Hand & Wrist

There are a wide variety of small-bone and extremity injuries that affect the many bones, joints, ligaments, muscles, nerves, tendons, and other soft tissues of the hand and wrist.  Any of these components can be injured and have a significant impact on a person’s life.

A Hands-On Approach Makes a Difference

A hobby, vocation, a simple handshake — hand and wrist pain can get in the way of them all. Orthopaedics East & Sports Medicine Center has executed tens of thousands of examinations, treatments and positive results for communities across Eastern North Carolina.


A physician who listens is vital because hand and wrist injuries can come from a variety of causes. Some are due to repetitive use while others are due to trauma. Our physicians and therapists have a deep well of experience, specialization and both non-surgical and surgical options. And together we’ll find what’s right.


You may have a hand & wrist injury if:

  • Your hand or wrist is stiff and doesn’t allow full movement
  • Your hand or wrist is lacks strength to perform your daily activities
  • You are unable to perform normal functions
  • You regularly experience severe pain

Arthritis is inflammation of one or more of your joints that causes pain, swelling and stiffness. It can be caused by natural aging, injury, inflammation, or bodily disease. In the United States, 23% of all adults — more than 54 million people — have arthritis with osteoarthritis is the most common form. There are many nonsurgical and operative treatments for arthritis depending on the individual’s stage and cause of her/his arthritis.


Tendonitis is inflammation or irritation of the thick fibrous cords that attach muscle to bone, called tendons. It can be caused by repetitive stress or a sudden increase in intensity or physical activity. Achilles tendonitis, tennis elbow, golfer’s elbow, pitcher’s shoulder, swimmer’s shoulder, and jumper’s knee are all forms of tendonitis. Early symptoms include pain and tenderness over the affected tendon or bone to which it attaches. If tendonitis is not recognized or diagnosed early, it can lead to more severe issues including tears and ruptures.

Carpal Tunnel Syndrome

Carpal tunnel syndrome occurs when the median nerve — one of the major nerves to the hand — is squeezed or compressed. The carpal tunnel is a narrow passage in the wrist that protects the median nerve and flexor tendons. Compression results when the tunnel narrows or tissues surrounding the flexor tendons swell, often caused by repetitive motions like typing. This creates pressure or squeezes the median nerve causing pain, numbness or tingling in the hand or arm. This condition often gets worse over time, so early diagnosis and treatment are critical.

Endoscopic Carpal Tunnel Release Surgery

In endoscopic surgery, the surgeon uses an endoscope — a telescope-like device with a tiny camera attached to it—to see inside the carpal tunnel and perform the surgery through a small single incision in your wrist. Endoscopic surgery may allow faster recovery and less postoperative discomfort than traditional (“open”) surgery. Endoscopic surgery is minimally invasive and can be used in various body parts and conditions. >Client< has paved the way in the field of endoscopic surgical adoption and application in Eastern North Carolina for over 35 years.

Other Common Issues:
  • Bursa/Bursitis
  • Trigger Finger
  • Ganglion Cyst
  • Sprains and Fractures
    • Distal Radial
    • Metacarpal
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