Hand and upper extremity care is a subspecialty of orthopaedics that covers conditions in areas of the body including the hands, wrists, elbows, fingers and arms. Pain and injury can result from trauma in the workplace or during recreational activities. Pain can also be the result of overuse, degenerative or acquired conditions.

Some common conditions we treat include:

  • Hand & Upper Extremity PainCarpal tunnel syndrome
  • Tennis and golfer’s elbow
  • Arthritis
  • Tendon and nerve damage
  • Bone fractures
  • Sprains
  • Ganglion cysts
  • De Quervain’s tenosynovitis (radial styloid tenosynovitis)
  • Dupuytren’s contracture (palmar fibromatosis)

Access Sports Medicine treats a variety of patients, including infants with congenital hand conditions, athletes with overuse injuries, workers with nerve issues and more mature patients with arthritis issues.

While most hand conditions are often the result of overuse, acute traumatic injuries require quick care to minimize the risk of deformity, permanent loss of function or the need for additional treatment.

Treatment Options

Once seen and diagnosed by one of our hand and upper extremity doctors, treatment will depend entirely on the specific injury and condition.

Not all hand and upper extremity conditions require surgery – in fact, most can be treated with splinting, physical therapy, occupational therapy or even through simple lifestyle changes. However, traumatic injuries such as torn nerves or tendons and broken bones often need surgical treatment.



Dover, NH Orthopaedic Clinic

19 Webb Place
Dover, NH 03820

Rochester, NH Orthopaedic Clinic

120 Washington Street Suite 101
Rochester, NH 03839

Portsmouth, NH Orthopaedic Clinic

155 Borthwick Avenue, Suite 102
Portsmouth, NH 03801

Plaistow, NH Orthopaedic Clinic

13 Plaistow Road
Plaistow, NH 03865

Raymond, NH Orthopaedic Clinic

6 Freetown Road
Raymond, NH 03077

Exeter, NH Orthopaedic Clinic

1 Hampton Road
Exeter, NH 03833


The number of bones in the human hand, including 14 in the fingers, five in the palm and eight in the wrist.

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

Michael T. LeGeyt, MD

Dr. LeGeyt is certified by the American Board of Orthopaedic Surgery with a Certificate of Added Qualification in Surgery of the Hand (CAQSH).  He was awarded the Best Clinical Research at the Seton Hall University School of Graduate Medical Education Annual Research Colloquium.

Meet Dr. LeGeyt

Relevant Publications

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H. Matthew Quitkin, MD

What’s new in hand conditions?

H. Matthew Quitkin, MD

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.