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.