Primary phone:
818-578-3152
5525 Etiwanda Avenue, Suite 228, Tarzana, CA 91356
23310 Cinema Drive, Suite 104, Valencia, CA 91355
Tarzana Office
5525 Etiwanda Avenue, Suite 228
Tarzana, CA 91356
Valencia Office
23310 Cinema Drive, Suite 104
Valencia, CA 91355
Foundation Orthopaedic Institute

Hand Arthritis · Tarzana · Los Angeles
Hand Arthritis Treatment in Los Angeles
Move Without the Ache
Our board-certified orthopedic surgeons at Foundation Hand Surgery Institute focus exclusively on the hand and upper extremity, and hand arthritis is one of the conditions we manage most. We treat the specific joints causing your pain, starting with the least invasive option that will actually work.

Least invasive
Where most plans start
Months to a year
Typical relief from an injection
Same day
Most procedures are outpatient
Don’t Let Hand Arthritis Steal Your Grip
Arthritis in the hand shows up in the small moments. A jar lid that will not budge, a thumb that aches after texting, knuckles that feel stiff and swollen every morning before the coffee is even made.
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Left alone, worn joints keep wearing. Cartilage thins further, bone spurs form, the base of the thumb loses its stability, and grip strength quietly drains away until writing, cooking, gardening, and lifting a grandchild all start to feel negotiable.
The treatment
What Hand Arthritis Treatment Can Do for You
Arthritis care here is never a single prescription handed to every patient.
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Thumb basal joint arthritis behaves differently than finger joint arthritis or wrist arthritis, and your treatment plan reflects which joints are involved and how far the wear has progressed.
01
Everyday tasks
Without bracing for the pain that follows.
02
Grip and pinch strength
For opening, lifting, twisting, and carrying.
03
Mornings with less stiffness and swelling
In the knuckles and thumb.
Good hand arthritis treatment gives you back:
04
Slower progression of joint damage
When we intervene early.
05
A realistic plan
That matches your activity level, not a generic protocol.
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Most patients start with non-surgical care
Custom thumb bracing, activity changes, anti-inflammatory options, hand therapy, and targeted joint injections that can quiet a painful joint for months. Surgery enters the conversation when those measures stop carrying you, and we say so plainly when that point arrives.

Candidacy
Who Is a Good Candidate for Arthritis Care in Los Angeles?
Almost anyone with persistent hand or wrist pain deserves an evaluation, since the earlier we see the joint, the more options stay open. You are likely a good fit if any of this sounds familiar:
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Aching at the base of your thumb when you pinch, grip, or open containers
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Morning stiffness in the fingers that eases as the day goes on
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Knobby or swollen knuckles that have changed the shape of your fingers
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Wrist pain that flares with weight bearing, push-ups, or lifting
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A previous fracture or injury in a joint that now hurts years later
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Pain that has stopped responding to over-the-counter medication and rest
Age, arthritis type, and severity all shape the plan rather than disqualify you. We treat osteoarthritis, post-traumatic arthritis, and inflammatory arthritis affecting the hand, and we coordinate with your rheumatologist when one is already involved.

What to expect
Your Plan for Hands That Cooperate Again
Step 01
Listening First
We ask what you can no longer do comfortably, because that answer shapes the goal. Pain scores matter, and so does the piano, the pickleball paddle, or the tool you hold all day.
Step 02
Pinpointing the Joint
A focused exam plus X-rays tell us exactly which joints are worn and how much structure remains. Naming the joint precisely is what separates real relief from guesswork.
Step 03
Starting Conservative
Custom splinting, hand therapy, and joint injections resolve the pain for a large share of our patients. We give these approaches a genuine trial before anyone talks about an operating room.
Step 04
Surgical Options When You Need Them
When a joint is worn past what conservative care can manage, we discuss reconstruction, joint replacement, or fusion based on which joint is involved and what you need that hand to do.
Step 05
Rebuilding Strength
After excision, we manage your dressing, monitor the incision, and start gentle motion early to protect wrist mobility as you heal.
Your Questions Answered
FAQs About Hand Arthritis Treatment in LA
Arthritis itself cannot be reversed, though the pain and loss of function it causes are very treatable. Splinting, therapy, injections, and surgery all work by changing how the damaged joint carries load. Many patients go years with well-controlled symptoms and a hand that handles daily life comfortably.
Relief from a corticosteroid injection commonly lasts anywhere from a few months to a year, depending on the joint and how much cartilage remains. Some patients repeat them periodically with good results. We space injections responsibly, since repeated doses in one small joint carry their own tradeoffs.
Not at all. A well-fitted thumb spica brace, hand therapy, and a targeted injection settle symptoms for many patients with basal joint arthritis. Surgery becomes worth discussing when pain persists through those measures or the joint has collapsed enough to limit your pinch strength.
It depends on the procedure and joint involved. Splinting typically runs several weeks, followed by hand therapy to restore motion and strength, with full comfort building over a few months. Most procedures are outpatient, so you head home the same day and start recovery at home.
When pain lasts beyond several weeks, wakes you at night, weakens your grip, or changes how you use the hand. Early evaluation often means simpler treatment. Our Tarzana office serves patients throughout the San Fernando Valley and West LA and is currently accepting new patients.
Joint wear generally progresses over time, though the speed varies widely between people and joints. Protecting the joint with bracing, adjusting how you load your hand, and treating flares early all slow the trajectory and preserve function longer than waiting until the pain becomes constant.
What Our Customers Say
Stop Planning Your Day Around Your Hands
Painful joints tend to quiet a life. You stop cooking the meals you love, hand the jar to someone else, skip the round of golf, and tell yourself it is simply age. It does not have to go that way.
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Dr. Rob Viswanath and Dr. Ryan Tantone are accepting new patients from the San Fernando Valley, West Valley, and West LA at our Tarzana office. Call 818-578-3152 or request an appointment online, and let us find out what your hands are still capable of.
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