The wrist and hand are commonly injured in falls and during repetitive activities. Wrist and hand pain can come from joint arthritis, tendon and nerve inflammation, and commonly seen conditions such as carpal tunnel syndrome. Overuse wrist injury is frequently a result of weakness of the core and upper and lower limb muscles.
A thorough examination is conducted on every patient. Dr. Kaplan’s osteopathic training allows him to diagnose small subluxation of the wrist and hand joints that can be a source of a previously undiagnosed pain. Gentle manipulation of these joints is frequently performed during examination for diagnostic and therapeutic purposes. Structural deficits, restrictions, as well as muscle weakness and imbalances are identified. X-rays and state of the art ultrasound technology are used for diagnosis of structural wrist and hand problems. High-resolution ultrasound imaging is advanced enough to see carpal tunnel syndrome related nerve injury, tendonitis and joint swelling that can be a cause of acute and chronic pain. Advanced imaging techniques such as MRI can be used for further assessment.
Wrist and joint and tendon problems are a common source carpal tunnel syndrome.
A combination of ligamentous instability, cartilage degeneration and joint inflammation are typically the underlying cause.
OWM Integrative Wellness offers cutting effective treatments to include dextrose prolotherapy, PRP, stem cell and peptide therapy to help the wrist and hand region heal naturally.
Ultrasound guided Prolozone injections of the wrist and hand joints can relieve pain and inflammation of the arthritic joints. Frequently these joints are a victim of underlying ligamentous instability. Dr. Kaplan utilizes the Hackett Hamwall Method to treat the entire wrist and hand ligament and tendon complex to promote joint stabilization. Unlike a more commonly used target specific approach where just the wrist joint is injected, our technique restores stability to the areas around the joint. This not only allows for better healing but prevents recurrence of breakdown of the area in the future. Regenerative treatments of the wrist and hand effectively restore function and frequently eliminate the need for surgery.
Concentrated dextrose solution is the first line of our regenerative treatments. When injected around the ligaments and deep muscles of the wrist and hand, it promotes ligament regeneration and mild cartilage repair.
PRP (platelet rich plasma) is a stronger biocellular treatment. It promotes joint cartilage regeneration and repair of worn cartilage and ligament. PRP Prolotherapy technique is used in more advanced arthritic and degenerative cases. It directly delivers growth factors in the damaged tissue and activates a signaling mechanism that stimulates body’s stem cell production and recruitment to the site of injury. Repair and new tissue growth occurs quickly and naturally.
Stem Cell therapy is the most advanced regenerative technique available. Stem cells are extracted from either the bone marrow or fat and are immediately reinjected in and around the hip joint. Direct delivery of mesenchymal stem cells into the affected area allows for repair by growth of new healthy tissue.
Dr. Kaplan’s in-depth knowledge of peptide therapy allows him to stimulate repair and regeneration with specifically selected peptides. Tissue repairing peptides BPC and Thymosin beta 4 are used in the injection solutions and CJC/ Ipamorellin is often used to stimulate stem cell activity prior to the procedure.
These peptides stimulate and enhance, Dextrose prolotherapy, PRP and Stem cell’s regenerative potential.
Ultrasound guided approach ensures accurate and safe placement of regenerative solutions directly into the shoulder joint and surrounding injured tissues.
Dr Kaplan uses solutions that are natural and are extremely well tolerated.