Expert care for hands, arms and shoulders in Richmond

The advanced orthopedists and orthopedic surgeons at Chippenham Hospital use state-of-the-art technology to diagnose what’s causing your hand, wrist, elbow or shoulder pain. We create a personalized plan to restore function and get you back to your normal activities.

In addition to complex and minimally invasive surgeries to repair your muscles, tendons, nerves and/or blood vessels, we offer nonsurgical rehabilitation and pain treatments. When surgery is necessary, you can trust our expertise to help you get moving again.

To learn more about our hand and arm services, or to speak to a specialist, call us at (804) 320-3627.

Hand and upper extremity 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 fingers 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

Nonsurgical treatments

  • Physical therapy and rehabilitation—Improves function and strength with a certified hand therapist and other professionals experienced in upper extremity conditions.
  • Nerve stimulation techniques—Delivers low-voltage electrical current to relieve pain, as in trans-cutaneous nerve stimulation (TENS) therapy.
  • Custom splinting—Protects, supports and corrects 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 treatments

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