Nerve
Wrist & Hand Pain
Restore comfort and control
for the work your hands do every day.
Wrist and hand pain may involve joints, tendons, or nerves. A precise examination helps separate these patterns before treatment begins.
Serving Whitefish and the Flathead Valley.

The clinical picture
Persistent symptoms have a cause — and it can be identified.
Similar hand symptoms can come from the wrist, elbow, neck, or systemic conditions. Strength, sensation, nerve tension, and joint motion help clarify the likely source.
Recognizing the signs
What wrist & hand pain typically feels like day to day.
- Aching or stiffness with grip
- Tingling or numbness in the fingers
- Night symptoms
- Reduced grip strength or dropping objects
- Pain with typing, tools, cooking, or hobbies
What this means over time
Even modest symptoms can affect work, cooking, driving, and recreation because the hands are used constantly. Progressive weakness should be assessed promptly.
Persistent nerve compression can lead to weakness or muscle loss. Rapid progression, marked swelling, or trauma may require imaging or specialist evaluation.
A precise evaluation is the starting point.
Dr. Smith's examination identifies the specific structures involved, measures how they're functioning, and determines — honestly — whether our care is the right fit for what you're dealing with.
Causes & clinical context
Understanding what may contribute to wrist & hand pain.

Common underlying causes
- Carpal tunnel syndrome
- Tendon irritation
- Arthritis or joint restriction
- Referred symptoms from the neck or elbow
- Repetitive gripping or tool use
What's usually offered — and where it falls short
Wrist brace
Limit: May reduce night symptoms but does not identify every source of hand pain.
Medication
Limit: May reduce pain while nerve or mechanical findings remain.
Evaluation and care
A plan based on the findings.
- Nerve and joint examination
- Screening of the neck and elbow
- Conservative care for appropriate compression patterns
- Ergonomic and activity guidance
What to expect
First visit
A focused history and examination identify the likely source and screen for findings that need referral.
Early care
Treatment is matched to the exam findings, with symptoms and function tracked rather than assumed.
Reassessment
Progress is measured and the plan is continued, changed, or referred when appropriate.
How Dr. Smith treats this differently
Our Carpal Tunnel approach for Wrist & Hand Pain.
A non-surgical care program for median-nerve symptoms in the hand: chiropractic care for the neck and shoulder, soft-tissue work along the nerve path, and targeted rehab.
Explore the Carpal Tunnel ProgramCommon Questions
Frequently Asked Questions
Related conditions
Clinical note: Progressive hand weakness, muscle wasting, major trauma, or severe swelling requires prompt medical or surgical evaluation.
Stop living around wrist & hand pain.
Start with a $47 new patient evaluation and we'll tell you honestly whether we can help.
