We depend on our hand and wrist for a lot, from playing sports to work-related tasks. It’s no wonder hand and wrist injuries are so common. Mend Clinic, your Salem urgent care orthopedic facility, treats all types of hand and wrist injuries. Both Dr. Peter Tsai and Dr. Keith Neaman specialize in hand injuries and we invite you to learn more about our providers’ areas of expertise, types of orthopedic injuries we treat, read reviews, and see why patients choose Mend Clinic as their ER alternative in Salem, Oregon. Book your appointment online, walk-in, or call (971) 204-8410.
Damaging the fingernail is relatively common, from getting the finger shut in a car door to an overly aggressive manicure. However, don’t ignore a fingernail injury. Below the nail is a hot bed of nerves and, of course, the tip of the finger (phalange) bone. Untreated fingernail injuries (and often finger lacerations) can lead to infections, nerve damage, and even bone damage. It’s critical to keep the finger tips fully functional. Fingernail injuries are common in work-related injuries and sports injuries.
With 14 bones in the fingers of each hand, there are plenty of chances for fractures. A finger fracture, also known as a broken bone, can vary from a small hairline fracture to a shattered finger bone. The bones in the finger might be small, but this isn’t a minor injury. We need healthy finger bones for work, to play sports, and for activities of daily living. Otherwise, we might not be able to hold a pen, or grasp small objects. Fingers might be “obviously” broken or not, and without treatment, permanent pain and/or stiffness may occur.
At Mend Clinic, a common complaint is “hand pain.” That can encompass a lot, from tendonitis in the hand to a dislocated bone, finger fracture, nail bed injury, or nerve damage. The hand is a well-used, complicated part of the body prone to injury. Common diagnoses are tennis elbow, De Quervain’s, and trigger finger. Work-related injuries such as Carpal Tunnel Syndrome, finger sprains, and sports injuries like a finger jam are just a couple of reasons patients seek out hand specialists in Salem, Oregon.
Tendinitis can occur in any part of the body where there are tendons (a connective tissue that links muscle to bone). In the hand, the primary tendons are the flexor tendons, which help the hand move. Tendinitis is an inflammation of a tendon, sometimes before a rupture. Treating tendinitis immediately is key to avoiding a rupture or a chronic condition by reducing inflammation and pain through injections, rest, and ice. Tendinitis in the hand and wrist can be caused by trauma, a sports injury (particularly when regular gripping is required, like tennis), or a work-related injury. In office settings, hand and wrist tendinitis from typing is common.
A dislocated finger is a common injury. Dislocation occurs when bones are forced out of their normal position. There are three bones in each finger (two in the thumb), which means 14 bones have the potential to be dislocated. It can happen at any of the three joints in the finger, but is most common at the knuckles.
Also known as a “finger jam,” most finger dislocations are caused by force at the fingertip or over-extension (bending backward) of the finger. It’s a common sports injury, especially in baseball and basketball, or as a work-related injury. Pain, numbness, swelling, and a pale color are all typical signs of finger dislocation.
A dislocation happens whenever bones are forced from their usual position. Since the wrist is comprised of eight bones, there are many chances for a dislocation. Usually, wrist dislocation is caused by a fall, traumatic event, or sports injury. Slip and falls are the most common types of personal injury claims in the U.S., and it’s natural to try to “break” a fall with a hand. Wrist dislocation treatment will vary based on which bone(s) is dislocated and to what degree.
The scaphoid makes up the part of the wrist closest to the thumb. Located at the base of the palm, a scaphoid fracture or break most often happens when someone breaks their fall with an outstretched hand. The pain isn’t as severe as with some other broken bones, but there may be an increase in pain and/or swelling when trying to grasp an object.
Since the scaphoid is buried in the meatiest part of the hand, orthopedic treatment options can range from a cast to surgery. Part of the scaphoid has limited blood supply, which can lead to complications in healing. Seeing a Salem urgent care orthopedic clinic right away is the key to a fast, proper recovery.
The carpal bones make up the wrist. They include eight bones, and any of them could be fractured (broken). The wrist is the most common part of the entire body to be injured, and carpal bone fractures make up most wrist injuries. Thanks to the complicated shape of this part of the body, carpal bone fractures demand a hand expert. Dr. Peter Tsai, and Dr. Keith Neaman at Mend Clinic specialize in hand injuries, completing a fellowship post-residency specifically in hand and wrist trauma.
If left untreated, carpal bone fractures can lead to permanent disability. Carpal bone fractures are often caused by a hard blow during a sports injury, slip and falls, and direct wrist trauma. Up to nine percent of all sports injuries happen in the hand and wrist, and hand and wrist injuries are more common in young athletes compared to adults. Most wrist injuries occur in women (85%) and the odds of a wrist injury increase with age.
Tendonitis is the inflammation of a tendon, the tough and fibrous material that connects bone to muscle. Tendonitis can occur in any tendon, and there are many types of tendonitis. De Quervain’s tendonitis happens when the tendons that flank the thumb base become inflamed or constricted. This can cause pain along the thumb and wrist, particularly when making a fist.
The two major thumb tendons must pass through a tunnel on the thumb-side of the wrist (thus the name Carpal Tunnel Syndrome). Such a tight squeeze coupled with swollen, inflamed tendons is a recipe for pain, numbness, and weakness. Most often, De Quervain’s tendonitis is caused by a repetitive stress injury, pregnancy, and rheumatoid disease. It’s most diagnosed in middle-aged women.
Wrists might be small, but they’re made up of eight bones. If any of these eight bones in the wrist are broken, it results in a wrist fracture. The severity of a wrist fracture varies based on which bone(s) is broken and to what degree. Broken bones can range from having a small hairline fracture to a shattered bone.
One of the most common wrist fractures is a distal radius fracture. The radius is the biggest bone in the forearm and ends in the wrist at the distal end. In the arm, the radius is the most commonly broken bone, and most fractures happen one inch from the bone’s end (close to the wrist). However, there are many ways this bone can break. The most common is a “Colles fracture,” which causes the broken bone piece of the radius to lean upward. There’s also an intra-articular fracture, extra-articular fracture, open fracture (when bone breaks skin) and comminuted fracture (when a bone is broken in more than two pieces).
Even if hand pain is minor, it might be the start of a more serious or chronic condition. Pain is the body’s way of telling you something’s not right. It’s important to see an orthopedic hand pain specialist for pain management and to rule out any severe conditions – please contact Mend Clinic to book an appointment online, walk-in, or over the phone.