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Conditions Fingers

Understanding Thumb Arthritis: Causes, Symptoms, and Treatment

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Thumb Arthritis

Arthritis is a common condition that affects millions of people, and it can occur in various joints in the body. When it comes to the hand, one of the areas that can be affected is the base of the thumb. Imagine feeling pain from something as simple as turning a key or snapping your fingers. For many, this constant reminder is unbearable. This condition, known as thumb arthritis, can lead to pain, swelling, and reduced hand function. Let’s explore what thumb arthritis is, its symptoms, causes, risk factors, diagnosis, and available treatment options. If you’re suffering from this condition, we hope we can help.

 

What is Thumb Arthritis? 

Thumb arthritis primarily affects the joint at the base of the thumb, making it the second most common site of arthritis in the hand. It’s typically a form of osteoarthritis (OA), which results from the gradual wear and tear on the joint. In a healthy joint, cartilage acts as a cushion between the bones. However, in people with thumb arthritis, this cartilage wears away, leading to bone-on-bone friction, inflammation, and pain.

 

Symptoms of Thumb Arthritis 

The most common and early symptom of thumb arthritis is pain at the base of the thumb, especially during activities that involve gripping, pinching, or applying force with the thumb. Other symptoms may include swelling, aching, discomfort, tenderness, limited range of motion, an enlarged appearance at the base of the thumb, and reduced thumb strength. These symptoms tend to worsen over time, especially without treatment.

 

Thumb Arthritis Causes and Risk Factors 

Thumb arthritis is primarily caused by the gradual breakdown of cartilage over time, which is often associated with aging. Injuries, such as thumb fractures and dislocations, can also lead to this condition. In rare cases, joint infections may be responsible for thumb arthritis.

Several risk factors can increase the likelihood of developing thumb arthritis, including age, gender (with females being more prone), weight, genetics, joint laxity, hormonal changes (such as menopause), previous joint injuries, and certain occupational factors.  You can read more about what causes thumb arthritis on our website’s dedicated thumb arthritis page.

 

Diagnosis of Thumb Arthritis 

To diagnose thumb arthritis, a healthcare provider such as top doctor Avery Arora, MD will conduct a physical examination, assess pain levels, and inquire about prior thumb injuries and the patient’s medical history. X-rays are often used to visualize joint space, cartilage loss, and the presence of bone spurs, which are indicative of arthritis.

Thumb Arthritis

Thumb Arthritis Treatment Options 

While there is no cure for arthritis, there are various treatment options available to manage thumb arthritis:

Non-surgical Treatments:
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain and inflammation.
  • Counterirritants that distract from pain.
  • Corticosteroids to reduce inflammation.
  • Analgesics for pain relief.
  • Physical therapy and exercises to strengthen thumb muscles.
  • Wrist supports and braces.
  • Activity modification to reduce thumb stress.

 

Surgical Measures:
  •  Total joint replacement.
  •   Fusion surgery to eliminate pain by fusing the bones.
  •   Ligament reconstruction to stabilize the joint.
  •   Ligament reconstruction and tendon interposition (LRTI) to prevent bone friction.

In severe cases, surgery may be required. Recovery from surgery may take several weeks to months and may involve working with a physical therapist.

 

Finding Relief from the Pains of Thumb Arthritis 

Thumb arthritis is a common condition that can cause discomfort and limitations in hand function. While it cannot be cured, there are various treatments available to manage symptoms and improve quality of life. Early diagnosis and appropriate management are essential for individuals dealing with thumb arthritis.

If you suspect you have thumb arthritis or are experiencing thumb pain, there are many reputable hand doctor options from the Ascension or Beaumont healthcare systems or you can seek assistance from a qualified medical professional at a private practice. Arora Hand Surgery, led by Dr. Avery Arora, a specialist in upper extremity problems and a top Michigan hand doctor, has helped countless individuals alleviate their thumb arthritis symptoms. You can contact the practice, with four locations in West Bloomfield, Warren, Macomb, and Howell, at (888) 392-4263 or schedule your consultation

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Conditions

Understanding Carpal Tunnel Syndrome and Its Impact on Sleep

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Understanding Carpal Tunnel Syndrome and Its Impact on Sleep

In light of October being Carpal Tunnel Syndrome Awareness Month, we wanted to touch on a very important and common topic: understanding carpal tunnel syndrome and its impact on sleep. While carpal tunnel syndrome may not immediately seem related to sleep, the two are more connected than you might think. In this article, we’ll explore the implications of carpal tunnel syndrome on sleep quality and how seeking professional help can make a significant difference.

 

The Consequences of Sleep Deprivation 

Sleep deprivation is a severe concern, known to have negative effects on cognitive function, mood, physical health, motor skills, hormonal balance, performance, and emotional well-being. It’s even been used as a form of torture and coercion in various contexts throughout history, prompting international organizations to condemn its use.

The impact of sleep deprivation is profound, as it affects:

  • Memory
  • Attention
  • decision-making
  • mood regulation
  • physical health, and much more.

This raises significant ethical and legal concerns, leading to the establishment of standards to protect individuals from this form of torture.

 

Carpal Tunnel Syndrome and Sleep Deprivation 

Surprisingly, sleep deprivation is a reality for many individuals suffering from carpal tunnel syndrome. Symptoms of carpal tunnel syndrome, including pain, tingling, numbness, and discomfort, are often exacerbated at night. According to an article in Hand, a publication of the American Association for Hand Surgery, 77% of carpal tunnel syndrome sufferers experience nocturnal (nighttime) symptoms.

Many people unknowingly sleep with flexed or bent wrists, which can increase pressure on the median nerve in the wrist. This pressure can intensify symptoms, causing disruptions to sleep and leading to fatigue during the day.

As carpal tunnel syndrome progresses, symptoms can become more persistent and painful, further affecting sleep patterns. Sufferers may develop stress and anxiety about sleeping, compounding their sleep troubles.

 

Finding Relief from Carpal Tunnel Syndrome 

The good news is that relief is possible for those suffering from carpal tunnel syndrome. To begin, seek assistance from a qualified medical professional. Arora Hand Surgery, led by Dr. Avery Arora, a specialist in upper extremity problems and a top Michigan hand doctor , offers in-depth consultations at all four of his Michigan-based offices.

Rather than attempting to address the problem on your own, entrust the Arora Hand Surgery team to guide you toward freedom from carpal tunnel syndrome and its pain. Dr. Avery Arora, a board-certified hand surgeon, possesses extensive expertise in diagnosing and treating hand, wrist, and elbow ailments. He has helped countless individuals alleviate their carpal tunnel syndrome symptoms. Here’s a recent testimonial from a carpal tunnel syndrome surgery patient of his, Julie.

If you believe you’re suffering from carpal tunnel syndrome and live in the area, contact a MI hand doctor for specialized guidance and treatment. There are many reputable hand doctor options from the Ascension or Beaumont healthcare systems, or you can choose Top Doc Dr. Avery Arora of Arora Hand Surgery. You can schedule an appointment at one of Dr. Arora’s four offices in West Bloomfield, Warren, Macomb, or Howell, Michigan today.

carpal tunnel syndrome and sleep

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Elbows Hands Treatments Wrists

Pain in Your Hand, Wrist, or Elbow? When to Seek Help

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pain in hand, wrist, or elbow

Pain is the body’s way of signaling that something might be amiss. But what if the pain occurs in your hand, wrist, or elbow? How do you determine whether it’s a concern that necessitates medical attention or something you can manage at home? Dr. Avery Arora, a hand doctor in Southeast Michigan, provides insights on when to seek help for hand pain, wrist pain, or elbow pain.

Understanding the Source of Pain

Sometimes, the cause of pain is apparent – perhaps you’ve had a recent fall or engaged in strenuous activity. However, in other cases, pain seems to emerge out of nowhere. Dr. Arora explains that pain can result from various factors, including infection, inflammation, or underlying medical conditions like gout or diabetes-related neuropathy. Additionally, the origin of pain might not always be in your arm; a pinched nerve in the neck can radiate pain throughout the arm. It’s essential to consider your activity level and the wear and tear on your body, especially in cases of joint pain or tendinitis. While aging may bring some joint discomfort, it’s not inevitable for everyone.

 

Common Causes of Hand, Wrist, and Elbow Pain

Several activities or conditions can predispose individuals to pain in these areas:

Golfer’s Elbow

Golfer’s elbow can result from various activities, not just golf. It typically involves repeated bending, grasping, and twisting of the arm and wrist, causing inflammation in the tendons connecting the elbow to the forearm.

Carpal Tunnel Syndrome

This condition affects the hand and wrist, often caused by repetitive finger and hand use, leading to swelling around the wrist and pressure on the median nerve.

Arthritis

Types like osteoarthritis and rheumatoid arthritis are known to affect the fingers and hands, causing joint pain due to cartilage breakdown.

Muscle Strains and Ligament Sprains

These injuries can occur in the thumb, finger, and wrist, resulting in pain throughout the hand. Hand sprains, wrist sprains, and/or elbow sprains, often follow an injury or stretching of joint ligaments.

Other Causes

Additional factors contributing to elbow, wrist, or hand pain include Kienböck’s disease, biceps tendonitis, De Quervain’s tenosynovitis, trigger finger, mallet finger, ulnar wrist pain, ganglion cysts, fractures, and tennis elbow. Because there are so many variables, we do always advise to seek medical help as soon as possible.

 

Assessing Your Pain

Healthcare professionals use triage to determine the need for urgent medical care, and you can apply a similar approach at home. If the pain is excruciating or immobilizes you (e.g., a wrist fracture), seek immediate medical attention. However, for less severe pain, consider these questions:

• Does pressing on the area worsen the pain?
• Is there redness or inflammation?
• Is the area swollen or stiff?
• On a pain scale of 1 to 10 (1 being minimal and 10 the worst), how would you rate your pain?

If you answer “yes” to the first three questions or rate your pain as 6 to 10, it’s time to consult a healthcare provider. For “no” answers and pain levels at 1 to 3, you can start with home treatment.

 

DIY Care for Hand, Wrist, or Elbow Pain

For manageable symptoms, you can begin with self-care to alleviate discomfort:
1. Apply ice for new-onset pain or heat if it persists.
2. Over-the-counter pain relievers like ibuprofen or acetaminophen can help.
3. Consider using a stretchy elastic bandage or compression device for painful or swollen areas.
4. If your pain results from overexertion or repetitive motion (e.g., tennis elbow), rest from the activity and allow your body to recover.

 

When the Pain Persists

Even tolerable pain warrants attention if it persists. If home treatment doesn’t yield results after a few days, consult a healthcare provider. Be sure to provide comprehensive information about your activities and medications or supplements you’re taking. Doctors can identify underlying issues contributing to persistent pain. While most non-worrisome conditions resolve in a few days, acute symptoms like severe swelling, redness, pain, or deformity may require urgent evaluation and care.

Understanding when to seek help for hand, wrist, or elbow pain is crucial for your overall well-being. By assessing your symptoms and considering their severity, you can make informed decisions about treatment. Remember, pain should never be ignored, but neither should it cause unnecessary alarm. Proper evaluation and care can ensure a swift return to comfort and functionality. These surgical measures may be necessary for various reasons, including joint involvement, open fractures, or loose bone fragments affecting ligaments, nerves, or blood vessels.

If you’re in need of expert care for hand and wrist fractures, contact a MI hand doctor for specialized guidance and treatment. There are many reputable hand doctor options from the Ascension or Beaumont healthcare systems, or you can choose Top Doc Dr. Avery Arora of Arora Hand Surgery. You can schedule an appointment at one of Dr. Arora’s four offices in West Bloomfield, Warren, Macomb, or Howell, Michigan today.

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Conditions Hands Treatments Wrists

A Top Michigan Hand Doctor’s Guide to Understanding Hand and Wrist Fractures

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Hand and Wrist Fractures

Hand and wrist fractures encompass a spectrum of injuries involving cracks or breaks in the bones of your wrist, hand, or fingers. These injuries can arise from various causes, with the most frequent occurrence being a distal radius fracture – typically the result of attempting to cushion a fall with an outstretched hand. I’m sure just the thought of that is making you cringe because we’ve all been there.

Other common fractures include those of the scaphoid bone, metacarpals, and phalanges (small finger bones). Let’s dive into more detail to better understand hand and wrist fractures and their symptoms.

Signs and Symptoms of Hand and/or Wrist Fractures

Partaking in activities like in-line skating or snowboarding can heighten your risk of these fractures, as can conditions like osteoporosis, where bones become brittle. Recognizing and addressing hand and wrist fractures promptly is vital. Failing to do so could result in misaligned healing, impacting everyday tasks like writing or buttoning a shirt. Swift intervention also minimizes pain and stiffness.

Hand and Wrist Fractures

Indications of a Hand or Wrist Fracture Can Include:

• Intense pain that may worsen with hand or wrist movement, gripping, or squeezing.
• Swelling.
• Tenderness.
• Bruising.
• Obvious deformities, such as a bent wrist.

A Hand/Wrist Fracture Diagnosis

To diagnose a hand or wrist fracture, a physical examination of the affected area is usually accompanied by X-rays. Additional imaging methods can provide more detailed insights, such as:

• CT scan: This technology combines X-rays from different angles to create cross-sectional images, uncovering fractures that may be missed by standard X-rays and identifying soft tissue and blood vessel injuries.

• MRI: This technique uses powerful magnets and radio waves to generate detailed images of bones and soft tissues. MRIs are highly sensitive and can detect even minor fractures and ligament injuries.

Treatment of a Hand/Wrist Fracture

Proper alignment of fractured bone ends is crucial. Your doctor may perform a reduction, repositioning bone fragments, either with local or general anesthesia. Moving uninjured fingers regularly during healing is important to prevent stiffness. Immobilization via splints or casts restricts movement for optimal healing. Keeping the hand elevated above the elbow reduces swelling and pain.

Medications for a Hand/Wrist Fracture

Pain relief can be attained with over-the-counter pain relievers. Narcotic medications are rarely necessary, and NSAIDs might help with pain but could hamper bone healing if used long-term. If there’s an open fracture (where skin near the wound site is broken), antibiotics may be prescribed to prevent bone infection.

Hand Therapy after a Hand/Wrist Fracture

Following cast or splint removal, hand therapy aids in restoring movement and minimizing stiffness. While rehabilitation can be lengthy, it is instrumental in achieving complete healing.

Surgical Options if You Have a Hand/Wrist Fracture

Monitoring progress via X-rays is critical, as bones can shift even after reduction and immobilization. Surgery might be required in cases of bone movement, and options include:

• Closed reduction and pinning: Temporary pins hold aligned fractures until healing, after which they’re removed.

• External fixation: A metal frame outside the body immobilizes fractures with pins passing through the skin and bone. The frame is removed once healing occurs.

• Open reduction and internal fixation: This involves implanting pins, plates, rods, or screws to hold bones in place. Bone grafts might also be employed.

These surgical measures may be necessary for various reasons, including joint involvement, open fractures, or loose bone fragments affecting ligaments, nerves, or blood vessels. If you’re in need of expert care for hand and wrist fractures, contact a MI hand doctor for specialized guidance and treatment. There are many reputable hand doctor options from the Ascension or Beaumont healthcare systems, or you can choose Top Doc Dr. Avery Arora of Arora Hand Surgery. You can schedule an appointment at one of Dr. Arora’s four offices in West Bloomfield, Warren, Macomb, or Howell, Michigan today.

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Conditions Fingers Treatments

Identify Symptoms of Trigger Finger and Understand Your Medical Treatment Options

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Identify Symptoms of Trigger Finger and Understand Your Medical Treatment Options

Trigger finger, also known as stenosing tenosynovitis, is a common hand condition that can cause discomfort and limited mobility. It occurs when the tendons in your fingers become inflamed or swollen, making it difficult to straighten or bend the affected finger smoothly. Recognizing the symptoms of trigger finger and understanding the available medical treatment options is crucial for effective management. In this blog post, we will explore the symptoms of trigger finger and discuss various treatment options to help you make informed decisions regarding your hand health.

 

Understanding Trigger Finger Symptoms 

  • Finger Stiffness and Snapping Sensation

One of the primary symptoms of trigger finger is stiffness in the affected finger joint. You may notice resistance or a sensation of catching or snapping when trying to straighten or bend your finger. This is caused by the inflamed tendon passing through the narrowed tendon sheath.

  • Finger Locking in a Bent Position

Trigger finger can cause your finger to lock in a bent position, making it challenging to straighten. You may experience a momentary “catch” or “pop” when attempting to extend the finger fully.

  • Finger Pain and Tenderness

Pain and tenderness are common symptoms associated with trigger finger. The affected area may feel sore, particularly around the base of the affected finger.

  • Swelling and Nodule Formation

In some cases, trigger finger may cause swelling and the formation of a small, tender nodule near the base of the affected finger. This nodule can be felt as a palpable lump.

 

Exploring Medical Treatment Options for Trigger Finger 

 

Non-Surgical Approaches for Trigger Finger
  • Rest and Activity Modification: Giving your finger rest and avoiding activities that exacerbate symptoms can help reduce inflammation and relieve discomfort.
  • Splinting: Wearing a splint to immobilize the affected finger can help alleviate symptoms by reducing movement and providing support.
  • Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter pain medications like ibuprofen or naproxen can help reduce inflammation and provide temporary relief.
  • Hand Exercises: Performing gentle stretching and strengthening exercises prescribed by a healthcare professional can improve finger mobility and reduce symptoms.
  • Corticosteroid Injections: Your trigger finger hand doctor may recommend a corticosteroid injection. This injection delivers a powerful anti-inflammatory medication directly into the affected area, reducing swelling and relieving symptoms. Multiple injections may be required, depending on the severity of your condition.

 

Surgical Intervention for Trigger Finger  

If conservative measures and injections fail to provide long-term relief, surgical intervention may be necessary. The surgical procedure, known as a trigger finger release surgery, involves widening the constricted tendon sheath, allowing the tendon to glide freely. This can usually be performed on an outpatient basis, with a relatively quick recovery time.

Recognizing the symptoms of trigger finger and understanding the medical treatment options for trigger finger are essential for effectively managing this common hand condition. If you experience finger stiffness, a snapping sensation, finger locking, pain, tenderness, or swelling, it’s important to seek medical evaluation and diagnosis.

Non-surgical approaches such as rest, splinting, medication, and exercises are often effective in relieving symptoms. However, if conservative treatments prove inadequate, corticosteroid injections or trigger finger release surgery may be recommended to restore finger mobility and alleviate discomfort.

Remember, consulting with a healthcare professional such as Dr. Avery Arora, a top Michigan hand specialist, is crucial for accurate diagnosis and personalized treatment recommendations. They can guide you through the process, help educate you on your trigger finger treatment options, and provide appropriate care to ensure the best possible outcome for your hand health.

If you believe you may be experiencing symptoms of trigger finger, 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.

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Conditions Treatments Wrists

Understanding the Difference between Carpal Tunnel Syndrome and Cubital Tunnel Syndrome

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In today’s fast-paced world, where technology dominates our daily lives, repetitive movements and extended periods of computer usage have become the norm. Unfortunately, these habits can lead to various health issues, including nerve compression disorders like carpal tunnel syndrome (CTS) and cubital tunnel syndrome (CuTS). While both conditions affect the upper extremities and cause discomfort, it is crucial to understand their unique characteristics and how they differ. In this blog post, we will explore the differences between carpal tunnel syndrome and cubital tunnel syndrome to help you better understand and manage these conditions.

 

Carpal Tunnel Syndrome (CTS) 

Carpal Tunnel Syndrome primarily affects the hand and wrist. It occurs when the median nerve, which runs through a narrow passageway in the wrist called the carpal tunnel, becomes compressed or irritated. This can result from repetitive hand movements, such as typing or using a computer mouse, or conditions like arthritis or wrist injuries.

Common Symptoms of CTS 
  • Numbness, tingling, or burning sensation in the thumb, index, middle, and half of the ring finger.
  • Pain or discomfort that radiates from the wrist up the arm.
  • Weakness in the hand, making it difficult to grip objects or perform fine motor tasks.
  • Symptoms tend to worsen at night or during activities that involve bending the wrist.

the Difference between Carpal Tunnel Syndrome and Cubital Tunnel Syndrome

 

Cubital Tunnel Syndrome (CuTS) 

Cubital Tunnel Syndrome affects the ulnar nerve, which passes through a narrow tunnel on the inside of the elbow called the cubital tunnel. This nerve is responsible for supplying sensation and controlling some of the muscles in the hand and forearm. CuTS occurs when the ulnar nerve becomes compressed or irritated, often due to prolonged or repetitive elbow bending or leaning on the elbow for extended periods.

Common Symptoms of CuTS 
  • Numbness or tingling sensation in the ring and little fingers.
  • Weakness in the hand, particularly in the grip or pinch.
  • Pain or discomfort along the inside of the elbow or forearm.
  • Symptoms may worsen with elbow flexion or activities that involve bending the elbow.
Distinguishing Factors 

While both CTS and CuTS involve nerve compression, they differ in terms of the affected nerves and the locations of discomfort:

  • Affected Nerves: CTS involves compression of the median nerve in the carpal tunnel, while CuTS affects the ulnar nerve at the cubital tunnel inside the elbow.
  • Distribution of Symptoms: CTS primarily affects the thumb, index, middle, and half of the ring finger. In contrast, CuTS commonly causes symptoms in the ring and little fingers.
  • Triggering Factors: CTS is often associated with repetitive hand and wrist movements, whereas CuTS is commonly caused by prolonged elbow flexion or pressure on the elbow.
  • Anatomical Differences: The carpal tunnel is located at the base of the palm, while the cubital tunnel is found on the inside of the elbow.

 

Treatment and Management for CTS and CuTS 

For both conditions, early diagnosis and appropriate treatment are crucial. Non-surgical approaches for CTS and CuTS include:

  • Resting the affected area and avoiding repetitive movements that exacerbate the symptoms.
  • Applying ice packs to reduce swelling and inflammation.
  • Wearing splints or braces to support the affected area and relieve pressure.
  • Physical therapy exercises to improve strength, flexibility, and posture.
  • In severe cases or when conservative methods fail, surgical intervention may be necessary to relieve pressure on the affected nerve.

Understanding the differences between carpal tunnel syndrome and cubital tunnel syndrome is essential for accurate diagnosis and effective management. While both conditions involve nerve compression and share some similarities in symptoms, they affect different nerves and have distinct locations of discomfort.

CTS primarily affects the median nerve in the carpal tunnel of the wrist, causing numbness, tingling, and weakness in the thumb, index, middle, and half of the ring finger. On the other hand, CuTS affects the ulnar nerve in the cubital tunnel of the elbow, leading to numbness, tingling, and weakness in the ring and little fingers.

Identifying the triggering factors is crucial as well. CTS is commonly associated with repetitive hand and wrist movements, while CuTS is often caused by prolonged elbow flexion or pressure on the elbow.

Both conditions can often be managed conservatively through rest, splinting, physical therapy, and lifestyle modifications. However, in severe cases or when conservative methods fail, surgical intervention may be necessary to relieve pressure on the affected nerve. 

If you believe you may be experiencing symptoms of carpal tunnel syndrome or cubital tunnel syndrome, 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.

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Hands Wrists

When to See a Hand Doctor About Hand or Wrist Pain

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When to See a Hand Doctor About Hand or Wrist Pain

Your hands and wrists are incredibly important to your ability to work and play. Imagine trying to cook a meal, play catch with your kids, or even type up documents at work without the full dexterity and strength of your hands. It’s not a pretty picture, and anyone who’s ever experienced hand or wrist pain – even temporarily – can tell you how difficult it is to grip a soda can, a wrench, or even a pen with that feeling of pins and needles running through your palm and fingers. If this all hits home for you, hopefully this blog gives you a better idea when to see a hand doctor for that hand or wrist pain that refuses to go away.

It can be difficult to tell when to see a hand doctor or hand surgeon is necessary. We know questions such as these can play a role in how quickly someone decides to seek help:

  • Will this pain eventually go away?
  • Can I heal this on my own?
  • Do I really want to know what’s wrong?

We’ve seen many cases where a patient pinched a nerve in their hand, for example, and while it did heal on its own over a period of several weeks, the pinched nerve was indicative of a larger, more chronic problem. In general, if there are questions and a decreased ability to live your normal day-to-day life, we recommend calling a top hand doctor for an appointment immediately. Michiganders, here are some specific cases that absolutely warrant a call to your local Michigan hand specialist:

 

Prolonged Tingling or Numbness

Tingling and numbness – the feeling like your hand has gone “to sleep” – may be early symptoms of carpal tunnel syndrome. If you hold your hands in a position that’s not ergonomically correct for long periods of time, you can compress the carpal tunnel, through which the main nerves to your hand travel. If those nerves are pinched, serious and permanent damage can be done.

If you notice your hands falling asleep regularly, or you get that pins and needles feeling for longer than a few moments, it’s time to call a hand doctor such as Dr. Avery Arora. Getting a proper diagnosis by a hand specialist now could save you a lot of pain and potentially a surgery that could have been avoided.

If you develop carpal tunnel and other repetitive motion injuries in the hands and wrists early, you can usually treat them with over-the-counter anti-inflammatory drugs (aspirin, etc.), an ergonomic brace or stabilizer, and/or physical hand therapy.

 

Joint Pain in Your Hand or Wrist

Having trouble bending or flexing your fingers or your wrist? It’s time to call a hand doctor immediately. This may be a sign of either rheumatic arthritis or osteoarthritis, either of which can be treated, but, again, treatment is much more effective and much less invasive if you catch it early. For example, if you wait until you have lost function in your hands, you may never recover that function or you may need surgery to regain it.

When to See a Hand Doctor About Hand or Wrist Pain

Swelling in Your Hand or Wrist

Swelling in the wrist joints or in the joints of your fingers could be due to arthritis, but it could also be a symptom of a repetitive motion injury. Repeating the same motions can put increased strain and stress on the muscles and ligaments of your hands and wrists, which can then become inflamed, causing swelling, tenderness, pain, and/or numbness. Talk to your hand doctor right away to treat swelling in your hands, wrists, and/or your elbows before it becomes a bigger problem than it already is.

If you’ve been putting off speaking with a hand doctor about a hand, wrist, or elbow issue that has been bothering you, 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.

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Conditions Fingers

What Is Trigger Finger and How Is It Treated?

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what is trigger finger

If you’ve seen people with what looks like permanently bent fingers, such as the ones in this picture, they may have a condition called “trigger finger.” The name comes from the resemblance of the index finger holding a gun. In this blog, we’ll talk about what is trigger finger and how it can be treated.

Trigger finger (Stenosing Tenosynovitis) occurs when the fingers are either locked in place or when they “catch” in place as you bend them. Trigger finger is due to inflammation of the tendons on the finger and/or thumb.

As you may know, the job of the tendons is to connect the muscles and bones. Tendons allow for movement of the arms, hands, and fingers. Normally, they work smoothly due to their natural lubrication; however, if the tendon is swollen, it can cause the finger to catch and stick when it is bent.

 

Why Does Trigger Finger Occur?

A number of different variables can increase the risk of developing trigger finger including having rheumatoid arthritis, diabetes, and/or gout. Those who hold an object in the same position for a long period can also aggravate the tendons and increase their likelihood for developing this condition over time. Repetitive and forceful movements, such as playing electric guitar, can cause the condition to occur as well.

Trigger finger affects people in many industries and walks of life. Those who perform repetitive tasks with their fingers and thumbs are at the greatest risk. Women seem to suffer from the problem more than men, and it tends to happen most often in those who are between 40 and 60.

why does trigger finger occur?

Understanding the Trigger Finger Symptoms

Those who may suffer from trigger finger will likely notice that the base of their finger (or thumb) is sore. Of course, this symptom alone does not mean that you are going to have the condition and that’s why it’s so important to receive a proper diagnosis from a doctor.

Here’s a list of trigger finger symptoms to look for:

  • Finger stiffness, especially when first waking up in the morning
  • Pain when bending or straightening the finger(s)
  • Hearing a clicking or popping sound from the affected fingers
  • Painful bumps at the base of your finger
  • Fingers stuck in a bent position

 

Treatment for Trigger Finger

The first course of treatment recommended by most doctors is to rest the affected fingers, as this can help to relieve the inflammation on the tendon.  In some cases, a hand specialist like Dr. Arora, might want to splint the finger, as this will keep you from inadvertently moving the joint. Many times, with rest, this can remove the problem. If the problem persists, though, the doctor might prescribe medicine to help keep the inflammation down or a steroid injection. In some severe cases, the doctor may recommend hand surgery.

The recovery time for trigger finger will vary based on the type of treatment and the severity of the case. Those who take anti-inflammatory drugs and rest the finger can resolve the issue in a few weeks. Splinting could take several weeks as well. Those who have surgery will likely have a longer recovery period, as they have to consider the recovery time of the incision. Even though an incision for this type of surgery is typically small, it can still be tender for some time after the surgery.

If you believe you are suffering from trigger finger, and you have found that resting doesn’t help, 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.

 

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General

What to Expect at a Michigan Hand Surgery Consultation

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What to Expect at a Michigan Hand Surgery Consultation

You suspect you may need hand surgery and have decided to speak with a specialist. Before we begin, may we just commend you for taking the first step in bettering your health? We want to assure you that hand surgery is not always the only option after a diagnosis and that good hand surgeons like Dr. Avery Arora will always keep your best interest in mind. Here’s what to expect at a Michigan hand surgery consultation.

“What Types of Questions Will the Doctor Ask?”

It’s vital you know that open transparency of your medical background is of the utmost importance. Your doctor will want to know:

  • if you have had any other medical conditions
  • if you are presently going through any other medical treatments or prescribed any medications
  • if you have ever had any other surgeries
  • if you have any known drug allergies
  • about tobacco use, alcohol, and other drugs

 

“What Should I Tell the Doctor About My Hand?”

The short answer? Everything. Be prepared to share the full medical history of the condition in question. The doctor’s office may require images of the hand, such as x-rays, to help paint a clearer picture of the problem.

During the consultation, the doctors will determine your overall health status and whether you have any risk factors or conditions that may prevent you from being a good candidate for surgery.

They will discuss the available options you have that will give you the best chance of restoring function of your hand and returning to a normal quality of live. If you decide to proceed with the procedure, the doctor will explain what happens from start to finish and will let you know of any potential risks involved.

What to Expect at a Michigan Hand Surgery Consultation

“What Questions Should I Ask?”

We empower you to ask questions, too. While it might seem as though it’s the doctor’s role to ask questions during the consultation, patients need to make their voices heard as well. Some questions a patient should ask their hand physician could include:

  • If surgery is the best option, what could the potential complications mean for me in my day-to-day life?
  • How long will it typically take someone to recover from this particular type of procedure?
  • What type of therapy would be useful to help recover faster?
  • What else can I do in my day-to-day life to help the recovery process?

You can find more recommended questions in one of our other blogs.

During your hand surgery consultation, we can’t stress enough how important it is for local patient to feel empowered to vet if that particular Michigan hand doctor is right for them. If you have any reservations about the doctor, do not feel as though you are “locked in.” Speak with other Michigan hand specialists to get second opinions and feedback.

Your hand surgery consultation is the chance to learn everything you need to know about the procedures that could help improve or restore function to your hand. Pay attention, ask questions, and get peace of mind before surgery.

If you’ve been putting off speaking with a hand doctor about a hand, wrist, or elbow issue that has been bothering you, 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.

 

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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.