Non-Surgical Treatments

Rest, Ice, Compression, and Elevation (R.I.C.E.)

This is the most commonly suggested treatment option. Staying off (resting) the injured hand and wrist can help heal the condition. Covering the affected area with ice packs over a towel reduces swelling and pain. Compression stockings or elastic bandages and elevation helps to keep the swelling down.

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Medications

Prescribed non-steroidal anti-inflammatory drugs (NSAIDs) and/or opioids may be recommended for the management of pain and inflammation.​

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Immobilization

Casts and splints are used to immobilize your fractured hand and wrist. Your doctor may suggest splints immediately after an injury to reduce inflammation. Once the swelling goes down, casting may be necessary to protect the fractured or injured bones.​

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Hand Therapy

Hand therapy may be recommended to improve range of motion, flexibility and strengthen the hand and wrist muscles. Your hand therapist works closely with your doctor and teaches you various physical therapy exercises. 

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Steroid Injections

A mixture of steroid and anesthetic is injected into the joints of your hand to reduce pain and inflammation. It is used to treat hand and wrist conditions such as carpal tunnel syndrome, arthritis, trigger finger, tennis elbow, and tendonitis. 

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Needle Aponeurotomy

Needle aponeurotomy (NA) is a minimally invasive, in-office procedure used to treat Dupuytren's contracture, a condition that causes fingers to bend uncontrollably into the palm. Under local anesthesia, a physician uses a needle to puncture and break the tight cords of scar tissue, instantly allowing the finger to straighten.

 

Xiaflex Injection​

Xiaflex (collagenase clostridium histolyticum) is an FDA-approved, nonsurgical injectable medication used to dissolve excess collagen in targeted scar tissue. It is primarily prescribed for the treatment of Dupuytren's contracture