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Your Experienced Upper Extremity Doctor in Miami, FL

Orthobiologic & Orthopedic Specialist Hand & Wrist Pain 

Our hands grant us abilities that no other creature in the animal kingdom can claim. They’re so ubiquitous to our daily lives, we may not even realize all the ways in which we use them. Hands and wrists aren’t just functionally important, though -- they’re also complex parts of your body, both mechanically and anatomically. If your hands and wrists are injured or damaged due to a condition such as arthritis or carpal tunnel, restoring you to full functionality will be all about restoring that delicate motor function we take for granted each day.

If you’re living with chronic pain in your hands, wrists, or both, the orthobiologic solutions offered by Dr. Trevor Turner at The Genomic Athlete may be able to help. Using state-of-the-art technology and a committed minimally-invasive approach, Dr. Turner has been able to reduce his patients’ need for orthopedic upper extremity surgery by 50% using regenerative techniques such as stem cell injections and platelet rich plasma injections.

Hand and wrist pain can stop your life in its tracks, but we can help. If you’re curious about the alternative treatment for hand and wrist pain offered by one of the best joint injection specialists in Miami, keep reading to learn more, and don’t hesitate to reach out to Dr. Turner with any further questions. If you’re ready to try regenerative medicine and find relief with the least invasive treatment possible, don’t hesitate -- reach out to The Genomic Athlete and schedule your first consultation appointment today.


Young girl doing fitness exercise

Advanced Diagnostics for Upper Extremity Pain

Diagnostic Musculoskeletal Assessment for Hands & Wrists

Your journey toward relief and long-term recovery from hand and wrist pain begins with a diagnosis. Dr. Turner’s musculoskeletal assessment process uses dynamic ultrasound scans to provide a more accurate, comfortable and cost-effective diagnosis than a traditional MRI. In addition, this superior diagnostic tool comes at a fraction of the cost of standard, conventional diagnostic techniques.

Unlike MRI, ultrasound scans give moving pictures of the tendons and ligaments around your hands and wrists. This allows Dr. Turner to spot other irregularities that may be missed using traditional diagnostic technology. This process takes just 3-4 minutes and costs 90% less than a typical MRI. 

While ultrasound is an incredible tool, orthopedic conditions of the hand and wrists involve the nerves as well as the joint and tendons. That’s why Dr. Turner employs an EMG exam in conjunction with his ultrasound technology when looking at nerves. An EMG can help determine whether nerves around the hand and wrist are pinched or trapped, allowing Dr. Turner to address pain from your hand and wrist that may come from another source.

Additionally, Dr. Turner uses fluoroscopy during orthobiologic procedures involving bone marrow cells. This allows for greater accuracy and a significantly smaller margin of error when placing cells into the bones inside your hands and wrists.

Platelet Rich Plasma Specialist for Hand & Wrist Pain

PRP Therapy for Upper Extremities

Platelet rich plasma (PRP) therapy is one of Dr. Turner’s most frequently requested regenerative treatments for chronic wrist and hand pain. PRP is a minimally-invasive solution that can help you find effective hand and wrist pain treatment without surgery, saving you pain, time and cost.

PRP therapy is simple and natural, using growth factors obtained from your own blood to stimulate your body’s natural foundation for recovery. During your session, Dr. Turner will draw your blood and send it to our onsite laboratory. There, an expert technician will use a centrifuge to separate the blood from the plasma. Dr. Turner will then reinject that plasma into your hand or wrist at the affected site, giving your body its best chance for long term recovery and restoring function. PRP injections also help to reduce inflammation, providing relief from hand and wrist pain without the extensive recovery from traditional hand surgery.

Dr. Turner recommends PRP ligament damage treatment for the following orthopedic conditions of the hands and wrist, and more:

  • CMC joint arthritis (thumb joint)
  • Carpal tunnel syndrome
  • Scapholunate Ligament Tears
  • TFCC Tears

We’re also proud to partner with Greyledge Biotech, an orthobiologics lab which offers us the unique ability to collect data from your blood draw regarding your outcomes. This helps us to distinguish what is indicated and not indicated by your blood, and to provide a fully customized PRP treatment experience. If you’d like to learn more about the platelet rich plasma injection process for carpal tunnel syndrome, arthritis, and other orthopedic conditions of the hands and wrists, Dr. Turner is a platelet rich plasma specialist, and he’s happy to discuss your questions and concerns with you. If you’re ready to try PRP therapy for yourself, don’t wait. Reach out and schedule your first consultative appointment with us today.

The doctor is treating the patient's wrist with a bandage

Non Surgical Treatment for Arthritis in Miami, FL

Stem Cell Therapy for Hands and Wrists

Adult “Stem Cells” from bone marrow are the type we use to treat orthopedic injuries. The name was first coined by Dr. Arnold Caplan in 1991 “Mesenchymal Stem Cells” or MSCs for short. The MSCs from bone marrow act like a powerful drug store in a tiny package. These stem cells release powerful signals that help the body provide anti-inflammatory effects, send positive signals to the immune system, stop cell death, and even improve blood flow.

While only a small percentage of bone marrow has MSCs, stem cells remain in higher numbers as we age in the back of the hip bone (pelvis). After numbing a patient so they do not feel any pain, Dr. Turner takes these cells from the hip, and an experienced technician sorts out the unwanted material to get the maximum number of MSCs possible in a sterile processing laboratory. Every sample is then carefully analyzed for high quality before being delivered back into the patient, which is critical to ensuring that our patients have the best long term outcomes. 

Next, Dr. Turner uses a combination of sound waves (ultrasound) and X-rays (fluoroscopy) to very precisely guide your own stem cells back into the area of injury in a same day procedure. We call this FDA-compliant procedure Bone Marrow Aspirate Concentrate or BMAC for short.

Regenerative Hand & Wrist Treatment FAQ

What are some of the most common hand & wrist conditions?

Some of the most common ailments of the hands and wrists that we see at Dr. Turner’s practice include:

  • CMC joint arthritis
  • Carpal tunnel syndrome
  • Scapholunate Ligament Tears
  • TFCC Tears

Can Dr. Turner provide prolotherapy for hands and wrists?

Yes! Dr. Turner is also a prolotherapy specialist. Prolotherapy can be used to relieve pain in the joints and ligaments in the hands and wrists, and it works by injecting a small, harmless amount of an irritating substance into the affected area. This irritant will cause a controlled type of inflammation in your hand or wrist, and once this inflammation is reduced, your pain will be relieved, and your body’s natural healing process will be stimulated. If you’d like to learn more about prolotherapy for your hand or wrist pain, reach out to Dr. Turner today.

Can Dr. Turner provide steroid injections to the hands and wrists? 

While Dr. Turner strongly recommends other types of non-invasive therapies to treat injuries and conditions of the elbow for long-term results, he is capable of providing steroid injections as part of his practice. 

Will my hands or wrists need physical therapy after my treatment?

While not all orthobiologic procedures require physical therapy afterwards, Dr. Turner has often seen patients who get PRP or stem cell therapy have increased success with rehabilitation in the weeks after their treatment even when it was difficult beforehand. Physical therapy can be a vital, impossible-to-skip part of your recovery from whatever condition or injury brought you to Dr. Turner’s office in the first place. Dr. Turner’s practice is proud to stand with our patients through every step of their recovery, and we’re proud to offer cutting-edge rehab and prehab therapies. For patients who travel for treatment, ask about our digital rehab solution with Amp Recover. To learn more about our physical therapy support capabilities, reach out to Dr. Turner.