Blog Category

Category: Fingers

Categories
Conditions Fingers General

Symptoms of Finger Nerve Damage

Read Blog

Your hand is a marvel of design. The human hand has a level of flexibility and dexterity that no other tool on the planet can match. Even though scientists and researchers are trying to mimic the functions and movements of the hands, the artificial alternatives that they create fall far short from the reality. What makes your hands such a powerful tool is the series of nerves that you have in your hands, as well as nerves located in other parts of your body that are designed to control and provide strength to your hands. As such, if you are experiencing finger nerve damage, you will likely exhibit a number of uncomfortable symptoms.

An example of a nerve in the finger is the radial nerve. This is a nerve that goes under your arm, controlling your triceps muscle. This nerve is also responsible for the twisting moments in your wrist and your fingers. It is what gives parts of your hands their ability to feel things and to have different sensations.

If you injure the radial nerve, you may be left with what is known as radial neuropathy. There are a lot of ways that you could damage this nerve. These include physical trauma, exposure to toxins, or infection. Often times, you will know that you have this form of nerve damage because your hands and your fingers feel numb. They may feel like they are burning, or they may feel like they are tingling. Another indication that you are dealing with this form of finger nerve damage is a weakness in your fingers. You may not be able to move your fingers like you used to, or it may be difficult to twist your fingers. If the nerve damage is addressed, you will see the strength in your fingers return.

There are a whole host of ways that you can damage the radial nerve. They include breaking the bones in your upper arm, sleeping with your arm in a weird or awkward position, pressure put on the back of your arm because you’re sitting in a chair in an awkward position, damage caused by using crutches for an extended period of time, hurting your arm by falling, or having your wrist in a constricted position for an extended period of time.

It is possible to develop finger nerve damage by doing repetitive movements. These can include movements that require you to grasp something while swinging another thing back and forth. There are other conditions that can affect your entire body that might damage your nerves. For example, kidney disease, diabetes, and some forms of inflammation can damage the radial nerve, which can then affect the strength in your fingers.

It’s important to remember that your fingers do not have any muscles in them for movement. All of your finger’s ability to move and their strength comes from your forearm and triceps. When the nerve that controls these muscles is damaged, the effect is felt in your fingers.

If you are experiencing symptoms of finger nerve damage, make an appointment at Arora Hand Surgery as soon as possible. Contact us today at our office in Warren, Macomb, West Bloomfield, or Howell to schedule a consultation and learn about your treatment options.

Categories
Fingers General Treatments

Replantation of the Thumb

Read Blog

Replantation is the medical term for the surgical reattachment of a body part that has been completely separated from the body. It differs from transplants, which also involve attaching a body part to the patient, in that the part comes from the patient. In a transplant, the body part comes from another person. Replantation of the thumb is a common procedure that has helped many people in various situations.

What Does Replantation of the Thumb Involve?

The patient will need to be stabilized and their severed thumb cleaned before it can be replanted. The thumb should be rinsed to remove dirt, grass, etc. In the vast majority of cases, replantation surgery needs to be performed as quickly as possible. Replantation of the thumb can involve several different techniques, and the techniques used will depend on the situation.

The surgeon may need to use grafts or tissue spacers during certain steps of the procedure. Afterwards, the patient will spend some time recovering while the surgical team closely monitors their recovery.

What Does the Recovery Involve?

The amount of use the patient regains depends on how well the nerves grow and reattach themselves. It typically takes about a month for a nerve to grow an inch. The number of inches between the injury and the tip of the thumb can, thus, provide a rough estimate of how long it will be before the patient regains sensation in their thumb-tip.

During the recovery process, the patient should do what they can to encourage circulation to the reattached thumb. Since smoking impairs circulation, they should not smoke. They should also keep their thumb elevated above their heart to boost circulation. It is important to follow our team’s instructions regarding healing for optimal results. The patient may need to undergo physical therapy to restore their range of motion, prevent the joints from getting stiff and keep their muscles from getting atrophied.

Learn More About Replantation of the Thumb

Replantation of the thumb has the potential to significantly improve a person’s quality of life. This is because the thumb is a very important part of the hand, as well as the entire body. Thumbs help us to perform everyday tasks.

Dr. Arora at Arora Hand Surgery in Howell, Warren, Macomb, and West Bloomfield is proud to offer replantation of the thumb. Contact us today to schedule a consultation!

Categories
Fingers General

How Can I Tell If I Have a Broken Knuckle?

Read Blog

Your knuckles are an essential part of your hand. They are what give your fingers their dexterity and their ability to move. But as strong and vital your knuckles are, they can still be broken. As you can imagine, having a broken knuckle is not an enjoyable experience. It comes with several different symptoms, such as pain and swelling. A broken knuckle limits your finger’s mobility and prevents you from carrying out a lot of your daily activities.

Most people break their knuckles when they punch something, usually a hard surface. The symptoms associated with a broken knuckle are very similar to those associated with other injuries that you have in your hand.

For many people, the first sign of a broken knuckle is pain. The pain is instant, and it is severe. Contrary to what some believe, you might still be able to bend a broken knuckle. You might even be able to bend it without increasing the pain, but this does not mean that it is not broken. Depending on the location of the break, pain might increase as you try to move the broken knuckle.

The next symptom you are going to experience is swelling. Most people say that their hand starts to swell around 10 minutes after they break their knuckle. As the swelling increases, your ability to move your hand drastically decreases. Interestingly, you may notice that other fingers also begin to swell, not simply the one that is broken.

The next indication is bruising. The level of bruising will depend on the severity of the break. In many cases, you will see bruising almost instantaneously. This is because there is a rapid loss of blood in the area around the knuckle, which shows up as a bruise.

You will probably notice that your hand goes numb as the swelling increases. This is your body’s natural response to the injury. At a certain point, the swelling in your hand may get so severe that the nerves in your fingers become compressed, and any sensation disappears.

There will be visual clues that you have broken your knuckle as well. For example, if you make a fist, you may not be able to see your knuckle because it broken. The lack of swelling and the pain may make you think that your knuckle is not broken, but if it is sunken in, this is a sure sign that it is.

One of the biggest problems after having a broken knuckle is stiffness. Your knuckle is a very complicated joint, and it might not heal entirely. There is also the possibility of an infection after breaking a bone.

We offer many different types of effective surgeries designed to treat a broken knuckle. If you feel you may have a broken knuckle, visit Arora Hand Surgery for an official examination. Dr. Arora will help you explore all of your treatment options and develop a plan tailored just for you. To get help healing a broken knuckle safely and effectively, call our office in West Bloomfield, Howell, Warren, or Macomb to schedule your consultation.

Categories
Fingers General

Which Form of Trigger Finger Treatment is Right for Me?

Read Blog

Trigger finger is a condition that causes the fingers, and sometimes the thumb, to have a tendency to lock in place when they are bent. It is sometimes accompanied by popping and cracking while attempting to bend or straighten the fingers. In addition, it can be very painful at times.

Running through the fingers, just like in other parts of the body, are tendons that serve the purpose of connecting muscle to bone. These tendons will slide through a sheath, which is tissue that covers the tendon. The sheath contains a lubricating membrane to help the tendon move more easily. Trigger finger can develop when these tendons become inflamed. When this happens, the tendons can become swollen. This makes it harder for the tendon to move through the sheath. When this goes on for a period of time, the sheath can develop scar tissue, the result of which is a narrowed opening for the tendon to slide through. The resulting difficulty can cause popping and cracking as the tendon is pulled through restricted space.

Trigger finger can be caused by one of several factors. Health conditions like gout, diabetes or rheumatoid arthritis can lead to its development. It can also be caused by repetitive motion, especially if the motion is accompanied by forceful gripping. Sometimes, it becomes so hard to straighten the fingers that the other hand must be used to help.

If you suspect that you might have trigger finger, our team can perform a diagnosis rather easily. Once trigger finger is diagnosed, treatment may be done by a variety of methods. Usually, we will start with more conservative measures and progress to more extensive treatments only if the conservative methods do not work.

Trigger finger treatment may involve the use of a splint, anti-inflammatory medications or steroid injections, among other things. Often times, a combination approach is taken. If these more conservative measures don’t get the job done, surgery may be the next step. Most people, however, will not need surgery, but this obviously depends on the situation. The recovery time and results depend on the severity of the condition.

If you suspect that you may be developing trigger finger, you should seek help from the team at Arora Hand Surgery sooner rather than later. This will improve your chances of having success with conservative treatments. Our offices are located in West Bloomfield, Howell, Warren, and Macomb. Contact us today to schedule a consultation!

Categories
Fingers General

Getting Your Thumb Sprain Treated by a Hand Specialist

Read Blog

Thumb sprains can be very painful. All you need to do is ask anyone who has experienced one, if you haven’t had one yourself. They commonly occur during sports activities. In fact, they are often referred to as “skiers thumb” because of a high occurrence of injuries while skiing. The combination of the way the hand is grasping the ski pole and the impact of the pole hitting the ground can easily jam the hand, causing a thumb strain. Sports like basketball create a high risk for these types of sprains as well. If the hand is turned in the wrong way while attempting to catch the ball, a strain can happen. Striking the thumb on the ground during a fall is another common cause of the injury.

A sprain is an injury to a ligament, which is what holds the bones together. In the case of a thumb sprain, the damage is usually to the ligaments that support the joint at the base of the thumb. It happens when an impact causes the thumb to move beyond its normal range of movement. It is usually a backward movement that causes the injury.

Symptoms of a thumb sprain include immediate pain at the time of the impact. This may be followed by things like swelling, and there may be some instability in the joint. It may be difficult to do activities that require gripping, like turning a door knob or holding a drinking glass.

Immediately after the injury, the thumb should be protected against further injury by taping it or using a support. Ice should be applied as soon as possible to help reduce swelling. These are immediate steps that are taken as basic first aid measures following the injury. In order to ensure that there is no permanent damage, and to make sure the best possible treatment is provided to promote healing, our experienced hand specialist at Arora Hand Surgery should be consulted.

One of the things that will be done when seeking treatment for a sprained thumb is the taking of X-rays. This will help to detect or rule out a fracture. If no fracture is present, our doctor will still continue to treat the thumb sprain.

Since your hands are necessary for just about everything you do, you will not want to take their care lightly when it comes to treating an injury. The hands, including the fingers and thumbs, consist of very complicated anatomy. For this reason, you deserve the best treatment you can get when you are trying to recover from an injury. The best way to receive this is to seek out a well-qualified hand specialist like Dr. Arora. It can make the difference in getting you back on the road to recovery.

Make an appointment at Arora Hand Surgery in Howell, West Bloomfield, Macomb, or Warren to learn more. Contact us today to schedule an initial consultation.

Categories
Fingers General Treatments

Treatments for Finger Nerve Injuries

Read Blog

Ranging from minor cuts and small wounds to broken bones and nerve damage, hand and finger nerve injuries are a relatively common occurrence. When a nerve in the hand or fingers is injured, symptoms can include loss of strength, sensation and muscle control.

Four nerves, two on each side, support the movement and sensation of your fingers. These nerves can be bruised and stop working properly for a short period. With this type of injury, the nerves usually heal and fully recover over time with little or no lingering side effects. These finger nerve injuries may not require advanced treatment.

A severe injury can cause more complex nerve damage that will require medical intervention to correct. Nerve damage can result in pain and weakness. If left untreated, your hand or fingers may weaken to the point where they become non-functional. As a result, early diagnosis and careful treatment will enable a faster and more complete recovery.

When an injury to the hand or fingers shows the signs of nerve damage, an assessment will be made to show the extent of the harm. You will undergo diagnostic testing to evaluate the level and speed of nerve activity. The results will enable our medical professional to determine the level of damage and customize a proper treatment protocol.

Damaged nerves that cannot heal on their own usually require surgery to reconnect the ends. Surgically repaired nerves as well as those not requiring an operation will undergo rehabilitation that focuses on preventing further damage, promoting movement and sensory reeducation.

The injured area will be immobilized initially in a safe position to prevent further damage and allow the healing process to begin. Some movement may be allowed to keep the nerve from atrophying. Once the nerve is healed, you will undergo physical therapy to learn how to compensate for any residual loss of feeling or muscle control. This therapy will enable you to use your hand and fingers in a more normal manner while learning how to avoid future complications.

Severe nerve damage will require extensive therapy to reeducate a patient in this circumstance on how to compensate for the loss of sensation in the affected area. The brain will have to be reprogrammed to process the new signals and produce the required level of dexterity.

If you have suffered a hand or finger injury, schedule a consultation at Arora Hand Surgery for a full examination to determine the extent of the damage. The results of the evaluation will enable us to determine the best course of treatment to produce optimal results. The sooner that you address hand and finger nerve injuries, the quicker your quality of life will improve. We have offices in West Bloomfield, Howell, Warren, and Macomb Township. Contact us today to book an appointment to learn more.

Categories
Fingers General

Fingertip Injuries

Read Blog

We use our fingers all of the time all throughout the day. As a result, they are always at risk of fingertip injuries, and there are many of them.

Your fingertips are packed with nerve endings, more than almost anywhere else in the body. That’s because you need all of those nerves to fine-tune your ability to feel and use your fingers. Of course, with all of those nerve endings hanging out in your fingertips, an injury to this area can be very painful.

Fingertips can be damaged in a number of different ways, ranging from very minor to extremely serious. Because the fingertip skin is so unique, if it becomes destroyed, it usually cannot be replaced.

Some common examples of fingertip injuries include:

  • Crushing damage if the finger is closed in a door, hit with a hammer, or has something heavy dropped on it
  • Cuts from knives, power tools, etc.
  • Bent and broken from being caught in equipment, ropes, or nets.

If you have a fingertip injury, the first thing your doctor will do is examine the area, check for mobility in the finger and then get X-rays. It will need to be determined if any of the bones in the finger have been broken.

Treatment of Fingertip Injuries

How the injury will be treated depends solely on the type of injury itself. Here are some examples:

  • Severe crush injuries may mean that some tissue needs to be removed or the whole finger has to be removed.
  • If bone has been exposed, then skin grafts may be used to cover the injury.
  • If soft tissue has been lost, then this may be replaced along with skin grafts to cover the area.
  • At times, a flap of skin is lifted from the adjacent finger and used to cover the injury and provide blood flow while the finger heals. Once the wound is healing, the flap can be stitched back down to its original finger site.
  • If the finger has been fractured, then a splint will be used to stabilize the area.
  • If the fracture is severe, then pins may be placed within the finger bone to help it set in the proper manner.

If damage to the fingertip is extremely severe, then likely, amputation will be needed. That’s because it is very hard to replace tissues in the finger when most of the existing tissue has been destroyed.

Injuries to the fingertip can mean loss of sensation for a long time. In fact, some people report it taking several months to get full feeling back in the finger. Scarring to the nailbed may mean the fingernail grows back deformed or does not grow back at all.

Every day, your fingers are exposed to injury. So, it should come as no surprise that fingertip injuries are common. Depending on the type of injury or trauma, there could be ways to treat the situation and return the finger to normal function, but in severe cases, the finger may be lost altogether.

For more information, contact Arora Hand Surgery today.

Categories
Fingers General

What is Nail Bed Repair?

Read Blog

Nails are made of a tough protein called keratin that is also found in hair and skin. The phrase “nail plate” is the technical term for what most people call the nail. The nail bed is the skin immediately under the nail plate, and it is comprised of two tissue types: an epidermis and a dermis. The matrix is the part of the nail bed that produces more nail plate cells. The lunula or crescent, which can sometimes be seen at the base of the nail, is the visible part of the matrix. When injuries occur in or near the nail bed, nail bed repair is typically used to correct the situation.

What Causes an Injury to the Nail Bed?

Injuries to the nail bed are usually caused by injuries to the finger or toe. For example, a broken toe or finger may be accompanied by damage to the nail bed. The nail bed can also be damaged by cuts or lacerations. Pinching or crushing injuries, like that caused by getting a finger caught in a door, can cause injury to the nail bed.

What Does Nail Bed Repair Involve?

Our doctor will first want a description of how the injury occurred. He will also probably X-ray the patient in order to check for broken bones. The treatment will depend on the type of injury and its severity. The patient will probably be given a local anesthetic before nail bed repair is performed.

What is a Subungual Hematoma?

A subungual hematoma is bleeding under the nail. It is usually caused by a crushing injury like hitting one’s thumb with a hammer or dropping a heavy object on one’s toe. The patient’s blood collects under the nail and causes intense, throbbing pain and discoloration of the nail.

During a consultation, our doctor will check for broken bones and other serious injuries. If he doesn’t find any, he will likely decompress the hematoma to relieve the pressure caused by the accumulation of blood. After numbing the treatment site, either a needle, heated wire (electrocautery device) or carbon laser may be used to perforate the nail and let the blood drain.

In a complicated subungual hematoma, the blood has accumulated under the whole nail and caused it to separate from the nail bed. In these cases, our doctor may have to remove the nail. However, it all depends on the unique situation.

What is a Nail Bed Laceration?

A nail bed laceration is a cut involving both the nail and the nail bed beneath it. Our doctor may remove the damaged part of the nail and then stitch the wound to the nail bed. He may replace the damaged nail to have it serve as a splint. Over time, a healthy, new nail will grow in to replace it.

Learn More About Nail Bed Repair

Injuries to the nail bed can be painful. Fortunately, nail bed repair can be used to fix the problem, leading to a better quality of life for the patient. You can learn more about the details of nail bed repair during a consultation at Arora Hand Surgery in Macomb Township, Warren, Howell, or West Bloomfield.

Contact us today to schedule an appointment.

Bill Payment Made Easy

Pay on the Go!

Get on the List

Subscribe

Patient

Stories

Read All

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.