Hand and Wrist
Life in North Idaho is hands-on. Let's keep it that way.
In North Idaho, hands aren't just part of daily life—they're how we work, build, create, fix, fish, garden, and stay active. When pain, injury, or loss of function starts slowing you down, Kootenai Clinic Orthopedics hand and wrist specialists get it. Whether you're dealing with nerve compression, a tendon injury, arthritis, trigger finger, or something that never healed quite right, we’ll work with you to figure out what's at the root of your symptoms and what treatment will get your hands working the way they should again.
Many symptoms of hand & wrist conditions improve with conservative treatment—splinting, injections, or medications—and progressively with therapy. When surgery is needed, our orthopedic surgeons provide advanced treatment for fractures, arthritis, tendon injuries, nerve conditions, and other hand and wrist issues.
Recovery is focused on restoring the strength, movement, and function you rely on every day so you can get back to work, hobbies, sports, and the activities that matter most.
Hand & Wrist Specialty Care
Surgical & Non-Surgical Options
One Coordinated Team
Our Services
Signs & Symptoms
- Hand or wrist pain
- Numbness or tingling
- Loss of grip strength
- Trigger finger symptoms
- Difficulty gripping, lifting, or typing
- Wrist instability
- Symptoms after injury that are not improving
- Carpal tunnel syndrome
- Cubital tunnel syndrome
- De Quervain’s Tenosynovitis
- Trigger finger
- Dupuytren’s contracture
- Wrist sprains
- TFCC tears
- Scaphoid/nonunion and distal radius fractures
- Tendon and nerve injuries
- Ganglion cysts
- Arthritis of the thumb CMC/MCP/PIP/DIP joints
- Mallet finger
- Boutonnière deformities
Diagnostics & Testing
- Detailed history and physical examination
- Weight-bearing and targeted X-rays
- MRI for ligament, cartilage, and occult fracture evaluation
- CT imaging for complex fracture planning
- Ultrasound for tendon assessment and guided injections
- Electrodiagnostic testing (EMG and nerve conduction studies)
Treatments & Procedures
Non-Surgical Treatments
- Activity modification
- Structured physical therapy
- Home exercise programs
- Splinting and bracing
- Anti-inflammatory and analgesic medications
- Corticosteroid injections
- Return-to-sport and return-to-work plans
- Coordination with certified hand therapy for optimal recovery
Surgical Treatments
- Wrist arthroscopy
- Open and Arthroscopic Carpal Tunnel Release
- Cubital tunnel release
- Tendon repair and tendon transfer
- Ligament reconstruction and stabilization procedures
- Fracture Fixation or Fracture Repair
- Nerve repair and decompression
- Wrist and hand arthritis surgery
- Trigger finger release
- Removal of masses or cysts (including ganglion cysts)
Specialized Programs & Support
