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04Where does it hurt?

Arm & Hand

Step 1

Common symptoms

Elbow pain with gripping or lifting
Wrist or hand pain
Numbness, tingling or burning in the fingers
A locking or clicking finger
Pain after a fracture or surgery

Step 2

Conditions we treat

The condition pages that cover pain in this area.

05Joint & Musculoskeletal Pain 03Nerve & Neuropathic Pain 02Neck & Cervical Conditions

Step 3

How we evaluate

Your visit starts with a comprehensive evaluation: your history, a focused musculoskeletal and neurologic examination, and a review of any imaging or diagnostic studies you already have. When it helps to pinpoint the source of pain, we use diagnostic nerve blocks or ultrasound-guided assessment before recommending treatment.

Arm and hand symptoms are traced to the neck, a peripheral nerve entrapment or a local tendon or joint problem before treatment is chosen.

Step 4

Treatment options

Treatments linked from those condition pages, from conservative care to advanced procedures.

Physical therapist guiding a man through a resistance-band exercise

Physical Therapy, Rehabilitation & Functional RestorationPhysical therapy and rehabilitation help patients improve movement, strength, flexibility, endurance, balance, and confidence with activity.

Illustration of a needle injecting into the knee joint

Joint InjectionsImage-guided joint injections can be used to treat pain arising from joints such as the shoulder, hip, knee, ankle, or other articulations.

Illustration of an injection into the shoulder bursa

Bursa, Tendon & Soft-Tissue InjectionsPain can arise from bursae, tendons, tendon sheaths, ligaments, entheses, and other soft tissues around a joint.

Illustration of a needle at a trigger point in the shoulder muscle

Trigger Point & Myofascial InjectionsTrigger points are focal areas of tight, painful muscle that can produce local discomfort or referred pain.

Illustration of a regenerative injection into the knee joint

Regenerative Medicine & Orthobiologics (PRP, BMAC & Fat Aspirate)Orthobiologic treatments use autologous materials obtained from the patient with the goal of supporting the body’s biologic healing environment. BMAC & fat aspirate: Coming Soon

Illustration of a radiofrequency probe at the sensory nerves of the knee

Large-Joint Sensory Nerve Blocks & Radiofrequency AblationSome chronic shoulder, hip, and knee pain is carried by sensory nerves around the joint.

Illustration of a stimulation lead along a peripheral nerve in the arm

Peripheral Nerve Stimulation (PNS)Peripheral nerve stimulation delivers electrical stimulation directly to a selected peripheral nerve or nerve region.

Clinician assessing a woman's balance and arm reach

Functional, Mobility & Wellness AssessmentA wellness and functional assessment looks beyond a single painful diagnosis to evaluate how a person moves, functions, recovers, and maintains independence.

Doctor reviewing a meal plan with a patient, fruit and a tape measure on the desk

Weight & Metabolic Health OptimizationBody weight and metabolic health can influence joint loading, inflammation, energy, sleep, cardiovascular health, and the ability to exercise comfortably.

Illustration of an ultrasound probe guiding a needle to a nerve

Ultrasound-Guided Peripheral Nerve BlocksPeripheral nerve blocks place medication around a specific nerve outside the spine.

Clinician holding an Axon Therapy device over a patient's thigh

Neuralace Axon TherapyNeuralace Axon Therapy is a minimally invasive neuromodulation treatment designed for patients with certain forms of chronic neuropathic and peripheral nerve pain.

Therapist guiding a man through a shoulder exercise with a resistance band

Work Injury Evaluation, Rehabilitation & Return-to-Work PlanningWork-related injuries often involve several overlapping issues: identifying the injured structure, controlling pain, restoring function, documenting progress, and determining safe work capacity.

Chiropractor adjusting a patient's lower back on a treatment table

Chiropractic CareAt APICO Pain and Wellness, Dr. Rany Abdallah offers comprehensive Chiropractic Care as part of an integrated approach to managing musculoskeletal pain.

Illustration of a needle at a single spinal nerve root as it exits the spine

Selective Nerve Root BlocksA selective nerve root block targets a specific spinal nerve as it exits the spine.

Illustration of a needle at the sympathetic nerves beside the neck vertebrae

Sympathetic Nerve BlocksThe sympathetic nervous system helps regulate blood flow, sweating, temperature, and other automatic functions.

Illustration of a spinal cord stimulator lead along the spine with its implanted generator

Spinal Cord Stimulation (SCS)Spinal cord stimulation is an implantable neuromodulation therapy used for selected chronic pain conditions, particularly persistent neuropathic pain that has not responded adequately to more conservative treatment.

Illustration of stimulation leads at the dorsal root ganglion beside a vertebra

Dorsal Root Ganglion (DRG) StimulationDRG stimulation is a targeted form of neuromodulation that delivers electrical stimulation near the dorsal root ganglion, an important structure involved in sensory signaling.

Infusion pump and IV line in a treatment room

Ketamine & Advanced Pain Infusion TherapyInfusion therapy may be considered for selected refractory pain conditions, particularly when neuropathic pain or complex pain has not responded adequately to standard approaches.

Illustration of a needle delivering medication into the epidural space beside the spinal nerves

Epidural Steroid InjectionsEpidural steroid injections are image-guided procedures used to place anti-inflammatory medication near irritated spinal nerves.

Illustration of a needle at the nerves of the groin

Pelvic & Groin Peripheral Nerve BlocksNerves such as the ilioinguinal, iliohypogastric, genitofemoral, and pudendal nerves can become irritated or injured after surgery, hernia repair, trauma, entrapment, or other pelvic conditions.

Patient in a head scarf resting during an infusion

Cancer & Treatment-Related Pain ProceduresCancer pain may arise from tumor involvement, bone disease, nerve compression, surgery, radiation, chemotherapy, or treatment-related nerve injury.

Illustration of needles at the facet joints and medial branch nerves of the spine

Facet Joint & Medial Branch BlocksFacet joints are small joints at the back of the spine that help guide movement.

Illustration of a radiofrequency probe heating a spinal nerve

Radiofrequency Ablation of the SpineRadiofrequency ablation (RFA) uses controlled thermal energy to interrupt pain signals carried by selected sensory nerves.

Injection at the back of a patient's head for an occipital nerve block

Occipital Nerve Blocks & Radiofrequency ProceduresThe greater and lesser occipital nerves provide sensation to much of the back and top of the scalp.

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