End Hand & Wrist Pain Today and Restore Your Comfort

Hands and wrists do more in a day than most people stop to think about — and you don’t stop to think about them until something starts to hurt. Typing, texting, cooking, writing, driving, carrying groceries, opening a water bottle — when any of that starts producing pain or numbness, daily life turns into a running list of things you can’t quite do the way you used to. At our Morganville clinic, we treat hand and wrist pain from all of the usual angles: carpal tunnel syndrome, De Quervain’s, thumb arthritis, wrist sprains, trigger fingers, and hand numbness that’s actually coming from the neck.

The key to hand and wrist care is figuring out whether the problem is local, coming from the neck, or both. Treating only the wrist when the problem is partly cervical is the most common reason patients stop improving partway through care somewhere else.

Understanding hand and wrist pain

The hand and wrist contain dozens of small bones, joints, tendons, and nerves, all packed into a small space and asked to perform the most fine-motor tasks in the body. The most common problems we see at our Morganville clinic:

• Carpal tunnel syndrome. Compression of the median nerve at the wrist, producing numbness and tingling in the thumb, index, middle, and half of the ring finger — especially at night or with driving, reading, or phone use.
• De Quervain’s tenosynovitis. Inflammation of the tendons on the thumb side of the wrist, producing sharp pain with thumb and wrist motion. Common in new parents lifting babies and in people who scroll their phones for hours.
• Thumb CMC arthritis. Wear-and-tear at the base of the thumb joint. Produces pain with pinching, key-turning, and jar-opening, typically in people over fifty.
• Ganglion cysts. Benign fluid-filled swellings at the back of the wrist that can pinch surrounding tissue and produce localized pain.
• Trigger finger. A nodule in a finger tendon that catches in its sheath, producing clicking, locking, or a snap when the finger is bent or straightened.
• Wrist sprains and tendinopathies. From falls on an outstretched hand, repetitive overuse, or sudden overload.
• Cervical radiculopathy. Numbness and tingling in the hand that’s actually coming from the neck, not the wrist.

Treating hand and wrist pain is as much about off-loading the tissue as it is about treating it. Typing, mouse work, and phone scrolling tend to drive many of these conditions, and symptoms flare faster than you’d expect if the daily load isn’t adjusted.

Our multidisciplinary approach to hand and wrist pain

Our integrated team treats hand and wrist pain as a system that runs from the neck to the fingertip.

Chiropractic care. Dr. Rick Caban addresses the mechanical contributors — restrictions in the wrist bones, elbow, shoulder, and cervical spine — that place extra load on the nerves and tendons. For carpal tunnel patients, treating the cervical spine as well as the wrist often produces markedly better results than wrist-only treatment.

Physical therapy. Dr. Robert Perniola guides nerve-gliding exercises (particularly the median nerve glides that help carpal tunnel), grip and intrinsic hand strengthening, and wrist stability work. For De Quervain’s and CMC arthritis patients, the PT program includes specific thumb strengthening and joint-protection strategies.

Acupuncture. Evidence-supported for carpal tunnel and other nerve-mediated hand conditions. Acupuncture reduces the inflammation and nerve sensitization that drives the tingling and burning.

Splinting and ergonomic guidance. A well-fitted night splint often makes a bigger difference for carpal tunnel than any single in-office treatment. We walk through desk setup, keyboard and mouse adjustments, and phone-use modifications.

What to expect on your first visit

Your first hand and wrist visit sorts out exactly where the problem lives. We run the standard orthopedic tests — Phalen’s, Tinel’s at the wrist and elbow, Finkelstein’s, CMC grind — and we screen the cervical spine and shoulder for referred symptoms. We test grip strength, pinch strength, and the fine-motor coordination of the fingers.

By the end of the visit, you know whether your problem is at the wrist, the neck, or both, and you have a specific plan. Most patients begin treatment the same day.

The work-from-home component

Since 2020, we’ve seen a sharp rise in hand and wrist problems from poorly set-up home offices. Keyboards that are too high, mouse positions that require arm abduction, laptops used on couches, and hours of continuous typing without breaks are the silent drivers. We spend time on setup at the first visit because it’s often the single most leveraged fix available.

When surgery is the right call

Most hand and wrist conditions don’t need surgery. The exceptions include advanced carpal tunnel with significant muscle wasting, trigger fingers that don’t respond to cortisone and conservative care, and certain tendon ruptures. When that’s where a case is headed, we refer to trusted local hand surgeons and handle the post-operative rehab in-house so the whole arc stays coordinated.