Wrist & Hand Treatments Santa Rosa
Redwood Orthopaedic Surgery Associates provides a full scope of orthopaedic services of the wrist and hand including:
Carpal Tunnel Syndrome
Carpal tunnel syndrome is a common condition involving numbness, pain, and tingling in the wrist, hand, and fingers. It occurs when pressure is put on a nerve in the wrist, called the median nerve, which controls motor function in the thumb. This pressure is most often caused by thickening of a ligament on the palm side of the wrist, called the transverse carpal ligament. The exact reason why this ligament thickens is unknown. It is thought to be a combination of the person’s anatomy, physiology, and external stresses experienced by the hand and wrist.
Carpal tunnel syndrome can be diagnosed by history and physical exam and confirmed with a nerve conduction study. It can often be effectively treated with non-surgical therapies such as wrist splints. In specific circumstances, corticosteroids injections can be used for treatment. In cases where pain and numbness persist, surgery may be necessary to relieve pressure on the nerve.
Trigger finger is a painful condition that occurs when a finger begins to click or lock when a person tries to flex or extend that finger. The condition is caused by a narrowing of the sheath that surrounds the tendons in the hand. The exact reason why trigger fingers occurs is unknown. It is probably due to a combination of the person’s anatomy and physiology being predisposed to this condition. It is more common in people that have diabetes or rheumatoid arthritis. Most cases can be effectively treated with a corticosteroid injection. The few cases that do not respond to injections can be treated with a surgical release of the tendon sheath.
De Quervain’s Disease
De Quervain’s disease is an inflammation of tendons in the thumb that causes pain and swelling in the thumb and wrist. This condition may be caused by overuse, trauma, repetitive motion, or pregnancy. It is much more common in women than in men.
De Quervain’s disease can be diagnosed through physical exam. Treatment for this condition, which focuses on relieving pain and minimizing swelling, includes splints, corticosteroid injections, and rest. Surgery to make more room for irritated tendons may be recommended for cases that do not respond to non-surgical treatments.
CMC and Thumb Arthritis Treatment
Carpometacarpal (CMC) and thumb arthritis is a painful, chronic condition that can seriously affect your everyday life and prevent you from performing simple tasks. Thumb CMC arthritis causes pain, swelling, and stiffness throughout the wrist and hand.
Since arthritis is a chronic condition, treatment focuses on reducing pain and improving function in the hand. Treatment consists of splints, hand therapy, and corticosteroid injections. Surgery may be required for patients that do not respond to non-surgical treatments.
Dupuytren’s Contracture Treatment
Dupuytren’s contracture is a hand deformity caused by the gradual shortening and thickening of the connective tissues (palmar aponeurosis) within the palm.
Dupuytren’s contracture is a genetically inherited disorder. The exact mechanism as to how Dupuytren’s contracture occurs is unknown; however, it is known that there are multiple genes that are involved. This characteristic makes its presentation and behavior different in every individual.
For many people, Dupuytren’s contractures present as thickening of the palmar aponeurosis tissue, are non-progressive, and true contractures do not occur. Observation is recommended for these patients.
In other cases, Dupuytren’s contractures are progressive. In these situations, invasive intervention is recommended. This can be done with injectable medication, collagenase (Xiaflex), or by surgical release/removal of the affected tissue.
Distal Radius Fracture Treatment
Also known as a broken wrist or a Colles’ fracture, the distal radius fracture is the most commonly broken bone. Wrist fractures frequently occur in children or in older adults. In children, they occur during playground-related activities. In older adults, they occur after simple falls. Symptoms of a Colles’ fracture may include pain, bruising, and swelling of the wrist.
The diagnosis of a distal radius fracture is made by x-ray examination. Fractures in children are usually treated by simple splinting or casting. Occasionally they need to be reset. Rarely do they need surgery. For adults, the treatment is different. These fractures are occasionally treated with casts. Many distal radius fractures in adults have to be treated with surgery because the bone is weak and the fractures tend to move with time. Many times fractures in adults are more severe than those seen in children. Every broken wrist varies in severity, and a patient’s care will be customized to their activity level and fracture pattern.
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