Hand, wrist, elbow and shoulder care in Hopewell, Virginia

Pain in your hands and upper extremities can involve your muscles, tendons, nerves, blood vessels, bones, joints and ligaments, which can make diagnosis and treatment difficult. Our orthopedic care specialists at John Randolph Medical Center can review your function and movement and provide the best treatment options available, including nonsurgical therapies.

To find out more about our hand and upper extremity care, please call (804) 320-3627.

Your treatment is designed to get you back to your normal activities as quickly, safely and pain-free as possible. When surgery is necessary, our team has the skills and expert training to correct your problem and get your life back in motion.

Conditions we treat

Symptoms of a hand, wrist, elbow or shoulder condition include pain, weakness, numbness, swelling or tingling. We have the expertise to evaluate, treat and rehabilitate a variety of common and complex conditions, such as:

  • Arthritis—Including osteoarthritis and rheumatoid arthritis
  • Bursitis—Inflammation of the fluid sacs between the joints in the wrist, elbow or shoulder
  • Carpal tunnel syndrome—Median nerve compression in the wrist
  • Deformations—Extra digits or finger webbing
  • Dupuytren’s contracture—Thickening and tightening of tissues in the palm
  • Fractures and dislocations—Of the hand, wrist, elbow, arm and shoulder
  • Ganglion cysts—Fluid-filled bump on the joints or tendons in the wrist or hand
  • Ligament injuries—Sprains and complete tears
  • Nail bed injuries—Caused by blunt force trauma
  • Nerve damage—Including the ulnar nerve in the elbow and radial nerve in the shoulder
  • Rotator cuff damage—Shoulder condition caused by aging or injury
  • Tendon damage (flexor, extensor, bicep)—Torn and completely severed tendons
  • Tendonitis—Inflammation caused by repetitive strain, as in tennis elbow
  • Trigger finger—Trapped tendon that causes a bent finger
  • Tumors—Cancerous and noncancerous masses in the hands and upper extremities

Advanced treatment options

John Randolph's orthopedic specialists are skilled in hand, arm, elbow and shoulder complexities. Our team always chooses the least invasive treatments for your condition.

Nonsurgical treatments for hand and arm conditions

  • Physical therapy and rehabilitationImproves function and strength with therapists experienced in upper extremity conditions
  • Custom splinting—Devices designed to protect, support and correct healing of a variety of conditions affecting the hands, wrists, elbows and shoulders
  • Injected medicines—Reduces pain and swelling using corticosteroids and anti-inflammatory medicines

Surgical treatment options

  • Arthroscopy (wrist, elbow and shoulder joints)—Involves inserting a tube with a tiny camera and light into the joint to view inside, so surgeons can diagnose and repair a variety of conditions affecting the ligaments, bones, cartilage or tendons
  • Carpal tunnel release—Performed as an open or minimally invasive procedure that releases pressure on the compressed median nerve in the wrist
  • Closed reduction and fixation—Realigns broken bone and hold it in place using internal fixtures, such as rods or wires
  • Ligament and tendon repair and reconstruction—Repairs sprains and strains in the fingers, hand, wrist, elbow and shoulder
  • Microsurgery—Repairs compressed or severed nerves and blood vessels in the hands and wrist, including finger replantation
  • Rotator cuff shoulder repair—Reattaches the tendon to the upper arm bone in a complete tear or trims and smooths the tendon and bone in a partial tear
  • Tommy John surgery (TJS)—Replaces an injured ulnar collateral ligament in the elbow with a tendon taken from another part of the body