Hand and Wrist Conditions in Missoula, Montana

Providing Comprehensive Wrist and Hand Care for Patients Throughout Montana

Hand and Wrist Conditions Missoula, Montana

Pain in your hand or wrist can make simple tasks feel impossible. At Northern Rockies Orthopaedic, we diagnose and treat a wide range of hand and wrist conditions in Missoula, Montana, including carpal tunnel syndrome, trigger finger, basal joint arthritis, and wrist injuries caused by sports injuries or direct trauma.

Whether you’re experiencing numbness from a pinched median nerve, swelling around the tendon sheath, or stiffness that limits your hand function, our team offers proven treatment options, from anti-inflammatory medications and steroid injections to surgical treatment and physical therapy. Contact us today at (406) 728-6101 or use our online contact form to find relief.

Understanding Hand and Wrist Anatomy

The wrist joint contains eight carpal bones that connect the hand to the forearm, supported by layers of soft tissue, including the joint capsule, tendon sheaths, and ligaments. Flexor tendons and extensor tendons control finger and thumb movement, while nerves like the median nerve and ulnar nerve carry signals for sensation and muscle control.

When any part of this system is irritated or injured, you may feel hand and wrist pain, numbness, weakness, or loss of wrist function. Since these structures are essential to daily tasks, even minor problems can significantly limit hand function.

Common Conditions Related to Hand and Wrist Pain

Pain, stiffness, or weakness in your hand or wrist may be caused by a variety of issues, ranging from nerve injuries and soft tissue injuries to problems with bones, joints, ligaments, or tendons. Many of these conditions can significantly limit hand function and make everyday tasks difficult. Some hand and wrist conditions develop gradually from repetitive use, while others are caused by sports injuries, direct trauma, or falls on an outstretched hand.

If you’re experiencing any of these symptoms, the team at Northern Rockies Orthopaedic can assess your hand and wrist function, discuss your treatment options, and help you find relief.

Missoula, Montana Hand and Wrist Conditions

This condition occurs when the median nerve becomes compressed as it passes through the carpal tunnel, a narrow passageway in the wrist. Carpal tunnel syndrome can cause pain, numbness, tingling, or weakness in the fingers, which often worsens at night.

When symptoms are more severe or persistent, surgical treatment may be recommended to relieve pressure on the nerve and restore normal hand function.

Cubital tunnel syndrome develops when the ulnar nerve becomes compressed at the elbow, resulting in numbness, tingling, or weakness in the ring and little fingers. Although the compression begins at the elbow, it can lead to hand pain and reduced grip strength over time.

Early care with anti-inflammatory medications, bracing, or physical therapy can ease symptoms, but more advanced cases may require surgery to restore comfort and function.

De Quervain’s tenosynovitis affects the tendons along the thumb side of the wrist, causing pain and swelling near the base of the thumb. Symptoms often worsen with pinching, gripping, or twisting motions.

Treatment for this common form of tendonitis may include corticosteroid injections, splinting, and physical therapy to reduce inflammation and restore comfortable movement.

Stenosing tenosynovitis, also known as “trigger finger” or “trigger thumb”, is a condition that causes the affected finger or thumb to catch or lock when bent. It results from irritation of the flexor tendons as they pass through the tendon sheath, which can become swollen or thickened. Steroid injections, splints, or surgical intervention may be needed to restore smooth movement.

Injury or overuse can lead to inflammation or tearing of the extensor or flexor tendons, which control movement in the fingers, thumb, and wrist. This typically results in localized pain, swelling, and weakness when moving the hand or wrist.

Depending on the severity, treatment may include rest, anti-inflammatory medications, physical therapy, or, in some cases, surgery to provide relief and restore function.

This form of arthritis affects the base of the thumb, where the basal joint connects the thumb to the wrist. It often leads to pain during pinching, gripping, or twisting motions.

Treatment for basal joint arthritis may include bracing, steroid injections, or, in more severe cases, surgical treatment to reduce joint pain and improve hand strength and mobility.

Finger joint and wrist arthritis is commonly caused by wear and tear in the wrist joint or the last joints of the fingers. It can cause joint pain, stiffness, and swelling. This condition often develops with age or following an injury.

Treatment options may include anti-inflammatory medications, splinting, corticosteroid injections, or surgery to improve movement and ease discomfort.

The triangular fibrocartilage complex (TFCC) is a group of cartilage and ligaments on the pinky-finger side of the wrist that helps stabilize and support the wrist joint. A tear in this area can cause wrist pain, clicking, and weakness, especially with rotation or gripping. These injuries often result from a fall, sports injuries, or repetitive use.

Treatment for TFCC tears may involve rest, splinting, and, if symptoms continue, surgical intervention to restore strength and function.

This injury occurs when the ulnar collateral ligament at the base of the thumb is stretched or torn, usually from a direct impact that forces the thumb into an abnormal position. It can lead to pain, swelling, and instability when pinching or gripping objects. While mild cases may improve with splinting, more significant tears often require surgery to restore strength and stability.

A common carpal bone fracture, such as a scaphoid fracture, can occur after a fall on an outstretched hand. These wrist injuries often cause swelling, bruising, and pain that worsens with motion. Depending on the type of break, surgical treatment or casting may be necessary to restore alignment and support proper blood supply to the bone.

Dislocations occur when bones are forced out of place, often due to direct trauma or sports injuries. This can affect the carpal bones, thumb, or fingers, and usually leads to visible deformity, pain, and loss of wrist function. Prompt treatment is essential to realign the joint and protect the surrounding soft tissues.

Dislocations occur when bones are forced out of place, often due to direct trauma or sports injuries. This can affect the carpal bones, thumb, or fingers, and usually leads to visible deformity, pain, and loss of wrist function. Prompt treatment is essential to realign the joint and protect the surrounding soft tissues.

Crushing injuries can cause severe damage to the soft tissues, nail beds, and even the bones of the hand. They often result in significant pain, swelling, and bleeding. Treatment depends on the severity and may involve wound care, nail repair, splinting, or surgery to promote healing and restore function.

These noncancerous lumps commonly form near wrist joints or tendons and can vary in size. While many are painless, some may press on nearby nerves or restrict movement, leading to wrist problems. Depending on the symptoms, treatment options may include monitoring, fluid drainage, or surgical removal.

This benign growth develops along a tendon sheath, usually in the fingers or hand, and may cause swelling, stiffness, or discomfort. Although it grows slowly, it may interfere with normal movement over time. Surgical treatment is typically recommended to remove the mass and reduce the likelihood of it recurring.

Diagnosing Hand and Wrist Conditions in Missoula, Montana

Our Missoula wrist and hand specialists take a thorough approach to diagnosing conditions affecting the hand and wrist. 

Your visit begins with a detailed discussion about your symptoms, how long they’ve lasted, and how they affect your daily life. We conduct a thorough physical examination and may order imaging tests, such as X-rays or MRIs, to assess the bones, soft tissues, tendons, and nerves. 

Identifying the exact source of your hand and wrist pain allows us to recommend the most effective treatment options. 

Hand and Wrist Conditions Montana

Conservative Care Options for Wrist and Hand Pain at Northern Rockies Orthopaedic

At Northern Rockies Orthopaedic, our skilled orthopedic care team offers a range of conservative treatment options to help reduce wrist pain, improve hand function, and support healing without the need for surgical intervention. Depending on your hand and wrist condition, we may recommend anti-inflammatory medications, corticosteroid injections, splinting, or activity modifications to protect irritated joints, tendons, or nerves.

For many common hand and wrist conditions, like trigger finger, De Quervain’s tenosynovitis, or mild carpal tunnel syndrome, these non-surgical methods can help relieve pressure, reduce swelling, and restore comfortable movement. We also work closely with our certified hand therapists who provide personalized physical therapy to improve strength, flexibility, and control.

Hand and Wrist Pain Missoula, Montana

Common Hand and Wrist Surgical Procedures in Montana

When conservative care isn’t enough to reduce hand and wrist pain or restore movement, surgical hand and wrist treatment in Missoula may be recommended. At NRO, we provide a variety of procedures designed to relieve pain, correct damage, and improve hand and wrist function for patients across Montana.

This procedure relieves pressure on compressed nerves in the hand and wrist to treat conditions like carpal tunnel syndrome and cubital tunnel syndrome. By releasing tight ligaments or swollen tissues, the surgery helps restore nerve function and reduce pain, numbness, and weakness.

Tendon and ligament repair surgery restores function when flexor tendons, extensor tendons, or ligaments, such as the ulnar collateral ligament, are torn or overstretched. The procedure involves stitching torn tissues back together or reattaching them to the bone, allowing the hand or wrist to heal properly and regain a full range of motion.

To treat severe scaphoid fractures or other carpal bone fractures, surgeons may use pins, plates, or screws to hold the broken bones in place. This technique helps preserve the bone’s blood supply, supports proper healing, and ensures correct alignment within the wrist joint.

Joint fusion, realignment, or replacement surgeries can treat joint pain and stiffness caused by basal joint arthritis, finger arthritis, or TFCC damage. Surgery helps restore mobility and reduce discomfort when other treatments don’t provide relief.

Ganglion cysts and giant cell tumors can press on nearby nerves or soft tissues, causing pain or limited motion in the hand or wrist. If a cyst or tumor continues to grow or interferes with your hand function, surgical removal may be recommended.

Hand and Wrist Conditions Missoula, MT

Find Relief from Hand and Wrist Pain with the Orthopedic Specialists at NRO

If you’re living with hand and wrist pain that interrupts your work, hobbies, or daily activities, the team at Northern Rockies Orthopaedic is here to help. Whether you’re dealing with a common injury or a long-standing condition, we offer personalized care to improve your hand and wrist function and help you find lasting pain relief. 

From advanced diagnostics to innovative surgical options, we’re committed to helping you restore mobility and get back to doing what you enjoy. Call us today at (406) 728-6101 or contact us through our online form to schedule an appointment. 

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