Hand and Upper Extremity

Complete Care for Hands, Wrists, Elbows, and Shoulders

For hand, wrist, elbow, and shoulder problems, Middlesex Orthopedic & Spine Associates expertise is unmatched. We lead the way in treating conditions such as carpal tunnel, tendonitis, sprains, and fractures.

Our hand and upper extremity surgeons offer nonsurgical and surgical care for athletes and people of all ages with hand and upper extremity injuries. Hand and arm pain can make daily activity, including working, nearly impossible. We’ll create a treatment plan that helps you get back to your life, your sport, or your job.

Why Choose Middlesex Orthopedic & Spine Associates for Hand and Upper Extremity Injuries?

We’re the premier practice in area for injuries that affect hands and arms. We always start with most conservative treatment and then tailor options to your goals. We offer:

Fellowship-trained surgeons: Our hand and upper extremity surgeons have the highest level of training in both surgical and nonsurgical treatment. Though many people who seek care won’t need surgery, they still benefit from our surgical expertise.
Latest advancements in treatment: We offer cutting-edge therapies and newer, less invasive surgical techniques that help you heal faster. This includes wide-awake hand surgery and arthroscopic surgery, both of which lead to better outcomes.
Convenience every step of the way: We have multiple location s that offer physical therapy close by. We do everything we can to help you navigate the treatment and recovery process.

Hand and Upper Extremity Conditions We Treat

Many conditions can affect hands, wrists, and arms. Our hand and upper extremity surgeons most commonly treat:

Carpal tunnel syndrome
De Quervain tendonitis
Arthritis in hands and thumbs.
Trigger finger and mallet finger.
Dupuytren contracture in hands.
Ganglion cysts in hands and wrists.
Cubital tunnel syndrome in elbows.
Tennis elbow
Golfer’s elbow
Olecranon bursitis in elbows.
Ulnar collateral ligament (UCL) injuries.
Fractures and sprains in fingers, hands, wrists, and elbows.
Shoulder injuries (Treated by hand and upper extremity surgeons as well as sports medicine specialists)

Treatments for Hand, Wrist, and Upper Extremity Injuries

When we can, we start with conservative treatments, such as:

Medication to reduce pain, inflammation, or swelling.
Injections that relieve pain, such as steroid injections., We also use an injectable prescription medication (collagenase, or Xiaflex) to treat adults with Dupuytren contracture.
Platelet-rich Plasma Therapy (PRP). PRP is an injectable, nonsurgical procedure and regenerative therapy that promotes faster healing of hand and wrist injuries and reduces symptoms.
Physical therapy. Working with our physical therapists can help reduce pain and improve mobility. For many people, PT alone can help them get back to activities they enjoy.

Hand and Upper Extremity Surgeries We Perform

Some injuries and conditions need more intervention, including surgery. Common procedures include:

Arthroscopy: Doctors make tiny incisions and use a camera to diagnose problems with hands, wrists, elbows, and shoulders. Surgeons can also use arthroscopy to repair fractures, remove ganglion cysts, or treat other conditions.
Carpal or cubital tunnel release: Carpal tunnel surgery helps release the pressure on the median nerve (the wrist). Cubital tunnel surgery helps release the pressure on the ulnar nerve (the elbow).
Ligament surgery: Doctors make a tiny incision to either repair or replace the damaged ligament.
Microvascular (microsurgery): Microsurgery is an advanced procedure that uses tiny, precise instruments and high-powered magnification to repair the nerves and arteries in hands and wrists.
Shoulder replacement: We specialize in shoulder arthroplasty. Learn more here.
Tendon surgery: We can repair tendons in fingers, wrists, elbows, and shoulders. This includes surgeries for trigger finger, tennis elbow, and rotator cuff.
Wide-awake hand and wrist surgery: Wide-awake surgery uses a local anesthesia, mixed with epinephrine. You can communicate with the surgeon and complete range of motion tests, which leads to better outcomes.
Wrist and hand fracture care: Surgical treatments for more severe wrist and hand fractures usually consist of setting the bone and bone fragments in place with plates, screws, or pins.

Many conditions can affect hands, wrists, and arms. Our hand and upper extremity surgeons most commonly treat:

Carpal tunnel syndrome
De Quervain tendonitis
Arthritis in hands and thumbs.
Trigger finger and mallet finger.
Dupuytren contracture in hands.
Ganglion cysts in hands and wrists.
Cubital tunnel syndrome in elbows.
Tennis elbow
Golfer’s elbow
Olecranon bursitis in elbows.
Ulnar collateral ligament (UCL) injuries.
Fractures and sprains in fingers, hands, wrists, and elbows.
Shoulder injuries (Treated by hand and upper extremity surgeons as well as sports medicine specialists)

When we can, we start with conservative treatments, such as:

Medication to reduce pain, inflammation, or swelling.
Injections that relieve pain, such as steroid injections., We also use an injectable prescription medication (collagenase, or Xiaflex) to treat adults with Dupuytren contracture.
Platelet-rich Plasma Therapy (PRP). PRP is an injectable, nonsurgical procedure and regenerative therapy that promotes faster healing of hand and wrist injuries and reduces symptoms.
Physical therapy. Working with our physical therapists can help reduce pain and improve mobility. For many people, PT alone can help them get back to activities they enjoy.

Some injuries and conditions need more intervention, including surgery. Common procedures include:

Arthroscopy: Doctors make tiny incisions and use a camera to diagnose problems with hands, wrists, elbows, and shoulders. Surgeons can also use arthroscopy to repair fractures, remove ganglion cysts, or treat other conditions.
Carpal or cubital tunnel release: Carpal tunnel surgery helps release the pressure on the median nerve (the wrist). Cubital tunnel surgery helps release the pressure on the ulnar nerve (the elbow).
Ligament surgery: Doctors make a tiny incision to either repair or replace the damaged ligament.
Microvascular (microsurgery): Microsurgery is an advanced procedure that uses tiny, precise instruments and high-powered magnification to repair the nerves and arteries in hands and wrists.
Shoulder replacement: We specialize in shoulder arthroplasty. Learn more here.
Tendon surgery: We can repair tendons in fingers, wrists, elbows, and shoulders. This includes surgeries for trigger finger, tennis elbow, and rotator cuff.
Wide-awake hand and wrist surgery: Wide-awake surgery uses a local anesthesia, mixed with epinephrine. You can communicate with the surgeon and complete range of motion tests, which leads to better outcomes.
Wrist and hand fracture care: Surgical treatments for more severe wrist and hand fractures usually consist of setting the bone and bone fragments in place with plates, screws, or pins.