Hand & Wrist Orthopedics in Dallas — Comfortable Grip, Confident Control

No. Many cases improve with night splinting, task pacing, ergonomics, and nerve-gliding. When indicated, a Carpal Tunnel Injection can reduce inflammation so exercises work better. Surgery is considered for persistent weakness, atrophy, or failure of conservative care. See symptom patterns in Carpal Tunnel and visit flow in What to Expect.

They offload irritated tendons and nerves so healing progresses while you rebuild capacity. We fine-tune desk and tool setup—wrist angles, heights, break frequency—and plan to wean supports as symptoms and strength improve. Practical steps live in Splinting & Ergonomics; related patterns like De Quervain’s often benefit from short-term immobilization.

Often, yes. Targeted procedures such as Trigger Finger Injection or Thumb CMC Injection can reduce pain and swelling so mobility and strength work is effective. They’re adjuncts, not cures; we pair them with structured Hand Therapy for durable results. Explore indications in Trigger Finger.

When results will change treatment—suspected fracture or ligament injury (e.g., scapholunate), TFCC tear, or symptoms that persist despite correct progression. Otherwise, exam-guided Hand Therapy often moves recovery faster. Learn patterns in TFCC Injury and Wrist Sprain/SL Injury.

We stage return based on pain, grip/pinch strength, dexterity, swelling, and tolerance of graded tasks. You’ll progress as milestones hold without symptom spikes and with clean mechanics, protecting long-term function. See criteria in What to Expect and capacity work in Hand Therapy.

Yes—when indications are met, such as instability, displaced fractures, or refractory compression. Our documentation clarifies findings, tracks conservative trials, and streamlines decisions so momentum continues pre- and post-op. See rules in Thumb CMC Arthritis and conservative tools in Splinting & Ergonomics.