Hand pain and hand injury
The hand surgeons at Duke’s nationally ranked orthopaedic center offer advanced care for common hand pain and injuries like arthritis, fractures and cysts, as well as uncommon hand conditions and hand, finger and thumb reattachments associated with amputation. Our hand doctors are leaders in innovative surgeries reattaching amputated hands, fingers and thumbs, as well as microsurgical techniques to repair nerves and arteries that may be damaged.
National leader in hand pain and injuries
Normal hand function is fundamental to your quality of life. The hand specialists at Duke Orthopaedics are committed to eliminating symptoms due to all causes of hand pain and discomfort, including carpal tunnel syndrome, thumb arthritis, joint dislocations, nail-bed injuries and trigger finger. We pioneered many microsurgical techniques. These innovative procedures are done with high-powered microscopes that allow our surgeons to see vessels and nerves that are too small to be repaired without magnification, and stitches are smaller than an eyelash. As a major referral center, we have gained extensive experience using microsurgery to repair damaged nerves and blood vessels in your hands, fingers and thumbs.
Choose Duke to treat your hand pain or injury because we offer:
- Expertise in reattachment. Our hand surgeons performed the first reattachment of an amputated thumb in North Carolina. And since then, we have performed thousands of reattachment surgeries here at Duke. We routinely use microsurgery to repair nerves and blood vessels in the hands and fingers that are too small to see without magnification. As a result of our expertise and experience, you have the best chance for optimal function and faster recovery.
- Highly specialized team of surgeons. Our fellowship-trained orthopaedic surgeons have undergone additional years of specialized training in hand, wrist, elbow and upper arm issues. We are dedicated to treating patients with injuries and conditions in the hands and arms. Our orthopaedic program is consistently ranked as one of the top in the country by U.S. News & World Report.
- Expert treatment for sports injuries. Our team are experts in treating sports injuries in the hands, fingers or thumbs including overuse injuries -- like mallet finger and skier's thumb -- and traumatic injuries.
- Safer surgery, faster recovery. When possible, our doctors use minimally invasive procedures to speed up your recovery and lower your risk of complications.
- Dedicated hand physical therapy. Our therapists offer the full range of physical therapy treatments for hand pain, injuries and trauma post-surgery. You’ll work closely with our dedicated hand physical therapists until you have healed completely.
HAND PAIN AND INJURY
You’ll work with Duke’s hand surgeons to develop a personalized treatment plan with the goal of restoring your movement and eliminating your pain.
Our hand surgeons perform all types of surgery, including nerve decompression to relieve pain due to pressure on nerves caused by tumors, tendonitis, the removal of cysts, and nerve and tendon repair. We also offer these advanced surgeries:
- Microsurgery. Duke doctors helped to develop microsurgery techniques using high-powered microscopes to see and repair tiny hand vessels and nerves. Our doctors use this method to reattach hands, fingers or thumbs that have been amputated due to an accident or injury.
- Finger and thumb joint replacement. If surgery is required, finger or thumb joints damaged by arthritis can be replaced with a prosthetic implant or tendon graft by our hand surgeons who are specialists in joint replacement in the hand, wrist and elbow.
- Thumb CMC surgery. Surgery on the carpometacarpal (CMC) joint, located at the base of the thumb. This procedure may involve fusing the joint together, taking out the affected trapezium bone and using tendon to reconstruct the ligament or replacing the thumb joint altogether.
When appropriate, our doctors and physical therapists treat pain and injuries with noninvasive therapies such as customized splinting and rehabilitation exercises.
HAND PAIN AND INJURY
Duke’s hand surgeons use a variety of methods to assess the cause of hand and finger pain, numbness, tingling and swelling.
In addition to X-rays, MRI and CT scans may be used to get a more complete look at soft tissue injuries affecting ligaments, cartilage and tendons.
This nuclear imaging test can help diagnose early-stage arthritis.