At UPMC Institute for Health Chianciano Terme, orthopedics and traumatology specialists offer diagnosis and surgical and non-surgical treatment of musculoskeletal conditions that includes bones, joints, ligaments, tendons, muscles, and nerves.

Hand surgery is also available at the Center, to treat the most common diseases of the wrist and hand.  The loss of hand functionality is a major problem for working, personal and daily tasks, from the simplest to the most complex ones, and can significantly worsen a person’s quality of life. Oftentimes rehabilitation, infiltration and pharmacological treatment are unable to solve the problem, therefore surgery becomes necessary. Wrist and hand disorders may have traumatic or post traumatic, degenerative or congenital origins. The most common are:

  • Carpal tunnel syndrome. The flexor tendons and the median nerve pass through the carpal tunnel. Carpal tunnel syndrome is caused by pressure on the median nerve. The most frequent symptoms are tingling in the first fingers of the hand, sometimes accompanied by pain, numbness and, in the most serious cases, by motor deficit.
  • Trigger finger, also known as stenosing tenosynovitis, is an inflammatory process that affects the digital flexor tendons. It is associated with pain and a clicking sound of the involved finger.
  • De Quervain syndrome is an inflammation of the tendons that extend and move the thumb away from the other fingers. The most common symptoms include intense pain in the wrist and at the base of the thumb during grasping movements.
  • Dupuytren’s disease is an abnormal thickening of the fibrous tissue between the skin and the tendons of the hand, which can limit the movement of the fingers and lead to fingers permanently bent in a flexed position towards the palm.
  • Rheumatoid arthritis is a chronic and progressive inflammatory disease affecting the synovial joints and causing pain, swelling, and deformation which can seriously impair the joint functions.
  • Tendinous and synovial cysts are nontumoral swellings containing synovial fluid that develop in the vicinity of joints and tendons.

At UPMC Institute for Health Chianciano Terme these hand disorders are treated with highly specialized surgical procedures and using modern and minimally-invasive techniques that enable a fast functional recovery and a rapid return to normal everyday activity, thus shortening the period of disability. Surgical treatment, which obviously varies according to the disorder, is performed in an outpatient setting under local anesthesia and patients are discharged the same day.

The Center offers complete and personalized care throughout the clinical and diagnostic course, thanks to a team of radiologists, anesthesiologists and physical therapists that follow the patient throughout the process, from diagnosis to recovery, even in the post-operative period.

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At the UPMC Institute for Health Chianciano Terme, we offer preventive medicine services for gastrointestinal, pancreatic, and cardiac diseases, metabolic syndrome, and diabetes. In other words, we take care of you.


The Italian division of the University of Pittsburgh Medical Center with facilities in Rome (UPMC Hillman Cancer Center at San Pietro FBF, oncology radiotherapy and UPMC Salvator Mundi International Hospital), Palermo (ISMETT IRCCS, organ transplants and highly specialized therapies and Ri.MED Foundation, research), Chianciano Terme (UPMC Institute for Health, preventive medicine and Medical Gym), Mirabella Eclano (UPMC Hillman Cancer Center at Villa Maria, oncology radiotherapy).


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