Hand & Wrist Care at OrthoTexas
OrthoTexas provides comprehensive hand and wrist care for patients across Texas, treating everything from common overuse conditions to complex injuries requiring advanced surgical expertise. Care is led by fellowship-trained hand and upper extremity surgeons with specialized microsurgical training, allowing for precise treatment of delicate structures involving bones, tendons, nerves, and blood vessels. With a full spectrum of non-surgical and surgical options, advanced imaging, and coordinated rehabilitation within one orthopedic system, OrthoTexas delivers expert, patient-focused care designed to restore function, relieve pain, and support long-term hand and wrist health.
Expert Treatment for Hand, Wrist, and Finger Conditions
Hand, wrist, and finger problems can affect nearly every aspect of daily life, from work tasks to sports and simple activities. OrthoTexas provides expert care for the full range of conditions, from everyday overuse injuries to complex trauma, nerve compression, and structural deformities. Our fellowship-trained hand and upper extremity specialists evaluate symptoms such as pain, numbness, tingling, stiffness, swelling, weakness, and changes in hand shape or function. With early evaluation, advanced diagnostics, and personalized treatment plans, OrthoTexas helps patients restore strength, sensation, and fine motor function while preventing long-term complications.
Conditions We Treat
OrthoTexas provides expert diagnosis and treatment for a wide range of hand, wrist, and finger conditions that affect strength, sensation, and fine motor function. Our fellowship-trained hand specialists treat both common conditions and complex injuries using evidence-based care tailored to each patient. The conditions below represent key areas of hand and wrist expertise and will ultimately link to dedicated pages for in-depth education and treatment options.
Carpal Tunnel Syndrome
Compression of the median nerve at the wrist can cause numbness, tingling, weakness, and hand fatigue, often affecting daily activities and sleep.
Trigger Finger (Stenosing Tenosynovitis)
Inflammation of the tendon sheath may cause fingers or the thumb to catch, click, or lock during movement, sometimes accompanied by pain or stiffness.
De Quervain’s Tenosynovitis
Tendon inflammation along the thumb side of the wrist can lead to pain, swelling, and difficulty with gripping or lifting motions.
Thumb Arthritis (CMC Arthritis)
Degeneration of the thumb base joint can cause significant pain, weakness, and loss of pinch strength, making everyday tasks challenging.
Hand & Wrist Fractures
Fractures of the scaphoid, metacarpals, or finger bones often result from falls or trauma and require accurate diagnosis to ensure proper healing.
Tendon & Ligament Injuries
Sprains, tears, ruptures, and overuse injuries can affect grip strength and hand stability, sometimes requiring specialized treatment or surgery.
Ganglion Cysts
These fluid-filled cysts commonly develop on the wrist or hand and may cause discomfort, pressure, or limited movement depending on size and location.
Nerve Compression & Neuropathies
Conditions involving ulnar, radial, or other nerve compression can result in numbness, tingling, weakness, or coordination issues in the hand.
Arthritis of the Hand & Wrist
Degenerative or inflammatory arthritis can lead to chronic pain, stiffness, swelling, and reduced hand function over time.
Pediatric Hand Conditions
Children may experience congenital differences, growth plate injuries, or trauma-related conditions that benefit from early evaluation and specialized care.
Dupuytren’s Contracture
A condition causing thickened tissue in the palm that can gradually pull fingers into a bent position.
Wrist Instability
Ligament injuries or structural issues that affect wrist alignment and movement, often causing pain or weakness.
Repetitive Strain Injuries of the Hand
Chronic overuse from work or daily activities may lead to pain, inflammation, and reduced dexterity without proper treatment.
Hand & Wrist Treatments and Procedures
OrthoTexas offers a full continuum of hand and wrist care, combining advanced non-surgical management with highly precise surgical solutions when needed. Our fellowship-trained hand surgeons bring specialized microsurgical expertise to the treatment of delicate structures involving tendons, nerves, ligaments, and small joints. A conservative-first philosophy guides care whenever possible, with surgery reserved for conditions that do not improve with appropriate non-surgical treatment. Every plan is tailored to restore function, relieve pain, and protect long-term hand and wrist health.
Non-Surgical Treatments
Many hand and wrist conditions respond well to non-surgical care, including bracing or splinting, medications, physical or occupational therapy, ergonomic adjustments, and modalities such as ultrasound therapy to reduce pain and inflammation.
Corticosteroid & Image-Guided Injections
Targeted injections may be used for both diagnostic and therapeutic purposes, helping relieve inflammation and pain associated with conditions such as tendonitis, trigger finger, and arthritis.
Carpal Tunnel Release
Minimally invasive carpal tunnel release procedures, performed using open or endoscopic techniques, are designed to relieve nerve compression while supporting a faster return to daily activities.
Trigger Finger Release
This quick outpatient procedure releases the constricted tendon sheath responsible for finger locking or catching, restoring smooth motion and reducing pain.
Tendon Repair & Reconstruction
Microsurgical techniques are often required to repair or reconstruct injured tendons, particularly in cases of laceration, rupture, or chronic dysfunction, to restore strength and precise hand movement.
Fracture Fixation & Trauma Surgery
Complex hand and wrist fractures may require surgical fixation to restore alignment, stability, and function, especially following traumatic injuries.
Nerve Repair & Microsurgery
Advanced microsurgical procedures address nerve lacerations, entrapment syndromes, and chronic neuropathies, helping restore sensation and motor function when possible.
Ligament Reconstruction (e.g., Thumb UCL Repair)
Ligament reconstruction may be recommended for sports-related or traumatic injuries that compromise joint stability, particularly at the thumb or wrist.
Arthroscopic Wrist Surgery
Minimally invasive techniques may be used to address cartilage damage, ligament injuries, or loose bodies within the wrist joint.
Why Choose OrthoTexas for Hand & Wrist Care?
OrthoTexas is a leading provider of hand and wrist orthopedic care in Texas, distinguished by fellowship-trained hand and upper extremity surgeons who specialize in treating both common and complex conditions with precision and expertise. Providers that have completed a hand and microvascular surgery fellowship and are board-certified, with added qualification in hand surgery, exemplify the high level of specialized training on the OrthoTexas team.
Our specialists combine microsurgical expertise and minimally invasive techniques with a conservative-first philosophy, using non-surgical treatments when appropriate and advancing to surgery only when necessary. On-site imaging and diagnostics support fast, accurate evaluation, while coordinated care with physical and occupational therapists promotes efficient recovery and optimal functional outcomes.
This collaborative approach, integrating surgical precision, advanced diagnostics, and therapy, ensures comprehensive, personalized care for conditions affecting the intricate structures of the hand, wrist, and fingers. With a commitment to superior outcomes and patient-centered care, OrthoTexas stands out as a trusted choice for expert hand and wrist treatment across North Texas.
Advanced Imaging & Diagnostic Tools
Accurate diagnosis is essential for effective hand and wrist care, and OrthoTexas integrates advanced diagnostic tools directly into the evaluation process. On-site X-ray imaging helps identify fractures, joint alignment issues, and arthritic changes, while MRI provides detailed views of tendons, ligaments, cartilage, and soft tissue injuries. Ultrasound allows for real-time assessment of tendons, nerves, and joint motion and supports precise, image-guided treatments when appropriate. In select cases, nerve conduction studies help evaluate conditions such as carpal tunnel syndrome and other nerve compressions. By combining these diagnostic tools with fellowship-trained expertise, OrthoTexas delivers timely, accurate diagnoses that guide personalized treatment plans.
Occupational & Physical Therapy Support
Rehabilitation is a vital part of successful hand and wrist recovery, and OrthoTexas integrates occupational and physical therapy into every stage of care. Specialized hand therapists provide customized treatment plans focused on restoring strength, flexibility, coordination, and fine motor control. Therapy may include custom splinting, guided exercises, and post-operative rehabilitation designed to protect healing structures while gradually improving function. By coordinating closely with hand surgeons and specialists, OrthoTexas ensures therapy supports optimal recovery, helping patients return to work, daily activities, and sports safely and efficiently.
Meet Our Hand & Wrist Specialists
Hand and wrist care at OrthoTexas is provided by a team of fellowship-trained hand and upper extremity specialists with advanced expertise in both non-surgical and surgical treatment. These physicians bring extensive experience in managing complex injuries, nerve conditions, arthritis, and trauma affecting the delicate structures of the hand and wrist. Supported by advanced diagnostics and coordinated occupational and physical therapy, OrthoTexas specialists deliver high-authority, specialty-focused care grounded in strong clinical experience and proven outcomes.
Andrew Freese,
Hand & Wrist Care Across North Texas
OrthoTexas offers specialized hand and wrist care at multiple locations across North Texas, providing patients with convenient access to fellowship-trained upper extremity specialists. Select OrthoTexas clinics are staffed with providers who focus on hand, wrist, and finger conditions and are supported by on-site imaging and coordinated therapy services. This regional approach allows patients to receive expert hand and wrist care close to home while benefiting from the depth of experience and integrated resources of the OrthoTexas orthopedic system.
Denton
Mon-Thurs: 8:00 am - 5:00 pm
Fri: 8:00 am - 12:00 pm
Phone: (972) 492-1334
Fax: (940) 514-2224
Cedar Hill
Fri 8:30am - 5:00pm
Phone: (214) 370-3535
Fax: (214) 370-0004
Carrollton
Clinic: Mon - Fri 8:00 am - 5:00 pm
PT: Mon - Thu 7:00 am - 7:00 pm,
PT: Fri 7:00 am - 4:00 pm
Clinic Phone: (972) 492-1334
PT Phone: (972) 395-2293
Clinic: (972) 492-7909
PT: (972) 395-2294
Fort Worth
Mon-Fri 8:30 am – 5:00 pm 8:30 am – 5:00 pm
Phone: (972) 556-2885
Fax: (972) 506-8733
Fort Worth
Clinic: Mon-Thur Mon-Thur 8:00 am -5:00 pm
Clinic: Fri 8:00 am - 4:00 pm
PT: Mon-Thur 7:00 am - 7:00 pm
PT: Fri 7:00 am - 2:00 pm
Phone: (817) 481-2121
Fax: (817) 488-4493
Arlington
Mon, Weds 8:00 am - 6:00 pm
Tues, Thurs 7:00 am - 4:00 pm
Fri 8:00 am - 3:00 pm
Phone: (817) 745-5096
Fax: (833) 471-6145
Arlington
Clinic: Mon-Fri 8:00 am - 5:00 pm
PT: Mon-Fri 7:00 am - 5:00 pm
Clinic Phone: (817) 375-5200
PT & OT Phone: (817) 375-5310
Clinic Fax: (817) 299-1789
PT Fax: (817) 299-1795
DeSoto
Clinic: Mon-Fri 8:00 am - 5:00 pm
PT: Mon-Fri 7:00 am - 5:00 pm
Clinic Phone: (817) 375-5200
PT Phone: (817) 375-5246
Clinic Fax: (817) 299-1789
PT Fax: (833) 471-6131
Flower Mound
Clinic: Mon - Fri 8:00 am - 5:00 pm
MRI: Mon - Fri 7:00 am - 5:00 pm
Surgery Center: Mon - Fri 6:00 am - 5:00 pm"
Phone QA: (972) 420-1776
Phone ASO: (972) 556-2885
Fax QA: (214) 222-6660
Fax ASO: (972) 506-8733
Frisco
Clinic: Mon-Fri 8:00 am - 5:00 pm
PT: Mon, Weds 7:00 am - 12:00 pm
PT: Tues, Thurs 8:00 am - 1:00 pm
PT: Fri 2:00 pm - 7:00 pm
Clinic: (972) 492-1334
PT: (214) 618-4301
Clinic: (214) 618-5503
PT: (214) 618-4302
Grapevine
Clinic: Mon-Thur 8:00 am -5:00 pm
Clinic: Fri 8:00 am - 4:00 pm
PT: Mon-Thur 7:00 am - 7:00 pm
PT: Fri 7:00 am - 2:00 pm
Phone: (817) 481-2121
Fax: (817) 488-4493
Irving
Clinic: Mon-Fri 8:00 am - 5:00 pm
Phone: (817) 375-5200
Fax: (817) 299-1789
Irving
Mon-Thurs 8:00 am - 6:00 pm
Fri 8:00 am - 12:00 pm
Phone (817) 375-5312
Fax (469) 351-7549
Irving
Mon-Fri 8:30 am – 5:00 pm
Phone: (972) 556-2885
Fax: (972) 506-8733
Irving
Mon & Weds 9:30 am - 6:30 pm
Tues & Thurs 7:00 am - 4:00 pm
Fri: 7:00 am - 1:00 pm
Phone: (972) 331-9022
Fax: (972) 330-4257
Mansfield
Clinic: Mon-Fri 8:00 am - 5:00 pm
OT: Mon, Wed, Thurs 8:00 am - 5:00 pm
Clinic Phone: (817) 375-5200
OT Phone: (817) 375-5320
Clinic Fax: (817) 299-1789
OT Fax: (833) 471-6133
Mansfield
Mon-Thurs 7:00 am - 7:00 pm
Fri 7:00 am - 5:00 pm
Phone: (817) 375-5320
Fax: (833) 471-6133
Midlothian
Clinic: Mon-Fri 8:00 am - 5:00 pm
Phone (817) 375-5200
Fax (817) 299-1789
Northlake
Mon - Fri 8:00 am - 5:00 pm
Phone: (972) 420-1776
Fax: (214) 222-6660
Plano
Mon-Fri 8:00 am - 5:00 pm
Phone: (972) 492-1334
Fax: (972) 596-9382
Plano
Mon, Weds, Fri 7:00 am - 11:00 am and 12:00 pm - 4:00 pm
Tues, Thurs 10:00 am - 1:00 pm and 2:00 pm - 7:00 pm
Phone: (972) 596-1715
Fax: (972) 867-9726
Plano
Mon-Fri 8:30am - 5:00pm
Phone (214) 370-3535
Fax (214) 370-0004
Southlake
Clinic: Mon-Fri 8:30 am – 5:00 pm
PT: Mon & Weds 9:30 am - 6:30 pm,
PT: Tues & Thurs 7:00 am - 4:00 pm,
PT: Fri: 7:00 am - 1:00 pm
Clinic: (972) 556-2885
PT: (817) 764-0773
Fax Clinic: (972) 506-8733
Fax PT: (972) 330-4257
Waxahachie
Clinic Mon-Fri : 8:00 am - 5:00 pm
PT: Mon-Thurs 8:00 am - 5:00 pm,
PT: Fri Fri 8:00 am - 2:00 pm
Clinic Phone: (817) 375-5200
PT Phone: (817) 617-2710
Clinic Fax: (817) 299-1789
PT Fax: (833) 471-6139
Book Appointment
Early evaluation is key to preventing worsening symptoms, nerve damage, or long-term stiffness in the hand and wrist. OrthoTexas makes it easy to schedule an appointment with fellowship-trained hand and upper extremity specialists across North Texas, offering timely access to expert diagnosis and personalized treatment. If pain, numbness, weakness, or loss of motion is affecting your daily activities, schedule an appointment today to protect hand function and support long-term recovery.
Frequently Asked Questions
What are the most common causes of hand and wrist pain?
Hand and wrist pain is often caused by overuse injuries, tendon inflammation, nerve compression, arthritis, or trauma such as falls or sports injuries. An orthopedic evaluation helps determine the underlying cause and the most appropriate treatment.
When should I see a hand or wrist specialist?
You should consider seeing a specialist if pain, numbness, tingling, stiffness, swelling, or weakness persists, worsens, or interferes with work, daily activities, or sleep. Early evaluation can help prevent long-term complications.
What does nerve compression in the hand or wrist feel like?
Nerve compression may cause tingling, numbness, burning sensations, or weakness in the hand or fingers. Symptoms can vary depending on which nerve is involved and may worsen with repetitive use.
Are hand and wrist conditions treated without surgery?
Many hand and wrist conditions improve with non-surgical care, including bracing, therapy, medications, ergonomic adjustments, and injections. Surgery is typically considered only when conservative treatments do not provide relief.
How long does recovery take after hand or wrist surgery?
Recovery time depends on the procedure and condition treated. Some patients resume light activities within a few weeks, while full recovery, including strength and dexterity, may take several months with therapy support.
Do you offer occupational therapy for hand injuries?
Yes. OrthoTexas integrates occupational therapy and hand therapy into treatment plans to help restore strength, motion, and fine motor skills after injury or surgery.
Will I need imaging for hand or wrist pain?
Imaging such as X-ray, MRI, ultrasound, or nerve studies may be recommended to accurately diagnose the source of symptoms and guide treatment decisions.
Can hand and wrist problems get worse if left untreated?
Some conditions can progress over time, leading to increased pain, stiffness, or nerve damage. Early evaluation helps reduce the risk of long-term issues.
Are hand and wrist injuries common in athletes and workers?
Yes. Repetitive motions, gripping, lifting, and impact injuries make hand and wrist problems common in both athletic and occupational settings.
How do I schedule an appointment with a hand specialist at OrthoTexas?
Appointments can be scheduled online or by phone, and OrthoTexas staff can help match you with the appropriate hand and wrist specialist based on your symptoms.