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Month: February 2023


Most Common Types of Hand Surgery

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There are many different types of hand surgeries to treat injuries and common conditions such as arthritis, carpal tunnel syndrome, and more. Medical advances over the years have made hand and wrist surgery safe and reliable, so if you’re a candidate for hand surgery and are wondering if your surgery ranks in the most common types of hand surgery in the US, take a look at our list to find out.

Carpal Tunnel Release Surgery

Carpal tunnel syndrome occurs after a period of time where there has. been ongoing compression of the median nerve in the carpal tunnel. The condition results in pain that can potentially be relieved by surgery. Surgery aims to reduce the compression or the pressure on the nerve.

After the relatively simple procedure, patients are discharged the same day as the operation. After the operation, treatment recommendations include waiting to do heavy tasks or repetitive motions for at least a month. Complete recovery usually takes less than a month following the operation and allows a patient to eventually resume normal tasks. This is one of the most common surgeries performed by Dr. Avery Arora, a Michigan hand doctor.

Most Common Types of Hand Surgery

Dupuytren’s Contracture Fasciectomy Surgery

Dupuytren’s disease is when an abnormal tissue growth forms on the deep tissue of the fingers or the palm of the hands. Although the presence of the tissue does not cause pain, it may make the fingers curl, leaving the fingers unable to stretch out completely. Surgery releases the fingers by removing the tissue that causes the curling of the fingers. The method developed into an outpatient procedure, and healing is about two weeks long.

Two weeks after the surgery, patients may already regain some level of functionality in their hands. Therapy helps in most cases to ensure that hand function and movement will return close to normal.  A newer form of treatment is simple injection with XIAFLEX. This is a new drug that digests the abnormal tissue growth. Dr. Arora is well-versed with this treatment and may offer it to qualified patients.


Trigger Finger Release Surgery

“Trigger finger” occurs when the finger bends normally without any problem but cannot straighten due to the tendon becoming stuck. In other words, the finger remains curled. Surgery for “trigger finger,” releases the tendon from the tendon sheath that makes the tendon stuck. This is performed as an outpatient procedure. Recovery is quick and takes about two weeks with normal healing and good care.  You may not even require surgery and often a steroid injection can remedy this condition. Talk over your suggested treatment plan for this condition with Dr. Arora.


Tendon Repair Surgery

The hands and the wrist have two groups of tendon: the flexor tendons which allow the fingers to flex so that the hands can grip and curl, and the extensor tendons which allows the fingers to open up. Both these groups of tendons may rupture due to arthritis or the rubbing of the tendon on the bone. Surgery can repair the tendons.

After tendon repair healing takes about 6-12 weeks. Therapy ensures that the tendon will return to normal function. Full recovery from the surgery in most cases occurs in three months with good care and general good health of a patient.


If you believe you are suffering from one of these conditions, it may be time to get in touch with top MI hand surgeon Dr. Avery Arora. You can schedule an appointment at one of his four offices in West Bloomfield, Warren, Macomb, or Howell, Michigan.



What Happens After Elbow Surgery?

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Although many elbow injuries, including tennis elbow, can be treated without needing surgery, sometimes it is the best option. Doctors such as Dr. Avery Arora, a hand surgeon in Michigan, will suggest surgery when other treatment methods do not work or when the patient is in a substantial amount of pain that diminishes their capacity to work and to enjoy life. If elbow surgery has been recommended for you, you may be wondering, “What happens after elbow surgery?” This blog aims to clarify the process for you.


Before Elbow Surgery

You and your doctor will initially discuss the different types of surgical options and what those options entail; everything from the procedure itself to the recovery period will be clarified for you. Those who undergo arthroscopic surgery, which requires a smaller incision, will still need to have plenty of time to heal and rehabilitate their elbow, just as those who have open surgery. However, the difference between those two surgeries lies with the length of recovery time and when you can start rehab.


Immediately After Surgery

For many patients, the rehabilitation part of your recovery will start very quickly, often while you’re still at the hospital. The early stages of the physical therapy are very gentle and can help to relax the muscles of the arm. You will likely be required to have your arm in a splint after the surgery, and as a means to keep the swelling down, the doctor and nurse will often put an ice pack in the splint.

After the surgery, you can expect to experience pain at the surgical site. You will be prescribed medication that can help to control the pain along with various types of exercises that you will need to do during the recovery period at home.

The amount of time you have to spend in the hospital will vary, but it is not usually more than a day or two. Your doctor may remove the bandages and stitches before you leave or they may want you to return a few days later so they can remove them at that point during your follow up.

What Happens After Elbow Surgery?


At Home

When you are at home, you need to be very careful with the incision site so that you do not open it up or get an infection. In addition, you have to be willing to put in the time needed each day to work your elbow and to perform the therapeutic exercises. This will ensure that you are getting stronger and maintaining mobility in your elbow. Don’t skip the exercises, but do not overdo them either. Listen to and follow your doctor’s orders.

As you start to heal, you will begin to feel even stronger and more like your old self. However, this does not mean your elbow has properly healed yet. You still need to take it easy or you could risk more injury. Get plenty of rest, eat right, hydrate, and follow all of the instructions provided when you left the hospital. This is the best way to ensure that you heal properly. If you have any issues, you will want to contact the medical staff as soon as possible so they can make sure you are healing properly. In time, your elbow will be fully healed; just don’t rush it.

Here at Arora Hand Surgery, we care about your health. If you are feeling hand, wrist, or elbow discomfort, visit Dr. Avery Arora at one of his southeast Michigan offices located in West Bloomfield, Warren, Macomb Township, or Howell.


Conditions Treatments

How to Treat Tendinitis

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The tendons are the connective tissue that joins muscles in the body to bones. They help to facilitate movement, and many people never give their tendons a second thought. However, it is possible for the tendons to become inflamed, which is known as tendinitis. This condition causes pain, and it can make it hard to move the joint, which severely limits a person’s ability to move freely the way they did before. While all joints could suffer from the condition, some are more prone to tendinitis than others are, namely the elbow and the wrist. Here’s some more information on how to treat tendinitis.


Common Causes of Tendinitis

Many times, tendinitis is the result of repetitive actions. This causes the tendons to be used too much, and some people develop tendinitis as a result. It can occur because of actions from sports, as well as different types of actions performed at work or at home. It is also possible to suffer from tendinitis due to an injury, as well as aging. As people get older, their body begins to break down, and the tendons can be some of the first parts to have trouble. Those who have certain conditions, such as rheumatoid arthritis or diabetes, can also be afflicted with tendinitis.


What Are the Symptoms?

When someone has tendinitis, they generally complain of an aching feeling around the joint. The pain will increase when they try to move the joint, and it can even cause pain if someone bumps or touches the joint. In some cases, particularly after trying to use the afflicted joint, people will also notice some swelling.

how to treat tendonitis


Getting a Diagnosis

When some people feel the onset of tendinitis, they do not realize what it is. They may believe that they are just tired and sore from doing too much, and hope that rest will alleviate the problem. While rest may be able to help, it is always a good idea to speak with a doctor, such as Michigan-based hand surgeon Dr. Avery Arora. A specialized doctor can look at your medical history and examine the joint to determine the problem. Part of the exam will be to test your range of motion. They will want to know what types of activities you do as well, as this can give them a clue as to the nature of the injury. They may also order imaging tests.


Treatment Options

In the cases where tendinitis is relatively mild, there are some simple treatments your doctor can try. They will want you to rest, and they may advise you to use cold or heat on the affected area. They may also recommend taking pain relievers and anti-inflammatory drugs. In addition, they could provide you with exercises you can do to strengthen the area.

In some cases, the doctor may also recommend surgery. They are able to remove the inflamed tissue, which can help to reduce the amount of pain the patient feels, and this can provide them with more mobility and range of motion. Each patient is different, and you will want to talk with your doctor about the best options to try when treating your tendinitis.

Here at Arora Hand Surgery, we care about your health. If you are feeling hand, wrist, or elbow discomfort, visit Dr. Avery Arora at one of his southeast Michigan offices located in West Bloomfield, Warren, Macomb Township, or Howell.

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Dr. Aroras office from my first call to schedule my appointment was friendly. Walking in the first day, I felt like I was in a nice atmosphere. Dr. Arora was EXCELLENT in taking great care of my hand injury. He was gentle and very understanding to the concerns I had about my hand. His expertise was admirable and I would recommend anyone with an injury to their hand to his office to be under his care. Because of him, I have healed faster than expected and will make an 100% recovery! Thank you Dr.

Jackie S.

I first thought I was going to have to have painful injections or surgery, but Dr. Arora suggested physical therapy may do the trick. I was doubtful, but I agreed to do it. Now, my pain is gone, and with the help of an ergonomic keyboard at work to keep my hands in the correct position, I am virtually pain free. The therapy strengthened my wrists and shoulders, and built more flexibility into my wrists.

Jerry T.

My experience with this doctor was positive from the outset. Dr. Arora was kind and spent a great deal of time with me. Staff was friendly. The office was nice and bright.

Ariel G.

Very friendly and helpful Great staff!!! Doctor Arora was very professional and did great work. I was very happy with everything!

L B.