Relief for Hand, Wrist, and Elbow Pain

So You Can Get Back to Doing What You Love

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Hand & Upper Extremity Care at Access Sports Medicine

Expert Treatment for the Active Life You Lead

Whether you’re gripping a golf club, lifting groceries, or just trying to type without pain, your hands, wrists, and elbows play a major role in everyday life. But when pain, weakness, or stiffness sets in, even simple movements can feel like a challenge.

That’s where we come in.

At Access Sports Medicine, we specialize in helping athletes, active adults, and everyday people overcome hand and upper extremity injuries without slowing them down.

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Hand, Wrist & Elbow Conditions We Treat

Pain in your hand, wrist, elbow, or arm can come on suddenly or build over time. Either way, it can seriously affect your mobility, performance, and quality of life. Our team has experience treating everything from common overuse injuries to more complex conditions, including:

Carpal Tunnel Syndrome – numbness or tingling in your hands, often from repetitive use

Tendonitis – pain from inflamed tendons, including De Quervain’s and trigger finger

Arthritis – stiffness or swelling in the hands or wrists, especially in older adults

Sprains, Strains & Tears – often caused by falls, sports, or heavy lifting

Fractures & Dislocations – broken bones or dislocated joints from accidents or impact

Nerve Issues – weakness or loss of coordination in the hands or fingers

Ganglion Cysts – small, fluid-filled lumps on the wrist or hand

Tennis Elbow – pain occurs in the outside area of the elbow

Repetitive Stress Injuries – common in athletes, office workers, and tradespeople

You don’t need to self-diagnose. If something doesn’t feel right, we’ll help you figure out what’s going on and how to fix it.

➡ Stay in the Game: Top Tips for Preventing Pickleball Injuries

Is It Time to See a Specialist?

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Here are some signs it’s worth getting checked out:

  • You feel tingling, numbness, or weakness in your fingers or hand
  • Your wrist hurts when lifting, typing, or playing sports
  • You’ve lost grip strength or have trouble holding things
  • There’s pain when you bend, twist, or stretch your arm
  • Your elbow or wrist clicks, locks up, or feels unstable
  • You’ve had a recent fall or injury that hasn’t healed
  • Tasks, like opening jars, swinging a golf club, or pushing a door, hurt

If any of these sound familiar, early treatment can help prevent bigger issues down the road.

 Our Approach to Hand & Upper Extremity Care

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At Access Sports Medicine, we believe in treating people, not just symptoms. Whether you’re recovering from a sports injury, managing arthritis, or dealing with pain from repetitive motion, our goal is to help you move better, feel stronger, and return to the activities you enjoy.

We don’t jump to surgery. In fact, most of our patients get better with non-surgical treatments. But when surgery is the best option, you’ll have access to the latest techniques and experienced specialists who walk you through every step.

What You Can Expect:

Comprehensive Evaluation – including diagnostic imaging and functional assessments
Non-Surgical First – therapies like bracing, physical therapy, and injections
Advanced Surgical Options – when necessary, including minimally invasive procedures
Collaborative Team-Based Care – orthopaedic surgeons, sports medicine physicians, and rehabilitation specialists working together
Personalized Recovery Plans – focused on your goals and lifestyle

Hand, Wrist, & Elbow Pain Treatments

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We offer a wide range of services tailored to your condition, activity level, and goals.

Non-Surgical Care

Surgical & Procedural Care

  • Endoscopic carpal tunnel release
  • Tendon and ligament repair
  • Fracture management
  • Cyst or mass removal
  • Post-surgical rehabilitation

No matter where you are in your recovery journey, our team is here to support you from start to finish.

Why Choose Access Sports Medicine?

Experienced Team: Our physicians are specialists in sports medicine and orthopaedic care.
Comprehensive Care: From diagnosis to treatment and rehabilitation, we offer everything you need under one roof.
Personalized Approach: Your treatment plan is tailored to your specific needs and goals.
Convenient Locations: We have clinics throughout New Hampshire to serve you

 

Locations

Exeter, NH Orthopaedic Clinic (Walk-In Clinic Available)

1 Hampton Road
Exeter, NH 03833

Portsmouth, NH Sports Medicine & Orthopaedic Clinic (Walk-In Clinic Available)

155 Borthwick Avenue, Suite 102
Portsmouth, NH 03801

Dover, NH Sports Medicine & Orthopaedic Clinic

19 Webb Place
Dover, NH 03820

Raymond, NH Sports Medicine & Orthopaedic Clinic

6 Freetown Road
Raymond, NH 03077

Auburn, NH Ambulatory Surgery Center

45 Dartmouth Dr.
Auburn, New Hampshire 03032

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Hand and wrist injuries make up about 25% of all sports-related injuries, and they’re becoming more common not only in student athletes, but also in people of all ages who are leading more active lifestyles.

Understanding Hand & Upper Extremity Pain

All Access Sports Medicine locations can diagnose and treat individuals with hand and upper extremity conditions. Combined, our specialists have more than 25 years of expertise and have completed rigorous training and fellowship programs.

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Specializing Doctor

Roderick J. Bruno, MD

Dr. Bruno is a member of the American Society for Surgery of the Hand, the New England Hand Society and the New England Orthopaedic Society.

Serving All Locations

Meet Dr. Bruno

Frequently Asked Questions

What is Dupuytren’s contracture?

Also called palmar fibromatosis, Dupuytren’s contracture is a hand condition that develops over several years. Knots of tissue form under the skin of the palm, which creates a thick cord that prevents the affected fingers from completely straightening. Treatment involves removing the knots, which can be done via a variety of medical procedures.

What is De Quervain’s tenosynovitis?

Also known as radial styloid tenosynovitis, De Quervain’s tenosynovitis affects the tendons in the thumb side of the wrist. This condition results in pain when turning the wrist or making a fist. Treatment involves reducing inflammation, resting the tendons by using a splint and sometimes surgery for more serious cases.

What is arthritis in the hand?

Arthritis affects the cartilage in joints and is the result of severe inflammation of a joint and the surrounding soft tissues. This causes pain, stiffness and swelling in the joints. Treatment often includes resting the joints, medications, splints and specific exercises prescribed by a physician.