General Hand Surgery
We treat the entire spectrum of conditions affecting the upper extremity in our clinic. These include common conditions such as trigger finger, deQuervain tendonitis, carpal tunnel syndrome, arthritis of the hand and wrist, infections, hand and upper extremity soft tissue injuries as well as hand and wrist fracture. We have a variety of equipment that helps our doctors in assessment and providing the best care for our patients including a digital grip and pinch strength assessment. We can also facilitate 'in-house fluoroscopy' (portable x-ray) in the hospital where we can perform dynamic assessments of bone and joint problems.
We have a dedicated Minor Surgical Procedure Room in our clinic with comprehensive surgical capability with patient monitor, bipolar electro-cautery and a digital tourniquet machine. We also have a digital autoclave machine to keep our surgical instruments clean and infection rates low. In essence, our clinic is set up to take care of almost all diseases that can affect the hand and upper limb. Some of the common services provided by our clinic includes:
Tendinopathy
Patients present with pain and triggering at the base of their fingers (trigger finger) or pain over the base of the thumb near the wrist (deQuervain tendonitis). These conditions result from inflammation of the tendon sheath making movement of the finger/ thumb painful and interfering with activities of daily living. Typically, a diagnosis can be made by clinical examination and patients respond well to non-surgical treatment measures that include rest, pain-killers, a splint and local injection of a steroid. Patients with persistent or recurrent symptoms may benefit from surgical release of the tendon sheath
Hand Infections
Hand Infections are another common problem we see in our practice. These can be simple superficial infections of the nail fold (paronychia) or an abscess of the pulp (felon), more serious conditions affecting deeper tissue like flexor tenosynovitis, deep space infections and life threatening conditions like necrotizing fasciitis. Most hand infections require emergent surgical treatment, although infrequently in the very early stages they may respond to antibiotic therapy.
Hand Trauma
Hand & Upper Extremity Trauma is very common and result in sprains, dislocation of joints and fractures. These include fractures of the distal radius and scaphoid, injuries to the scapholunate(SL) ligament and triangular fibrocartilage complex (TFCC). These conditions need a thorough clinical examination, radiological assessment using x-rays, computerized tomographic scans (CT scan) and/ or magnetic resonance imaging (MRI). The injuries may then need non-surgical treatment with rest and splint or operative intervention. This is usually followed by a period of occupational therapy to regain motion and strength.
Post Traumatic Deformities
These usually result from non-union / malunion of a fracture in the hand or wrist as a result of inadequate or poor initial treatment of acute traumatic injuries. These patients typically present with reduced range of motion, persistent pain, decreased grip strength and/or deviation/ scissoring of their fingers on making a fist. After appropriate imaging, corrective surgery may be required to improve the alignment of the fingers and overall function of the hand.