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General Hands

Hand Muscle Anatomy: How Many Muscles are in the Hand?

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Have you ever really stopped to think about how spectacular your hands are? You use them for just about everything in life — from pumping iron at the gym to pumping gas at the gas station. They can be flat, or they can be clenched into fists. You can wiggle your fingers all around, bend them, and use them to point at someone. Our hands are truly a thing of beauty; there aren’t many other areas of our bodies that can take so many different forms. Just how many muscles are in the hand to enable all this power?

The hand muscle anatomy is very intricate, understandably, and most of the hand movements are actually controlled by the forearms.

How Many Muscles are in the Hand?

There are about 30 hand muscles, most of which lead to the wrists and forearms.

The formal terms for the various types of hand muscles are:

  • Dorsal interossei and palmar interossei muscles
  • Lumbrical muscles
  • Hypothenar muscles, which include abductor, flexor, and opponens digiti minimi
  • Thenar muscles, which include abductor pollicis brevis, flexor pollicis brevis, and opponens pollicis muscles

Technically, there are no muscles in the fingers, with the exceptions of the adductor pollicis and abductor pollicis longus at the base of the thumb.

How many muscles are in the hand? About 30 muscles are in the human hand, including lumbrical muscles as shown in this graphic.
Lumbrical muscles

If that all sounds rather foreign to you, don’t worry. We’ll explain.

1. The interosseous muscles are a network of muscles found on and in between the knuckles that enable us to bend the joints in the fingers. The dorsal muscles are used to spread the fingers, while the palmar muscles are used to bend them.

There are four dorsal interosseous muscles in each hand.

Palmar interossei consist of four muscles each that attach to the first, second, fourth, and fifth fingers. The third finger does not have a palmar interosseous muscle.

2. The lumbrical hand muscles extend to underneath each finger. We use them to straighten our fingers and bend the joints. There are four in each hand.

3. The three muscles on the side of each of your hands near the small finger are the hypothenar muscles. They enable you to move the pinky away from the ring finger, bend the pinky, and make a fist.

4. The thenar muscles are perhaps the most recognizable. They are three short muscles in the thick area of your palm under your thumb. These muscles give the thumb the ability to move the way it does, as well as enable us to grasp items.  (If you’re interested in an additional nugget of medical trivia, the bulge under your thumb is known as hypothenar eminence.)

5. The two muscles near the thumb, the adductor pollicis and abductor pollicis longus, enable us to pinch. One is located between the index finger and thumb, and the other passes through the wrist.

Possible Causes of Hand Muscle Pain

If you are reviewing the anatomy of the hand because you are feeling pain in your hand muscles, you may wish to learn about the most common causes of this pain. They include inflammation, nerve damage, basic overuse, and sprains, fractures, or other traumatic injuries.

Chronic health conditions also can lead to hand pain. They include:

If you have pain in your hand, see our hand specialist at our St. Clair Shores, West Bloomfield, Macomb Township, or Howell office. Dr. Arora can analyze the skin, joints, and muscles of the hand and recommend tests to identify the source.

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Fingers General

What is the Medical Term for Trigger Finger?

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The phrase “trigger finger” can be rather deceptive. It’s not about spending too much time at the firing range – although that may do it. It actually refers to the shape that the finger takes when you have this condition, as well as the popping or snapping sound the finger
might make when you are finally able to straighten it out.

Understanding the medical term for trigger finger and what the condition is may help clear the air.

What is the Medical Term for Trigger Finger?

Trigger finger occurs when the pulley at the base of the finger becomes too thick and then constricts around the tendon. As a result, it can be hard to move the tendon, and you may feel pain, popping, or a feeling of resistance when you try to straighten the finger. When this happens, the tendon may swell and cause pain, and this can happen repeatedly over time. In some cases, the tendon becomes locked, and it may be hard to move the finger at all.

The medical term for trigger finger is stenosing tenosynovitis.

What does “stenosing” mean?

Stenosing derives from the word stenosis, which is defined as an abnormal narrowing or contraction of a body passage or opening.

Other types of stenoses as used in the medical sense include aortic stenosis, pulmonary stenosis, spinal stenosis, and tracheal stenosis, among many others.

What does “tenosynovitis” mean?

“Teno” refers to tendon. “Synovitis” refers to inflammation of a synovial membrane, which contains synovial fluid. Synovial fluid is a lubricating fluid secreted by the tendon sheath, which is what allows a healthy finger to move properly.

Tenosynovitis, therefore, literally means “inflammation of a tendon,” as well as its sheath.

It typically occurs in the hands, wrists, feet, and ankles due to intense, repetitive use, such as when playing a piano. In addition to overuse, it may occur due to an injury that leads to infection, as well as tuberculous or gonorrheal infection.

Combine it all together, and you get stenosing tenosynovitis: inflammation of a tendon that causes abnormal narrowing or contraction.

Don’t worry. You can still call it “trigger finger.”

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Elbows General

What is the Difference Between Tennis Elbow and Golfer’s Elbow?

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Elbow pain due to overexertion may feel like it’s coming from all over, and patients really just want the pain gone. The first step in treating elbow pain, however, is to pinpoint the exact location of the problem, which is the primary difference between tennis elbow and golfer’s elbow.

These two common conditions bring many patients into our elbow doctor’s offices in West Bloomfield, Howell, St. Clair Shores, and Macomb Township every year.

The good news is that both of these conditions are highly treatable with self-care, rest, or the use of an elbow brace. When these remedies are not effective, elbow surgery is an option as well.

What is Tennis Elbow?

Technically called lateral epicondylitis, tennis elbow occurs when the tendons that anchor the muscle to the bone on the outside (lateral) part of the elbow are overused. When these tendons degenerate or become inflamed, it weakens and causes stress on the entire site.

In other words, tennis elbow is caused by a swelling of the tendons that bend your wrist backward away from your palm. People who repeatedly use their elbow and arm muscles may be susceptible to tennis elbow, such as painters, plumbers, and butchers, as well as athletes.

Symptoms of tennis elbow include pain or burning on the outer part of the elbow, as well as a weaker grip. They typically are worsened with forearm activity, such as holding a tennis racquet or turning a wrench. The pain is typically mild at first, but worsens over time if the action that is causing it is not minimized. Tennis elbow is usually not associated with a traumatic injury.

The dominant arm is affected more often than the non-dominant arm.

Tennis elbow can usually be treated with rest, pain medication, Botox injections, or the use of a brace. Tennis elbow surgery may be recommended in more extreme cases.

Tennis elbow occurs due to overuse of the elbow’s outer tendons. This diagram shows the anatomy of the elbow in relation to tennis elbow.
Tennis elbow occurs due to overuse of the elbow’s outer tendons.

What is Golfer’s Elbow?

Golfer’s elbow is more formally called medial epicondylitis. It is sometimes referred to as baseball elbow or suitcase elbow.

The source of the pain is on the inner side of the elbow. It occurs when the tendon that connects the forearm muscles to the bone is overused.

Golfer’s elbow is about twice as common in men than in women. Despite its name, it is caused by general overuse and can affect virtually anyone.

Golfer’s elbow also can be treated with rest, pain medication, injections, and the use of a brace.

The main difference between tennis elbow and golfer’s elbow is the location of the inflammation. Tennis elbow hurts on the outside. Golfer’s elbow hurts on the inside. In this image, a golfer holds his elbow in pain.
The main difference between tennis elbow and golfer’s elbow is the location of the inflammation. Tennis elbow hurts on the outside. Golfer’s elbow hurts on the inside.

What is the Difference Between Tennis Elbow and Golfer’s Elbow?

While causes and treatments are similar, there are some differences between tennis elbow and golfer’s elbow.

The primary difference is the source of the inflammation. With tennis elbow, the outside of the elbow and forearm areas are inflamed, but with golfer’s elbow, inflammation is on the inner side of the arm and elbow.

Likewise, tennis elbow stems from damage to an outside tendon, and golfer’s elbow is associated with damage to an inner tendon.

Both are forms of elbow tendinitis.

Diagnosis and Treatment of Elbow Pain

For most people, the pain subsides by reducing or eliminating the action that is causing it. Physical therapy to strengthen the muscles in the arms may help as well. When self-care, rest, and the use of pain medications or a brace do not help, surgery may be necessary.

Elbow surgery options include:

  • Open surgery, which requires making an incision at the elbow and is performed on an outpatient basis.
  • Arthroscopic surgery, an outpatient procedure that uses smaller instruments and smaller incisions.

A common surgery to treat golfer’s elbow is called medial epicondyle release. It requires an incision along the arm over the medial epicondyle, and the surgeon’s goal will be to take tension off the flexor tendon.

Similarly, a lateral epicondylitis surgery can be used to treat tennis elbow. The goal of this surgery will be to release a portion of the tendon from the bone, remove the inflamed tendon, or repair tendon tears.

For proper treatment, it’s important to differentiate between tennis elbow and golfer’s elbow. For a diagnosis and treatment plan, make an appointment to see Dr. Arora at one of his southeast Michigan locations.

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General Hands

Protecting Your Hands While Gardening: Tips that May Help Keep You Safer

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May is perhaps the most invigorating month of the entire year. With beautiful gardens, the fragrant scent of freshly tilled dirt, greenery bursting into life all around, and Mother’s Day flowers to color the scene, this month makes you want to get outside to be one with nature. Gardening can be a thrilling and fulfilling hobby, one that we hope you continue to enjoy for many years. For some people, gardening may even bring in the salary.

That’s why we want to remind you about all the ways you should protect your hands while gardening. Oversights or missteps can put a damper on that flowery spirit of yours, but we want to make sure you keep that green thumb up.

Common Gardening-Related Hand Injuries

Some of the most common hand and wrist conditions related to gardening include trigger thumb, wrist tendonitis, hand infections, gamekeeper’s thumb, and minor or traumatic injuries.

  • Trigger Thumb: Trigger thumb occurs when the pulley at the base of the finger becomes too thick, making it hard for the tendon to move freely.
  • Tendonitis: There are several types of tendonitis, which is essentially a torn, pulled, or swollen tendon.
  • Infections: Infections related to gardening include rose thorn disease and Legionnaires’ disease. Other gardening-related concerns are poison oak, poison ivy, and irritation from chemicals.
  • Gamekeeper’s Thumb: Gamekeeper’s thumb occurs when the inner ligament at the base of the thumb is injured due to overuse.
  • Gardening Injuries: Common injuries include cuts, scrapes, and lawnmower or gardening tool accidents. Another is body strain, aches, and pains due to improper posture while gardening.

How to Protect Your Hands While Gardening

Skilled gardeners are familiar with methods of protecting the hands while gardening, as well as how to protect their knees and backs. If you are new to the hobby, however, you should keep the following tips in mind as you head out this May.

  • Wear your gardening gloves, and make sure you choose a high-quality brand. The gloves should be thick and have latex or rubber on the palm side to help prevent splinters and also protect you from the chemicals in soil, Legionnaires’ disease, insect bites, and skin irritants like poison ivy or poison oak. You may even come across rodents underground that might want to take a bite at you. The latex or rubber will also provide support as you grip tools or when you need to use those arm and back muscle to really dig in.
  • Apply sunscreen on your hands, face, ears, neck and other areas of exposed skin before you head out. Choose a broad-spectrum sunscreen with SPF 30 protection or higher. You may also wish to wear thin, light-colored, long-sleeved shirts and long pants to prevent sunburn.
  • Take frequent breaks. If you get too tired or too hot, step away from the task at hand. Repetitive motion can lead to issues such as cubital tunnel syndrome, carpal tunnel syndrome, and back pain.
  • Take all the necessary precautions when using manual hand tools and electric tools. Read the manuals and use the tools according to manufacturers’ directions. Protect your hands, body, and face when using them, and unplug the tools when you are done. Keep your tools clean, sharp, rust-free, and in proper working condition, which will help prevent strain or accidental injury due to malfunction.
  • Whenever possible, rely on your tools, not your fingers. You may be tempted to shovel or pull weeds with your fingers, but buried objects such as tree roots, glass, and metal can cause injury. Overusing your hands could also damage your fingernails, irritate your skin, and strain your back and arms.
  • Watch your posture. In order to ensure a tighter grip, keep your hands and wrists as straight as possible when you use the gardening tools. Without this sturdy grip, you will find yourself overusing your hand, wrist, and arm muscles unnecessarily.
  • In addition to protecting your hands while gardening, it’s important to follow general safety tips.
    • Sip water throughout the day to prevent hydration.
    • Keep children and pets away from dangerous tools.
    • Do not leave dangerous gardening tools in harm’s way.
    • Watch your surroundings before making abrupt movements.
    • Use knee pads if you will be kneeling.

If you do find that you overworked your hands or if you experienced a gardening injury, make an appointment to see our hand specialist in St. Clair Shores, West Bloomfield, Macomb Township, or Howell. In the event of life-threatening injuries or other emergencies, call 911 or go to your nearest emergency room.

We want you to enjoy your hobby for years to come, so stay safe out there!

Categories
Elbows General

5 Common Conditions that May Require Elbow Surgery

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Most elbow pain is temporary, but persistent pain or discomfort that affects your quality of life may require elbow surgery.

We treat several common conditions that may require elbow surgery at our southeast Michigan offices. Make an appointment to see our elbow surgeon in Macomb Township, St. Clair Shores, Howell, or West Bloomfield for the following treatments or a diagnosis of your condition.

Cubital Tunnel Syndrome Surgery

Cubital tunnel syndrome occurs when there is too much pressure on the ulnar nerve, which runs along the ulna bone in the forearm and enters the hand near the pinky and ring fingers.

Causes of cubital tunnel syndrome include leaning on hand surfaces or bending the elbow for an extended period of time, or you may develop cubital tunnel syndrome due to an anomaly in the anatomy of your elbow. If you have this condition, you may experience severe pain and numbness in the elbow, as well as tingling or weakness in your ring and pinky fingers. It may become difficult to close your hand.

The first line of treatment for cubital tunnel syndrome is to avoid the action that is causing the pain. Using pain relief medications and wearing a splint at night may help as well.

When self-treatment does not help, cubital tunnel syndrome surgery may be recommended. The goal is to relieve the pressure by releasing and moving the ulnar nerve to the front of the elbow or increasing the size of the cubital tunnel.

Tennis Elbow Surgery & Other Treatment Options

Known as tennis elbow, lateral epicondylitis is a painful condition involving the tendons that attach to the bone on the outside (lateral) part of the elbow. The tendon’s attachment to the bone degenerates, which places increased stress on the area.

People who repeatedly use their elbow and arm muscles may be susceptible to tennis elbow, such as painters, plumbers, and butchers.

Tennis elbow can usually be treated with rest, pain medication, Botox injections, or the use of a brace. Tennis elbow surgery may be recommended in more extreme cases.

Elbow Fracture Examination & Treatment

Elbow fractures may occur due to a fall or direct impact. Pain, swelling, bruising, and stiffness in and around the elbow suggest a possible fracture. A snap or pop at the time of injury may be felt or heard as well.

Types of elbow fractures include:

  • Olecranon fractures
  • Fractures of the distal humerus
  • Radial head and neck fractures of the elbow

Depending on the type of injury and its severity, treatment options for elbow fractures include splint immobilization, casting the elbow, physical therapy, surgery to realign the bone fragments, and external fixation to stabilize the fractures.

Olecranon Bursitis Surgery & Assessment

The olecranon is the pointy bone at the tip of the elbow. A small sac of fluid called a “bursa” covers the tip of this bone. Sometimes this area gets irritated and the body makes extra fluid inside the sac, causing a big “balloon” that looks like a golf ball to form at the tip of the elbow.

Causes of olecranon bursitis include hitting the elbow on an object, overuse of the elbow, systemic diseases, and medical procedures.

It’s usually not painful, but it sometimes becomes infected. Remedies include using a splint and compression to rest the bursa, using elbow pads, using antibiotics to clear the infection, having cortisone injections, or drawing fluid out of the bursa with a needle in a procedure known as aspiration.

Olecranon bursitis surgery may be required if other remedies are not successful.

Golfer’s Elbow Treatment

Golfer’s elbow causes and treatments are similar to that of tennis elbow, but there are some differences between the two conditions.

The primary difference is the source of the inflammation. With tennis elbow, the outside of the elbow and forearm areas are inflamed, but with golfer’s elbow, inflammation is on the inner side of the arm and elbow.

Likewise, tennis elbow stems from damage to an outside tendon, and golfer’s elbow is associated with damage to an inner tendon.

Golfer’s elbow is more formally called medial epicondylitis, and it is sometimes referred to as baseball elbow or suitcase elbow.

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General Uncategorized

Occupational Therapy Rewards: Building Personal Connections that Make an Impact

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Occupational therapist Lodia’s first traumatic amputation experience taught her profound lessons that she carries with her decades later.

After an M-80 firecracker exploded in his hand, a 13-year-old patient’s index finger and thumb were amputated, but Lodia’s support helped him rebuild his strength.

And she found lifelong friends in the process.

Personal Connections

The boy’s rehabilitation spanned about three months, and today Lodia recalls that she learned so much from this experience.

“By discharge, he had regained full use of his hand despite the partial loss of his index finger and thumb,” Lodia recalls. “His mother came to every therapy session even while in her third trimester of pregnancy. The three of us got to know one another very well. A couple of months after his discharge I received a note that the mother had her baby girl.”

This news also came with what Lodia considers an incredible honor.

“She named her after me,” Lodia said. “I still have the notes with her name, birthdate, and weight. I took this as the highest compliment possible.

“In addition to honing my therapy skills, I realized that the personal connections made with patients/families are one of the biggest rewards of being an occupational therapist.”

Occupational Therapy as a Career

Lodia always knew she wanted to go into the medical field and had volunteered in the field in high school.

“I observed a variety of disciplines, but occupational therapy really impressed me,” she said. “The therapy was so purposeful and specific for getting the patient back to their highest level of function, and OTs are trained in the psychological as well as the physical impacts of injury/disease.”

She also was very inspired by the orthotist she met at the Detroit Medical Center.

“The specialty of hand therapy allows me to treat patients and fabricate splints — two things I really enjoy doing,” she said.

Fabricating splints allows her to be creative and inventive, which she describes as an “awesome adjunct to therapy.”

With 31 years of experience as an occupational therapist, Lodia says she loves the diversity of her caseload, as well as the close interaction with the physician.

Lodia has been the occupational therapist at Arora Hand Surgery for about a year, and she has enjoyed building relationships with her new patients.

“The best part of my job is the personal growth that I have gained through the years from interacting with patients of all ages and experiences,” she said. “I have had the pleasure of teaching and guiding them throughout their rehab process while learning so many lessons from them.”

Categories
Fingers General

Dupuytren’s Contracture vs. Trigger Finger: What is the Difference?

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When it comes to Dupuytren’s contracture vs. trigger finger, the differences are not always clear. On the surface, they have similar effects on the fingers. When you look deeper, however, you will see that the reason why the fingers are functioning the way they do is different.

Facts about Dupuytren’s Contracture vs. Trigger Finger

It’s easy to see why people may confuse the two conditions. They are similar in some ways. First of all, both conditions can affect any finger. Another similarity is the appearance. The affected fingers are typically curved inward toward the palm, although in some cases they can be bent to the left or right.

Otherwise, they are very different conditions. Following is a breakdown of the differences in Dupuytren’s contracture vs. trigger finger.

What is Trigger Finger?

The technical name for trigger finger is stenosing tenosynovitis. Trigger finger is caused when an injury causes a finger to get stuck in a bent position. This occurs when inflammation narrows the sheath around the tendons, leading to the formation of a nodule. When you flex this finger, the nodule must slide through the narrow sheath, causing a snapping sensation.

Treatment for trigger finger may include:

  • The use of medications to relieve pain
  • Therapy that includes rest, stretching exercises, and the use of a splint
  • Steroid injections
  • A percutaneous release procedure, where the hand surgeon uses a needle to break apart the constriction that is blocking proper movement
  • Surgery to loosen the constricted area
Trigger finger is usually caused by an injury and is most common in the thumb, index finger, and middle finger.
Trigger finger is usually caused by an injury and is most common in the thumb, index finger, and middle finger.

What is Dupuytren’s Contracture?

Dupuytren’s contracture develops over time. It begins when tissue forms knots under the skin of the palm. As these knots form, they create a cord that pulls the fingers into a bent position. Everyday activities like gripping silverware can become difficult with this condition.

Similar to one of the trigger finger treatment options, Dupuytren’s contracture can be treated with the needling procedure to break the cord of tissue that is causing a finger to contract. Other treatment options include self-care, Xiaflex enzyme injections, and surgery.

Surgery for Dupuytren’s contracture entails removing all the tissue that is affected, including the skin. A skin graft may be required to repair the wound. Because this is a serious procedure with a lengthy recovery time, it is ideal only for those who have a diminished quality of life due to the condition.

Dupuytren’s contracture develops over time and stems from the tissue in the palm.
Dupuytren’s contracture develops over time and stems from the tissue in the palm.

Differences Between the Two Hand Conditions

Following are some of the primary differences in Dupuytren’s contracture vs. trigger finger.

  1. Trigger finger starts with the fingers while Dupuytren’s contracture stems from the palm.
  2. Dupuytren’s contracture involves the tissue, but trigger finger involves the tendons.
  3. Trigger finger is most common in the thumb, index finger, and middle finger. Dupuytren’s contracture is most likely to occur in the fourth finger and the pinky.
  4. Someone who has trigger finger can straighten the finger if they tried, but someone with Dupuytren’s contracture cannot.
  5. Whereas trigger finger is usually the result of an injury, the causes of Dupuytren’s contracture are not clear.

If you have experienced a recent injury that led to trigger finger or have been seeing the effects of Dupuytren’s contracture progress over a number of years, see our hand specialist in Macomb, St. Clair Shores, West Bloomfield, or Howell for treatment. Make an appointment by calling our office or sending our hand surgery team a message online.

 

Call Our Hand Care Team

Categories
Fingers General

Broken Knuckle Symptoms & Treatment Options in Southeast Michigan

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If you have a broken knuckle, it’s likely very painful, red, and swollen, and you probably won’t be able to move it for days or weeks. Despite this injury, many people mistakenly assume that it will heal on its own … and it might. But if you don’t seek broken knuckle treatment as soon as possible, the recovery process will take longer than necessary.

More importantly, the knuckle may heal incorrectly, leading to a deformity in the finger and possibly damaging the nerves around it. If that does happen, correcting the problem may require a surgical procedure, so it’s important to get the injury treated rather than face the effects indefinitely.

Signs and Symptoms of Broken Knuckles

The problem is that you can’t tell if a knuckle is broken or only bruised by looking at it. In order to determine the extent of the injury, make an appointment to see our hand specialist at a southeast Michigan office near you.

In the meantime, following are some of the signs that your knuckle may be broken, not only bruised.

  • Difficulty moving that particular finger
  • Swelling of the finger and hand, particularly in that area
  • Bruising
  • Redness
  • Pain
  • A visibly misshapen hand
  • Cut or pierced skin
  • Depressed knuckle
  • Popping or cracking sound when you try to move it

Many patients say that their hand began to swell about 10 minutes after the injury, but the bruising may become visible instantly.

Having a depressed knuckle is one of the clearest signs that the knuckle is broken rather than bruised. The length of time that it takes to recover is also a sign. A bruised knuckle generally heals within a few days without long-term effects. A broken knuckle may take several weeks to heal completely, and even then you may never get proper function back in that finger if you did not seek treatment right away.

Broken Knuckle Treatment Options

Known as metacarpal fractures, common causes of broken knuckles include punching something, getting your finger stuck in a door or window, getting injured while playing sports, and falling.

Broken knuckle treatment aims to alleviate pain and swelling in the short-term, as well as facilitate proper healing for later.

As a first aid treatment for a broken knuckle, start with applying a cold pack to the area to minimize pain and swelling. Try to keep your hand in an elevated position as well.

When you come in to see Dr. Arora for broken knuckle treatment, he will likely immobilize that finger so that the knuckle can heal. It may involve “buddy taping” that finger to the one beside it or using a splint or cast. The use of over-the-counter or prescription pain medication may help as well. If the injury involved a cut or wound, you may need antibiotics to prevent infection.

Surgical Treatment Options for Finger Injuries

Most of these injuries don’t require surgery, but that may be necessary if you have an open fracture, pieces of the bone are unstable, the tissues are damaged, or multiple fractures exist in the same area.

The type of surgery for broken knuckles depends on the severity and location of the injury. The possibilities include:

  • Internal fixation, which involves making an incision and realigning the knuckle
  • External fixation, which involves using pins to secure a metal frame around your finger or hand to keep the knuckle in place until it heals

After you have healed, you may need to work with a hand therapist to recover the functionality of your hand.

For broken knuckle treatment in southeast Michigan, make an appointment to see Dr. Arora in West Bloomfield, Howell, St. Clair Shores, or Macomb Township.

Call Our Hand Care Team

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General

Physician Assistant Joins Arora Hand Surgery Team

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Arora Hand Surgery is proud to welcome its newest team member, Physician Assistant Ashley Delzer (PA-C).

Ashley has more than 10 years of experience as an orthopedic surgery physician assistant. As a physician assistant at our hand surgery practice, she will see patients in the clinic, administer injections, first-assist in the operating room, and manage the care of post-operative patients.

She has a Master of Physician Assistant Studies from the University of Findlay, and she earned her Bachelor of Science degree from Michigan State University after studying human biology.

Outside of work, Ashley enjoys spending time with her family and two young sons, horseback riding, traveling, and outdoor activities.

With the addition of Ashley as a physician assistant, the Arora Hand Surgery team now consists of:

  • Surgeon and Hand Specialist Dr. Avery Arora, M.D.
  • Lodia, occupational certified hand therapist (OT-CHT)
  • Crystal and Karlie, medical assistants
  • Sally, practice manager
  • Sonja, patient/surgical administrator
  • Korinn and Amanda, office assistants

Please join us in welcoming Ashley to our team!

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Stories

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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.