Carpal Tunnel Syndrome
Hand pain, numbness and loss of grip strength are typical symptoms of Carpal Tunnel Syndrome. Activity avoidance, splint use and anti-inflammatory medications can produce only limited success. Dr. Cole is able to perform carpal tunnel release surgery using contemporary techniques and a no stitch, endoscopic carpal tunnel release. Performed through a tiny incision much smaller than traditional carpal tunnel surgery and utilizing no external stitches, Dr. Cole’s Carpal Tunnel release surgery results in less post-operative discomfort, less scarring and a quicker return to work and normal function. This surgery is performed on an outpatient basis. Post-operative pain and swelling often resolves within 1-2 weeks and when most patients return to normal function.
A trigger finger is often associated with a painful digit that locks or sticks in a flexed position. You may feel a pop as the tendon moves through the tight area, and the finger may suddenly shoot out straight. Over time, this can progress to an inability to straighten your finger. There are non-surgical treatment options for trigger finger such as steroid injections, but many cases may be best treated with a quick surgical procedure to release the painful tendon. This can be performed through a tiny 1 cm incision and on an outpatient basis. There is typically minimal downtime following this procedure with a return to normal function within 3-5 days.
Hand arthritis is a degenerative joint disease in which the cushioning cartilage that covers the bone surfaces at the joints begins to wear out. It may be caused by simple “wear and tear” on joints, or it may develop after an injury to a joint. Stiffness, swelling, and pain are symptoms common to all forms of arthritis in the hand. Pain, swelling, stiffness, and diminished strength are also seen with arthritis, and this can greatly impact normal activities such as getting dressed, opening doors and turning keys. Treatment is designed to relieve pain and restore function, and based upon your individual needs, surgery may be the best path of care.
Dupuytren’s contracture is a spontaneous thickening of the fibrous tissue under the skin of the palm, and finger. Symptoms develop gradually and usually involve the formation of nodules or lumps that thicken with time, forming tough bands of skin under the palm. This can lead to deforming bands that twist or “scar” the digits into a flexed position and complicate normal hand use. Dupuytren’s Contracture is often best treated with surgical release of the scar band, and this is done on an outpatient basis. Each contracture is different, and some can be quite complex. Following surgery, you can expect some swelling and you may require physical therapy but, in general, recovery time is minimal.
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