Hand & Wrist Conditions
Dr. Pamela Mehta, MD
Hand Surgeon in San Jose
Dr. Pamela Mehta is an experienced hand & wrist surgeon renowned for her expertise in sports injuries and joint arthritis. She is the founder of Resilience Orthopedics.
With an impressive career and training under leading innovators, she has served as Chief of Orthopedics and National Orthopedic Director for a major orthopedic hospitalist group and advises several publicly traded companies.
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Expert Care From a Hand Specialist
Dr. Pamela Mehta is a board-certified orthopedic specialist who treats hand and wrist conditions. She is the founder of Resilience Orthopedics in San Jose, California.
Dr. Mehta has extensive experience in diagnosing and treating all hand conditions, including:
If you have hand and wrist pain or numbness, Dr. Mehta can help you get back to your normal activities.
She won’t push you towards hand surgery unless it’s necessary. Instead, she treats you based on your individual needs and requests.
She offers concierge care, meaning you will have her undivided attention during treatment. She will work with you to create a personalized treatment plan that meets your needs.
Book a Consultation with Dr. Pamela Mehta, MD
The Best Orthopedic Surgeon in San Jose
Dr. Mehta is a board-certified orthopedic surgeon who can help you recover from your joint condition.
We can help if you:
- Are Suffering From Pain and Mobility Issues
- Need Orthopedic Assessment and Advice
- Want Treatment From a Top Orthopedic Doctor
What Hand & Wrist Services Do We Offer?
Hand & Wrist Pain Assessment
We use our hands every day of our lives for some of the most important of life's activities. Hand and wrist pain can be debilitating, meaning you struggle to drive, write, and play sports.
Hand & Wrist Surgery
If your hand condition is severe, or nothing you have tried has helped, Dr. Mehta can advise you on the options for surgery. She is a hand surgeon and can offer expert opinion and care.
Treatment of Hand & Wrist Conditions
Carpal Tunnel Syndrome
Carpal Tunnel Syndrome causes pain and numbness in your hand, and sometimes requires surgery.
De Quervain's Tenosynovitis
De Quervain's Tenosynovitis causes swelling and pain at the base of your thumb.
Wrist Bursitis
Wrist bursitis can cause pain and stiffness if your wrist. Treatment is often non-surgical.
Trigger Finger
Dr. Mehta is experienced in trigger finger injection and release surgeries.
Dr. Mehta offers diagnosis and treatment of all hand & wrist conditions and can offer her specialist opinion as an expert hand doctor.
Call Us On 408-559-3888
or Send a Message.
Hand and Wrist Joint Anatomy & Function
Your hand and wrist are a complex and intricate part of your musculoskeletal system. They are composed of many different muscles, bones, and ligaments. There are numerous joints between the bones in your hand and wrist.
All of these joints can be affected by arthritis, injury, and other hand conditions.
Your hands have a great amount of dexterity that allow you to perform everyday tasks. Without the complex hand and wrist joints, you wouldn’t be able to:
- Use tool
- Hold your cell phone
- Put on your clothes
- Write or type
Or do many other day-to-day activities we take for granted.
Hand Bones
Your hand and wrist are comprised of 29 bones.
-
The Radius.
The large bone of your forearm that connects your elbow to your wrist. -
The Ulna.
The smaller bone of your forearm, going from the elbow to the wrist. -
The Carpals.
Eight irregular bones in your wrist and palm, organized into two rows. These bones lie between the bones of the forearm (radius and ulna) and the metacarpal bones in the hand. -
The Metacarpals.
Five long bones which connect the carpals to the phalanges. -
The Phalanges.
The bones which make up your fingers and thumb. Your fingers each have three phalanges, whereas your thumb has two.
Joints of the Hand
For the hand to grip, hold and touch, it has joints between each of the hand and wrist bones. These joints are lined with articular cartilage, also known as chondral cartilage. This allows allows them to move smoothly against each other.
Hand osteoarthritis occurs when the cartilage is damaged over time due to wear and tear. This causes pain and inflammation, and makes it more difficult to use your hands.
The wrist joints include the:
- Radiocarpal joint – the joint between the radius and your carpal (lower hand) bones.
- Ulnocarpal joint – the joint between the ulna and your carpal bones.
- Distal radioulnar joint – the joint between your radius and ulna, just below the hand.
These joints connect the bones of the forearm (the radius and ulna) with the carpal bones. The wrist can twist and tilt, allowing your hand to manage difficult positions.
Carpal Joints are the joints that connect your carpal bones to each other. Here are the different carpal joints:
-
Carpometacarpal Joints (CMC joints).
Joints which connect the furthest five carpal bones to your metacarpal bones. -
Metacarpophalangeal Joints (MCP Joints).
Joints between your metacarpal bones and the proximal phalanges. -
Proximal Interphalangeal Joints (PIP Joints).
Joints between your proximal phalanges and your intermediate phalanges. In your thumb this joint is called the interphalangeal joint (IP). -
Distal Interphalangeal Joints (DIP Joints).
Joints between your intermediate phalanges and your distal phalanges. The thumb doesn’t have a DIP joint.
Hand Ligaments
Your wrist has four key ligaments:
-
Palmar radiocarpal ligament.
Connects the radius to both rows of the carpal bones, on the front side of the hand. -
Dorsal radiocarpal ligament.
Connects the radius to both rows of the carpal bones, on the back side of the hand. -
Ulnar collateral ligament.
Connects the ulna bone to the triquetrum and pisiform bones (two of your carpal bones). -
Radial collateral ligament.
Connects your radius bone to the scaphoid and trapezium (two of your carpal bones).
Muscles of the Hand
Thenar muscles are three muscles that form the bulge in your palm at the base of your thumb. This is called the thenar eminence. These muscles control the fine movements of your thumb.
Hypothenar muscles are three muscles that form a buldge in the palm under your little finger. This is called the hypothenar eminence. These muscles control the movements of your little finger.
Lumbrical muscles are four muscles on the back of the hand, each attaching to a finger. These muscles help with the bending and straightening of all your fingers.
Interossei muscles are seven muscles that lie between each finger’s metacarpal bones. They are found on the front and back side of your hand. These muscles help you fan out your fingers and bring them back together again. Tey also help with the bending and straightening of your fingers.
Your hand also includes the palmaris brevis and adductor policis muscles. Palmaris brevis helps with hand grip. Adductor policis helps to bring the thumb back towards the hand when it is fanned out.
The muscles in your forearm are also key to your hand and wrist movements. Some muscle tendons from the forearm pass through the wrist to bend and straighten the fingers and thumb. Others pass down the side of your wrist.
Wrist bursitis affects the bursa in your wrist, which help your tendons to move smoothy. Trigger finger affects the tendons which pass through your wrist. And De Quervain’s tenosynovitis affects the tendons at the side of your wrist.
Ready to Recover?
Take the first step in getting back to your normal self, and book an appointment with Dr. Mehta today.
We’re ready when you are!
