Conditions We Treat

Carpal Tunnel Syndrome

Compression of the median nerve at the wrist causing numbness, tingling, and weakness in the hand, especially at night.

Trigger Finger

Inflammation of the finger tendon sheath causing the finger to catch, lock, or click when bent.

De Quervain's Tenosynovitis

Painful inflammation of the tendons on the thumb side of the wrist, worsened by gripping or pinching.

Wrist Fractures (Distal Radius)

Fractures of the distal radius are among the most common orthopaedic injuries, often from falls on an outstretched hand.

Ganglion Cysts

Fluid-filled cysts that form along tendons or joints of the wrist and hand, often causing pain or an unsightly bump.

Dupuytren's Contracture

Progressive thickening and tightening of tissue in the palm causing fingers to bend toward the palm permanently.

Wrist Arthritis

Degenerative or inflammatory arthritis of the wrist joint causing chronic pain, swelling, and loss of grip strength.

Hand & Finger Fractures

Fractures of the metacarpals and phalanges from trauma, requiring accurate reduction and stabilization for good outcomes.

Procedures We Offer

Carpal Tunnel Release

Surgical cutting of the transverse carpal ligament to relieve pressure on the median nerve and eliminate symptoms.

Trigger Finger Release

Surgical release of the constricted tendon sheath allowing smooth finger motion.

Distal Radius Fracture Fixation

Open reduction and internal fixation of wrist fractures using plates and screws for anatomic alignment.

Wrist Arthroscopy

Minimally invasive treatment of wrist ligament tears, cartilage damage, and ganglion cysts.

Ganglion Cyst Excision

Surgical or aspiration removal of ganglion cysts to relieve pain and restore wrist appearance.

Dupuytren's Fasciectomy / Collagenase Injection

Surgical removal or enzymatic disruption of Dupuytren's cord to straighten affected fingers.

Wrist Fusion / Partial Wrist Fusion

Fusion of wrist bones to eliminate pain from severe arthritis while preserving forearm rotation.

Thumb Basal Joint Arthroplasty

Reconstruction of the thumb carpometacarpal joint to relieve arthritis pain and restore pinch strength.

Our Providers

Christopher M. Manning, M.D.

Christopher M. Manning, M.D.

Orthopaedic Surgeon

Shoulder, Arm, Wrist & Hand

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Frequently Asked Questions

What are the symptoms of carpal tunnel syndrome?

Classic carpal tunnel symptoms include numbness and tingling in the thumb, index, middle, and part of the ring finger—often worse at night or with prolonged gripping. As the condition progresses, patients may notice weakness in pinch and grip, dropping objects, and difficulty with fine motor tasks. An EMG/nerve conduction study confirms the diagnosis.

Is carpal tunnel release surgery effective?

Carpal tunnel release is one of the most successful orthopaedic procedures, with relief rates exceeding 90%. The procedure takes about 15 minutes and is typically done under local anesthesia as an outpatient. Most patients notice improvement in nighttime symptoms within days, with full strength recovery over 4–6 weeks.

Can a wrist fracture be treated without surgery?

Many wrist fractures can be treated successfully with casting, particularly when the fracture fragments are well aligned. Surgery is recommended when fractures are displaced, unstable, involve the joint surface, or occur in patients with high functional demands. We will review X-rays and discuss the best approach for your specific fracture pattern.

What is Dupuytren's contracture and how is it treated?

Dupuytren’s contracture is a thickening of the fibrous tissue in the palm that causes one or more fingers to permanently curl toward the palm. When contracture is mild, observation is appropriate. When it progresses to significantly limit hand function, treatment options include collagenase (Xiaflex) injection to dissolve the cord, needle aponeurotomy, or surgical fasciectomy to remove the diseased tissue.

Ready to Get Relief?

Our board-certified orthopaedic specialists are here to help. Schedule your appointment today.

Or call us: (412) 283-0260

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