Wrist and Hand Supportive Therapy Services Offered in Buffalo, NY

wrist injury

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. 

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wrist injury


Diagnostic Tools

A thorough examination is conducted on every client. Dr. Kaplan’s osteopathic training allows him to diagnose small subluxation of the wrist and hand joints that can be a source of 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 the 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. 

manual exam

Manual Exam







Dextrose and biocellular prolotherapy  

Ultrasound-guided Prolozone and prolotherapy injections of the wrist and hand joints and nerves can relieve pain and inflammation. Frequently wrist 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 the recurrence of the 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.  

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 before the procedure. These peptides stimulate and enhance Dextrose prolotherapy, PRP, and Stem cells’ regenerative potential. 

wrist injury

PRP (platelet-rich plasma) is a stronger cellular 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 the body’s stem cell production and recruitment to the site of injury. Repair and new tissue growth occur quickly and naturally.  

Self-renewal cellular 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 the growth of new healthy tissue.  

Median and Ulnar Nerve prolotherapy. Median and ulnar nerve entrapment at the wrist is common. Ultrasound guided injection of healing and anti-inflammatory solutions around both nerves reduces inflammation and promotes repair.

Low Level Laser Interstitial therapy. Cutting edge German technology allows placement of a fiberoptic laser wire through a needle directly into the area of injury. It can be placed into a tendon, joint or next to a nerve. Blue, green and red frequencies are used to activate injected solutions and directly stimulate oxygenation and repair of injured tissues.

What to know before you go

Wrist joint, tendon and nerve problems are common sources of hand pain. A combination of ligamentous instability, cartilage degeneration, and joint and nerve inflammation are typically the underlying causes. OWM Integrative Wellness offers cutting-edge effective treatments including dextrose prolotherapy, PRP, self-renewal cellular therapy, low level laser therapy and peptide therapy to help the wrist and hand region heal naturally. 


The ultrasound-guided approach ensures the accurate and safe placement of regenerative solutions directly into the shoulder joint and surrounding injured tissues. Dr. Kaplan uses solutions that are natural and extremely well-tolerated.   

If you have wrist or hand pain that holds you back from loving your life, OWM Integrative Wellness is ready to guide you to wellness. Call the office or request an appointment online today.

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Services We Offer

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