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Carpal tunnel syndrome is increasing pressure on the median nerve at
the wrist level. To test for carpal tunnel syndrome, bend your wrist down as far as
possible and wait one minute. If you have increased symptoms of abnormal feeling in your
thumb, index, long finger, or half of the ring finger (the median nerve supplies sensation
to these digits), then you may well have carpal tunnel syndrome.
In some cases, splinting and anti-inflammatory medications can relieve the problem.
However, in some cases surgery may be required. Surgery requires an incision from the
middle of the palm to the wrist and then, to relieve the pressure, a cut is made to the
tissue that is pressing on the nerve. After healing, the scar will eventually fade and
become scarcely visible. |
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Using the latest surgical techniques, we can treat severe
impairments such as: (1) injuries
to the tendons, nerves, blood vessels, and joints;
(2) fractured bones; and
(3) burns and cuts.
Some of the techniques we use include:
- Grafting- the transfer of skin,
bone, nerves, or other tissue from a healthy part of the body to repair the injured part;
- Flap surgery-moving the skin along
with its underlying fat, blood vessels, and muscle from a healthy part of the body to the
injured site;
- Replantation or
transplantation-restoring accidentally amputated fingers or hands using microsurgery, an
extremely precise and delicate surgery performed under magnification. Some injuries may
require several operations over an extended period of time.
Often, surgery can restore a notable
degree of sensation and function to injured hands. However, recovery may take months, and
a period of hand therapy will most often be needed. |
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Arthritis, a swelling of the joints, can affect the appearance and
the function of the hands and other parts of the body. Sometimes, you can manage arthritis
without surgery by wearing special splints or by using physical therapy to strengthen
weakened areas. However, surgery may be preferable in some cases.
We can repair or reconstruct almost any area of the hand or wrist. This is done by careful
removal of tissue from inflamed joints, repositioning of tendons, or implantation of
synthetic joints. While surgery cannot eliminate the disease of arthritis, it can improve
the function and appearance of afflicted hands and wrists. |
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Sometimes, children are born
with defects that can hinder proper hand growth and impair function. If treated at an
early age, oftentimes our surgeons can correct most defects, thereby allowing normal
development and functioning.
Syndactyly is a common congenital defect where two or more fingers are fused together. In
surgery, the tissue that connects the fingers is cut and then skin is grafted from another
part of the body. Other common congenital defects include short, missing, or deformed
fingers, immobile tendons, and abnormal nerves or blood vessels. In most cases, we can
surgically treat these defects and improve appearance and function. In many cases, we may
recommend physical or occupational therapy after therapy to assist you in regaining the
maximum use of your hand. |
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