Offices in Berkeley Heights, Livingston, and Morristown, NJ

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Hand Surgery Information

We are experts at diagnosing and repairing problems of the fingers and hands, wrists, and forearms.

Overview

The plastic surgeons at Summit Medical Group are experts at diagnosing and repairing problems of the fingers and hands, wrists, and forearms. Plastic surgeons specializing in hand surgery are particularly adept at dealing with the soft tissues (such as tendons, nerves, and muscles), but also have expertise with the small bones of the hands and fingers.  In most cases, hand surgery is not cosmetic.  Drs. Momeni and Schmid have extensive experience with most types of hand surgery and non-surgical treatments for a variety of issues. 

The goal is always to restore function and form as much as possible. We avoid surgery whenever relief might be obtained with less invasive methods, such as anti-inflammatories, finger or hand braces, rest, physical therapy, and/or cortisone injections. When hand surgery is indicated, it sometimes includes the tissues involved in the problem area, including skin, soft tissue, tendon, bone, and nerve. Our plastic surgeons utilize the most advanced techniques and equipment. Even in difficult cases, we can usually restore feeling, function, and reduce pain your hands.

“Dr. Momeni fixed my carpal tunnel syndrome with endoscopic surgery. I drove back to Pennsylvania the next day, 150 miles!” 

 - Patient on RateMDs.com

Hand Surgery

Plastic Surgeons and Hand Surgery

Just like orthopedic surgeons, all plastic surgeons train in the surgery of hand.  In fact, historically, the origins of hand surgery involved more plastic surgeons than hand surgeons, but over time, orthopedic surgeons have surpassed plastic surgeons in number in the USA.  Some plastic surgeons and some orthopedic surgeons choose to specialize and focus on hand surgery.  Not all plastic surgeons and not all orthopedic surgeons specialize in hand surgery.  In our practice, Drs. Momeni and Schmid specialize in hand surgery across multiple offices.

Types of Surgery

Types of Hand Surgery

Some of the most common types of hand problems that our plastic surgery hand exerts include:

Carpel Tunnel Syndrome. This condition is caused by ligament pressure on the median nerve of the wrist. Patients often feel night time pain, weakness with activities, and/or tingling and numbness in the fingertips.  Left untreated, the feeling and strength in the fingers will slowly deteriorate beyond repair over time.  If patients do not improve with non-surgical intervention (using rest and wrist braces) we resort to surgery. It is important that carpel tunnel not be allowed to progress, however, as surgery can only prevent further loss of function. It will restore the strength that has already been lost. Whenever possible, we use endoscopic carpal tunnel surgery to gain faster return to normal activities.  Read more about carpel tunnel syndrome treatment.

Trigger Finger. One of the most common hand problems, trigger finger is a form of tendonitis of the finger flexing tendons. For first time patients, surgery is not required, and the condition can be treated with non-surgical efforts (such as finger brace and cortison injection). For those with an repeat case, a simple outpatient surgery can be performed to relieve the pain. Read more about trigger finger treatment.

Ganglion Cyst. Sometimes, either from routine wear and tear of aging, or from injury, joints can leak their internal fluid.  When this happens, patients will noticed a raised lump over the joint, most often at the wrist or over the finger joints.  First time cysts are treated by simple drainage (using a needle in the office).  About half the time, these cysts return, and they are then removed surgically.  Read more about ganglion cyst treatment

Thumb Base Arthritis. Osteoarthritis in the thumb can be very painful. Women are affected more than men, and the condition usually starts in our 50s and becomes progressively worse over time.  Many cases can be treated without surgery, however, using braces, medications, and cortisone injections. Those with constant pain that is not relieved by non-surgical methods can have surgery for the condition, which involves a thumb joint reconstruction. Read more about thumb base arthritis treatment.

Dupuytren’s Contracture. This hereditary disorder causes thick bands of tissue to form in the palms of the hands. As a result, the fingers may become deformed. Our surgeons can often restore function and repair deformities caused by this condition.  We use cortisone injections for very early cases (e.g. painful nodules), enzyme injections (Xiaflex) for moderate cases, and surgery for advance cases.    

Congenital Deformities. These deformities include fused fingers (syndactyly) and extra fingers (polydactyly). Our surgeons can usually correct these and other deformities so that the hands look normal and are fully functioning.

Scar and Cut Repair/Revision. Severe cuts that affect the muscles, tendons and nerves on the hands and wrists can be repaired through a variety of advanced plastic surgery techniques.

Your Consultation

Your Hand Surgery Consultation at Summit Medical Group

When you meet with us for your hand surgery consultation, we must first arrive a diagnosis. We someitmes consult with physicians in other medical disciplines, if necessary, to determine the cause of your problem and devise a recovery plan that may include non-surgical intervention or surgery.  Sometimes, neurologists and physiatrists are called upon to perform nerve testing, and sometimes, a rheumatologist may be called upon to help with joint problems.  We also frequently work with certified hand therapists to help patients gain their function and strength faster.  Lastly, although we are experts at soft tissue surgery in the forearms, wrist, and hand, when it comes to the bones of the forearm (radius and ulna) and the wrist, we refer patients requiring operations on those bones to our orthopedic upper extremity surgery colleagues.  

We will have an honest discussion with you about your goals and expectations, as well as the limits and risks of the recommended treatment(s). We will review your medical history and ensure that the proposed treatment is safe for you. We will also give you thorough written instructions to prepare for your treatment or surgery and will answer any questions you have.

At Summit Medical Group, the patient experience is of primary importance to us. We customize our treatment recommendations , tailored to what is best and safest for you. We have specific protocols in place to keep post-operative pain to a minimum and speed recovery whenever possible through advanced hand therapy techniques. We also work to keep scarring to a minimum. Our primary objective with hand surgery, however, is to restore function and relieve pain.

“I see Dr. Momeni regularly for Botox and fillers. I have also seen him for hand surgery and to have some moles/cysts removed. He is, without a doubt, the best plastic surgeon and one of the best doctors I have ever seen. He takes his time to answer all of my questions, he never makes me feel like I am rushed, and he never pressures me to receive treatment I am not interested in receiving…. Dr. Momeni's staff are also wonderful – very nice, very caring, and never making me feel rushed. I highly recommend Dr. Momeni.”

                         – Patient on RateMDs.com

What to Expect

What to Expect from Hand Surgery

Hand surgery procedures vary depending upon the diagnosis and treatment plan. We will explain what is required to repair your hands and achieve your goals, including what you can expect from your procedure or surgery and how long the treatment will take.

Your Recovery

Recovering from Hand Surgery

Hand surgery recovery time and results depend on the type of hand surgery you receive and how long you have had your condition.  With injections, there is often very short recovery time.  With surgery, recovery may take a few days (with simpler endoscopic surgeries), to a few months (with complex joint reconstruction surgeries).

After your procedure, your surgeon will give you instructions about how long your hand must be immobilized and when you can resume your daily activities. In many cases, physical and occupational rehabilitation with a trained hand therapist will be recommended. Your hand rehabilitation therapy will ensure that you achieve the fullest possible use of your hands. In other cases, rest with a brace is required during your recovery period.

Before & After

Doctors

Momeni, Reza

Dr. Momeni

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Pyo, Daniel J.

Dr. Pyo

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Schmid, Daniel , B.

Dr. Schmid

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Testimonials

“Dr. Momeni fixed my carpal tunnel syndrome with endoscopic surgery. I drove back to Pennsylvania the next day, 150 miles!”

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