Hand Therapy to Help Your Hands Work Their Best
Whether you're recovering from surgery, managing a condition, or healing from an injury, our specialized hand therapy team will help restore strength, mobility, and function to your hands. At Portland Hand Clinic, we provide personalized treatment plans to help you regain independence and return to the activities you love.
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These are some common hand conditions we treat:
Trigger Finger
A trigger finger is when a finger or thumb gets stuck in a bent position. This happens when the tendon that controls the finger can’t glide smoothly in the pulley system that surrounds it. Trigger finger treatment can include splinting, steroid injections or surgery.
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Dupuytren’s Contracture
Dupuytren’s contracture is a condition where the fibrous tissue in the palm becomes abnormally thick. It can sometimes appear as bumps or cords that may become bigger and thicker over time. In more severe cases, the cords or bumps can pull the fingers into a bent position such that it is impossible to fully open the fingers. Treatment is for patients who can no longer get the palm flat to the table. Treatment for Dupuytren’s contracture can either be a needle aponeurotomy, collagenase injection or with surgery.
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Learn more at:
https://www.assh.org/handcare/condition/dupuytrens-contracture
Mallet Finger
A mallet finger is a deformity of the finger usually caused by an injury to the extensor tendon causing the end of the finger to droop and look crooked. X-rays images are needed to determine appropriate treatment. Treatment can be with splinting or surgery.
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Extensor Tendon Injuries
The extensor tendon straightens your fingers or cocks your wrist back. Extensor tendon injuries can result from lacerations (or cuts) to the finger or hand, tearing of the tendon from the bone or a fracture at the tendon attachment to the bone. Treatment depends on the type of injury. Treatment options can include splinting and surgery.
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Learn more at:
https://www.assh.org/handcare/condition/extensor-tendon-injury
Flexor Tendon Injuries
A flexor tendon is what allows our fingers to bend into a fist. Flexor tendon injuries usually result from lacerations (or cuts) to the finger or hand. But a flexor tendon injury can also occur if the tendon end pulls away from the bone. If a tendon is ruptured or lacerated, you will not be able to bend part of your finger or hand. Surgery will be needed to repair the flexor tendon right away.
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Learn more at:
https://www.assh.org/handcare/condition/flexor-tendon-injury
Thumb Arthritis
Thumb arthritis, also known as basal joint arthritis or CMC joint arthritis, is the second most common type of arthritis in the hand. Thumb arthritis may result in pain at the base of the thumb with pinching, grasping or gripping activities. Treatment options are based on the severity of symptoms and can involve anti-inflammatory medications, bracing, occupational therapy, steroid injections or even surgery.
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Hand and Finger Fractures
The hand has multiple levels of bones – the metacarpals and the phalanges. The metacarpals provide a framework for the hand at the palm. The phalanges refer to the bones in the fingers and thumb. Bones in the hand can be broken by impact, a crush injury to the hand or a twisting injury to the fingers. The location and displacement of the fractured bone will determine the proper treatment and rehabilitation.
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Carpal Tunnel Syndrome
Carpal tunnel syndrome is caused by pressure on the median nerve in the carpal tunnel of the wrist. When the median nerve is compressed, symptoms can present as numbness and tingling and weakness in the thumb and fingers. Proper treatment for carpal tunnel syndrome is directed toward relieving the tingling and numbness to restore hand function.
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Learn more at:
https://www.assh.org/handcare/condition/carpal-tunnel-syndrome
DeQuervain's Tenosynovities
DeQuervain’s tenosynovitis is a painful condition affecting the tendons on the thumb side of the wrist. The exact cause of deQuervain’s tenosynovitis is unknown but any activity that relies on repetitive hand or wrist movement (e.g., gardening, golf or racket sports, or lifting a baby) can make it worse.
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Learn more at:
https://www.assh.org/handcare/condition/dequervains-tenosynovitis
Ganglion Cysts
Ganglion cysts are lumps at the hand and wrist that occur near joints or tendons. They are very common and are filled with a clear, gel-like fluid. Ganglion cysts may or may not be painful. Treatment options are observation, aspiration or surgical excision.
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