Hand, Wrist & Elbow

Any injury or medical condition that affects your hand, wrist or elbow can potentially impact your quality of life. And for those who work with their hands, any injury or syndrome can impact their livelihood, including hand, wrist and elbow surgeons!

Whether your condition is complex or simple, the experts at OSSWF have the training and experience to diagnose and treat your condition. Not all conditions require surgery. Many can be treated conservatively with nonsurgical treatments including medications, splints, therapy and injections.

Orthopedic Specialists of SW Florida Practice Philosophy

The Orthopedic Specialists of SW Florida practice philosophy is to treat early with noninvasive, conservative treatments for degenerative conditions. Conservative treatments include a splint to immobilize the joint, analgesic medications for pain, and cortisone injections. Simple measures may accomplish the goal of pain relief.

Optimal treatment depends on a complex analysis of the patient’s condition. For arthritis that affects the hand, wrist or elbow, surgery is only appropriate when conservative therapies are insufficient to relieve pain or improve function. For nerve or tendon problems, minimally invasive procedures are often appropriate to prevent permanent loss of function. When we recommend surgery, we do so to avoid the risk of disease progression and permanent disability. Treatment options are determined on a case-by-case basis.

Hand, Wrist and Elbow Pain

Hand, wrist and elbow pain are commonly due to fractures, strains, sprains, wear and tear, repetitive stress, arthritis, trapped nerves, damaged ligaments and tendons, and stress fractures.

  • Hand pain is usually the result of arthritis-inflammation of the joint, or repetitive motion injuries like carpal tunnel syndrome, caused by a trapped nerve that causes pain, tingling, numbness and weakness. Chronic pain is often due to normal aging, repetitive stress and arthritis, or nerve damage and injuries that fail to heal correctly. Wrist pain is usually due to arthritis, fracture, strains, sprains and repetitive stress. There may be stiffness, tenderness and swelling.
  • Elbow pain, includes tennis and golf elbow (tendinitis), local trauma, dislocation, fractures, and desk work.

Common conditions we treat include

  • Carpal tunnel syndrome, which causes nerve entrapment
  • Tennis elbow is tendinitis due to aging, and/or a repetitive stress injury causing pain and tenderness, which makes it difficult to move the joint
  • Wrist pain may be due to an injury, arthritis, sprains or strains
  • Sports injuries to the hand and wrist account for about 25% of all sports-related injuries. The most common injuries are sprains, fractures, ligament tears that result in wrist instability, overuse injuries, dislocations, and tendon ruptures
  • Fractures of the hand, finger, thumb and wrist are frequently due to falls, direct blows, crush injuries
  • Trigger finger is a condition where one or more fingers get stuck in a bent position which limits movement
  • Arthritis

Our Hand, Wrist and Elbow Specialists

The hand, wrist and elbow experts at OSSWF are fellowship-trained specialists qualified to diagnose and treat all problems related to the structure and function of the hand, wrist, forearm, and elbow.

Dr. Antonio Flores, MD received his fellowship-training at the Cleveland Clinic and Case Western Reserve University.

Dr. P. Jeffrey Richards, MD received his fellowship-training at the University of Alabama at Birmingham. A Florida native, he returned to Florida to found Orthopedic Specialists of SW Florida. He and Dr. Flores established the Hand & Upper Extremity Center.

These exemplary surgeons understand how critical it is to have healthy hands, wrists and elbows, because they are essential to accomplishing our most basic needs and movements. Washing, dressing, eating, writing, creating, and moving all require our hands, wrists and elbows to work in concert.

The Consultation

During your consultation with one of our specialists, you will receive a complete examination and review of your medical history. Your doctor will listen and discuss your symptoms with you. Imaging tests may be ordered to identify or confirm a diagnosis, and depending on your symptoms, additional imaging or lab tests may be required.


Arthroscopic surgery is minimally invasive and is commonly used to diagnose and treat tennis elbow, remove loose cartilage, scar release, and arthritis. In addition, it is the least invasive procedure to diagnose and treat problems inside the wrist joint as well as some hand fractures.

At OSSWF we provide compassionate care with the most current surgical, treatment and rehabilitation technologies available. If you or a loved one suffers from an injury, trauma or degenerative disease that affects the function of their hands, wrist, and elbow, call the most well-respected and specialized orthopedic surgeons in SW Florida.

Testimonials Real Patient Stories

"These doctors are the best! Dr. Reynolds always take good care of me and is gentle along with Dr. Flores and Dr. Tafel. I have had nothing but the best experience at Orthopedic Specialists!" - Gwen


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