depending on the severity of injury, improved and faster healing can occur with a surgical procedure. For example, elbow bone fractures can be realigned or cleansed of bone fragments, and risk of infection can be minimized for through-the-skin fractures.
Gamekeeper thumb surgery – thumb UCL repair
A surgeon evaluates the patient’s thumb UCL (ulnar collateral ligament) by making a small incision on the back of the thumb. Once the surgeon locates the damaged soft tissue, the ligaments are anchored back to the bone with sutures.
Ganglion cyst removal
This outpatient procedure relies on the surgeon to make a small incision just above the location of the fluid-filled sac. The surgeon will then isolate the cyst from surrounding tissues and remove the stalk of the cyst.
Golfer’s elbow (medial epicondylitis) treatment
While most cases of golfer’s elbow are treated with daily ice application, medication and rest, surgeons treat more serious cases using a compression brace on the forearm for force reduction as well as an injection into the tendon to reduce pain and inflammation.
The hand surgeon will make an incision along the top of the wrist to remove the arthritic surface, then fuse together each side of the joint and then secure the bones with pins, a plate or screws. Once the incision is closed, the joint is placed in a protective splint for healing.
Joint replacement surgery
Surgeons will remove damaged or abnormal bone and replace them with new parts made of special carbon-coated implants, metal or plastic. Finger procedures are done by cutting the back of the finger, where the damaged bone is cut away to make room for the implant.
Microsurgical repair for fingertip injuries
This surgery requires extremely fine precision. The surgeon uses precision instruments to preserve or restore functions to delicate structures and tissues such as nerves and blood vessels.
Minimally invasive Dupuytren’s contracture surgery
To improve upon severe cases, surgeons perform this outpatient procedure using just two to three incisions. The surgeon locates the contracture and cuts away at the thickened cords of the fascia (the layer just beneath the skin) to help relax the hand to restore proper function.
Nerve decompression surgery
For severe cases of discomfort from a pinched nerve at the elbow or wrist, the surgeon will make small incisions around the surrounding ligaments, enlarging the tunnel and taking pressure off the nerve.
Tendon repair surgery
Repairing a ruptured or severed tendon in the hand requires an incision in the hand or wrist. After carefully uniting all parts of the end of the tendon, the surgeon will trim the tendon and reconnect it using sutures and then place the hand or arm in splint for healing.
Tennis elbow treatment
Ice, pain medicine and rest can all treat most tennis elbow injuries. Some additional treatments may include wearing a brace to reduce force to the elbow and excessive strength exercises to build strength.
Tommy John surgery for UCL tear
Surgeons repair medial ulnar collateral ligaments (UCL) by creating a graft to reconstruct torn UCLs. After drilling holes in the area surrounding the elbow, the orthopedic surgeon harvests part of the patient’s body (typically from a tendon in the forearm) to recreate part of the UCL.
Trigger finger release surgery
Surgeons perform this operation to release constrictions of the tendon in the hands of patients with trigger finger. This minimally invasive surgery is done with a small incision in the palm of the hand followed by the use of cutting instruments to divide the tendon and release the constriction.
Let Doctors Medical Hospital of Manteca connect you with a physician in your area
Call (800) 470-7229 or use our Find A Physician tool
to find an orthopedic specialist who can answer your questions.
You can also read more about diseases and conditions in our Health Library