Hands serve many essential functions in daily life, from gripping and lifting to writing and typing, and injuries or conditions can significantly impair these abilities. Trauma, arthritis, and nerve conditions can take their toll, leading to debilitating pain, stiffness, numbness, and peripheral nerve disorders like carpal tunnel syndrome. Common conditions treated by hand doctors include carpal tunnel syndrome, arthritis, tendonitis, fractures, trigger finger, sports injuries, and nerve damage. Our team of specialty-trained hand surgeons, hand specialists, hand-certified therapists, and staff work together to restore function, reduce pain, and get you back to doing the things you love. The expertise of our hand surgeon, wrist specialist, and doctor ensures accurate diagnosis and effective treatment of hand and wrist conditions. Hand specialists also treat injuries and conditions involving the fingers and ligaments. If you experience symptoms such as hand pain, swelling, or persistent pain, it is important to seek care from a hand specialist. Nerve-related issues such as nerve compression and nerve injuries are also managed by our hand specialists. Our team is highly skilled in treating orthopedic injuries and wrist injury. Timely intervention is crucial to treat hand and wrist conditions and restore optimal function.
Widely respected for our hand and wrist expertise, Panorama Orthopedics serves as the top regional trauma referral center for hand and wrist injuries. Our doctors specialize in the most challenging cases, with expertise ranging from carpal tunnel syndrome and arthritis to complex hand fractures, broken wrist, and revision surgeries.
Hand & Wrist Conditions & Injuries
Our goal at Panorama is to work with you to identify the condition or injury in your hand, so we can help you feel better and do more as quickly as possible.
Arthritis
(Joint pain and inflammation)
Hand & Wrist Fractures
Carpal Tunnel Syndrome
(Compressed nerve at the wrist leading to hand pain/numbness)
De Quervain’s Tendinitis
(Swollen tendons at base of thumb, i.e. Mommy’s Thumb)
Dupuytren’s Contracture
(Thickened, tight palm and finger tissue)
Lumps & Bumps of the Hand, Wrist, Elbow
(cyst, lipoma, other masses)
Ligamentous Injuries of the Hand & Wrist
(torn or sprained ligaments of the upper extremity)
Ulnar Nerve Entrapment
(Hand numbness/pain or weakness)
Trigger Finger
(finger or thumb locks in bent position)
Skier’s Thumb

Hand & Wrist Non-Surgical Services
There are many non-surgical approaches to treating hand and wrist pain. Nonsurgical methods such as physical therapy, medications, and activity modification are often used to promote healing and restore function. Nonsurgical treatment is an important option for managing many hand and wrist conditions, providing effective relief without the need for surgery. Medications can play a key role in reducing pain and inflammation as part of a comprehensive non-surgical treatment plan. Our conservative care focuses on restoring movement and function in the wrist hand before considering surgical options. At Panorama Orthopedic & Spine Center, we will always review all of our options before resorting to surgery.

Hand & Wrist Procedures
After our more conservative options have run their course, our experienced team of orthopedic surgeons will help you decide the next steps to restore hand and wrist function. Some of our surgical options include hand surgery and wrist surgery to address a variety of injuries and conditions.
Some of our surgical options include:
Carpal Tunnel and other peripheral nerve compression neuropathy surgery
Minimally invasive carpal tunnel surgery
Finger and thumb surgery
Fracture fixation and repair
Hand and wrist arthroscopy
Ligament repair & reconstruction
Microsurgery and nerve reconstruction
Small joint arthroscopy

For patients with severe carpal tunnel syndrome, carpal tunnel surgery may be recommended. This procedure involves releasing pressure on the median nerve through a small incision and is typically performed as an outpatient procedure to prevent nerve damage and restore hand function.
Certain conditions may require surgery when nonsurgical treatments are not effective or the condition worsens. Minimally invasive procedures offer several benefits, including shorter hospital stays, less pain, and faster recovery times.
While many patients can return to normal activities within a few weeks after surgery, achieving full recovery and maximum function may take several months. Our goal is to help you resume your normal activities as soon as possible through a combination of surgery, therapy, and ongoing care.
What is Hand and Wrist Care?
Hand and wrist care is a vital specialty dedicated to diagnosing, treating, and preventing a wide range of conditions affecting the hands, wrists, and forearms. Whether you are experiencing hand and wrist pain from an injury, repetitive strain, or a chronic condition, seeking care from hand and wrist specialists is essential for effective relief and recovery. Our team of expert hand surgeons, wrist specialists, and orthopedic specialists collaborate to provide comprehensive care for all types of wrist injuries and hand and wrist conditions.
The primary goal of hand and wrist care is to relieve pain, restore function, and help patients return to their normal everyday activities. This is achieved through a combination of advanced diagnostic techniques, personalized treatment plans, and a full spectrum of therapies. Physical therapy and occupational therapy play a crucial role in rehabilitation, helping patients regain strength and mobility in the upper extremities. For many, minimally invasive procedures offer effective solutions with shorter recovery times, allowing patients to get back to the activities they love. No matter the cause of your pain or injury, our hand and wrist specialists are committed to providing the expert care you need to restore function and improve your quality of life.
Diagnosis and Examination
Accurate diagnosis is the cornerstone of effective hand and wrist treatment. When you visit our hand and wrist specialists with concerns about hand and wrist pain, you can expect a thorough and compassionate evaluation. The diagnostic process begins with a detailed physical examination, where the specialist will assess your range of motion, strength, and sensation in the hands and wrists. This hands-on approach helps identify any abnormalities or signs of conditions such as carpal tunnel syndrome, repetitive strain injuries, or fractures.
To further pinpoint the cause of your symptoms, our team may recommend imaging tests like X-rays, which provide a clear view of the bones and joints, or advanced studies such as nerve conduction tests and electromyography to evaluate nerve function. These tools are invaluable in diagnosing complex conditions and planning the most effective course of action.
Once a diagnosis is made, your specialist will work closely with you to develop a personalized treatment plan tailored to your specific needs. This may include nonsurgical treatments such as physical therapy, medication, or steroid injections to reduce inflammation and pain. For certain conditions, minimally invasive techniques like targeted procedures for tendonitis and Dupuytren’s contracture may be recommended. If surgical treatment is necessary, our experienced hand surgeons and wrist specialists are skilled in the latest minimally invasive and traditional surgical techniques, ensuring the best possible outcomes for our patients. With a focus on accurate diagnosis and individualized care, we are dedicated to helping you regain function and return to your daily life with confidence.

Patient Stories
Adrienne’s Story
Adrienne Bulinski, a Broadway dancer, singer, and former Miss Kansas has an ankle replacement at 30. Adrienne was able to return to her active Colorado life style thanks to Dr. Conklin and the Panorama Orthopedics & Spine Center team!