Wrist & Hand

A thin layer of cushioning cartilage allows the numerous bones to glide smoothly. This can be worn away with overuse, inflammation, or sometimes genetic factors resulting in pain and swelling.

Hand arthritis is the second most common form of arthritis in the US. Learn more about hand arthritis, specifically thumb arthritis, and how we treat it on our blog.

Carpal tunnel syndrome occurs when the median nerve is irritated within the bony tunnel at the base of the palm. This results in pain, numbness, and weakness affecting mostly the thumb and fingers.

Often progressive and the severity may increase with time. Difficulty with grasping small objects and painful electrical sensations may develop.

Inflammatory disorders, diabetes, and pregnancy are associated with the condition.

Learn more about carpal tunnel syndrome and how we treat it in our blog.

The radius and ulna are the two main bones in your forearm. Both can be broken after a fall while using an outstretched hand.

Learn more about a broken wrist or wrist fractures on our blog.

Each finger employs multiple flexors and extensor tendons to allow the ability to bend and straighten.

Sports injury, falls, and saw/knife accidents can cause permanent tendon damage. Pain, tenderness, or any inability to bend or extend the fingers requires a specialized exam.

Excess inflammation of the flexor tendons may result in clicking, locking, popping or pain of the fingers.

A painful wrist condition affecting the tendons on the thumb side of the wrist.

Occurs when bending the wrist, grasping, using scissors, or making a fist.

Can be aggravated by common activities like gardening, golf, tennis, or lifting a baby.

An examination by an orthopedic specialist is crucial when you have persistent pain or difficulty.

Typically, noninvasive treatments are tried first. This may include stretching, exercises, bracing, therapy, or injections. If a discussion of surgery is needed, minimally invasive surgical techniques are utilized such as arthroscopy or ultrasound guidance.

• RICE

  • In some cases, the RICE method is all that’s needed to repair your shoulder. RICE stands for rest, ice, compression, and elevation. Many minor shoulder problems end up worsening when patients don’t allow enough time to rest and recover.

• Physical & Occupational therapy

  • Physical or occupational therapy can be prescribed as part of the treatment program if needed.

  • Helpful to regain mobility and restore your strength and function.

• Hawaii Public Radio's "The Body Show: Hands" 

  • Listen to Dr. Chen's interview with Dr. Kathy Kozak where he discusses common hand conditions, symptoms, home remedies, and when surgery may be necessary.

• Guided Ultrasound Carpal Tunnel & Trigger Digit Release

  • Learn more about this modern alternative to traditional Carpal Tunnel surgery. The advanced procedure is less invasive which leads to a faster recovery time and is more cost effective for patients.

  • Dr. Chen is the only person in Hawaii and 1 of 3 surgeons on the West Coast performing Guided Ultrasound Release.

  • In addition to Oahu residents, we have patients fly in from the neighboring islands and the US mainland for the procedure.