Hand & Wrist


Specialized Hand and Wrist Care

The hand and wrist specialists at Tidewater Orthopaedics provide comprehensive diagnosis, treatment, and surgery for a wide range of upper extremity conditions. Our fellowship-trained surgeons have extensive expertise in treating issues including:

  • Carpal tunnel syndrome - Surgical and non-surgical options to relieve nerve compression.
  • Trigger finger - Treatments for painful locking of fingers.
  • Arthritis - Surgical and non-surgical treatments to restore hand function and reduce pain.
  • Fractures - Surgical and non-surgical treatments including but not limited to casting, internal fixation with plates/screws/pins, and external fixation.
  • Ligament and Tendon issues - Surgery to repair damaged ligaments and tendons, ligament reconstruction, repair of ruptured or lacerated flexor/extensor tendons.
  • Dupuytren's contracture - Treatments for tightened palm tissue causing curled fingers.

Whether you have an acute hand or wrist sports injury or chronic arthritis limiting dexterity, our team will provide customized care and advanced treatments when appropriate to help restore optimal function. Contact us today to have your hand or wrist condition assessed.

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Basal Joint Osteoarthritis


This condition is a degeneration of cartilage in the joints at the base of the thumb, collectively called the basal joint. The main component of the basal joint is the thumb carpometacarpal (CMC), joint. This joint, which allows the thumb to pivot and swivel, can wear out even early in life.

Carpal Tunnel Release


This surgical procedure treats the pain of carpal tunnel syndrome. It relieves pressure on a nerve that travels through your wrist. This nerve is called the "median" nerve.

Carpal Tunnel Syndrome


Pain, numbness and tingling in your hand may be from carpal tunnel syndrome. It happens when the area around the main nerve to your hand is too tight. The nerve is called the median nerve. And the small space in your wrist where it passes is called the carpal tunnel.

Dupuytren's Disease


This condition is a thickening of the fascia on the palm of the hand. The fascia is a connective tissue located just beneath the skin of the palm and fingers. This thickened fascia can form lumps or nodules under the skin, or long thick cords of tissue that extend from the palm to the fingers. Often, this thickened tissue contracts. This causes one or more fingers to curl toward the palm. This is called a flexion contracture.

Ganglion Cysts of the Hand


A ganglion cyst is a fluid-filled sac that forms as a herniation from a joint capsule or tendon sheath. The sac is attached to the joint or tendon sheath by a "stalk" that allows fluid to move into the pouch from the joint or sheath. The stalk functions as a valve and often limits fluid drainage out of the cyst, allowing the cyst to increase - but not decrease - in size. In some cases the stalk functions as a two-way valve, allowing fluid to travel in both directions. This can enable the cyst to increase and decrease in size based on activities.

Trigger Digit


This common condition, also known as stenosing tenosynovitis, is a narrowing of a portion of the tendon sheath in the finger or thumb that interferes with normal finger movement. This condition most commonly affects the ring finger, but can affect any digit. It is more common in middle-aged women, but anyone can be affected, even newborns.