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High Five for a Safe Fourth of July: Prevent Fireworks-Related Injuries

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Finger injuries and hand injuries are the most common bodily injuries caused by fireworks. Prevent fireworks-related injuries with safe techniques.

Backyard barbeques and brats are a great way to celebrate the holiday, but when it comes to firework festivities, don’t let an accident snuff out your fun.

The Consumer Product Safety Commission finds that an average of 280 people go to the emergency room around the Fourth of July because of firework injuries, and nearly half of the patients (47%) are children 14 years old or younger.  Individuals ages 15 to 44 accounted for 44% of the injuries, and the rest were 45 and older.

Burns were the biggest injury, with the top spot being the hands, followed by the face, legs, eyes, trunk, and arms.

Your hands are the most susceptible to injury because you’re holding and lighting the firework, putting your fingers, palm, and the top of your hand in the line of fire. The hand that holds the firework is the one most often injured.

And, a fact that is super scary is that sparklers, the firework we hand out to all the kids at the party, are the number one culprit for burn injuries.  Burning for about a minute, they can reach temperatures of 1800 to 3000 degrees Fahrenheit.  That’s hot enough to cook an egg.  If one of the embers hits your hand or the wire wick burns down to your fingers, it can cause severe injury.

Placing cold water on the burn and antibiotic ointment, vitamin C, or aloe may seem like the right way to treat these injuries, but they likely need professional attention.   Wounds from sparklers and fireworks of any kind may leave behind bacteria and tetanus spores, sulfur dust, ash, charcoal, gunpowder residue, or fibers, which need surgical debridement and treatment. They could also lead to an infection or a permanent tightening of the skin near the wound.

Other types of fireworks that lead to the most injuries are reloadable shells, firecrackers, and Roman candles.

So, what should you do if you do get burned by a firework?

If the burn is superficial, barely scratching the surface of your skin, you can probably treat it at home, but you’ll need to keep an eye on it.  Clean it daily with soap and water, and put a thick coat of petroleum ointment on it.  Cover it with a water and an airtight bandage.  Keep the wound moist, rather than dry, and you should heal quicker with less pain.  If it doesn’t look good after a week, make a doctor’s appointment.

For more severe burns, put your hand under cool water, loosely wrap it to keep it clean, and head to the ER.  Putting ice on your burn isn’t a good idea.  It can cause frostbite and skin damage.  The ice also numbs the area and gives you a false sense that the burn is okay.

While the best ideas are to let the professionals put on the show or forget the fireworks altogether, there are ways to stay safer while having firework fun.

  • Don’t let young children handle or light fireworks, and always have an adult supervising.
  • Read all label instructions carefully.
  • If the firework comes packaged in brown paper, it was likely made for professional displays and could be dangerous for novices.
  • Don’t place your hands or body over any firework that you’re lighting. Step back as soon as it’s lit.
  • Don’t try to relight or pick up a firework that didn’t ignite correctly.
  • Light fireworks and sparklers one at a time.
  • Keep a bucket of water or garden hose nearby to douse spent devices and to have accessible if something does go wrong.

Arora Hand Surgery hopes you have a great holiday spent safely with family and friends.  If you need more information about keeping your hands safe with fireworks, contact us through our website or call one of our offices, located in West Bloomfield, Warren, Macomb Township, and Howell.

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Fingers General

‘Toe Thumbs’: Wonderfully Distinctive

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What are toe thumbs, clubbed thumbs, or stub thumbs? This thumb nail looks shorter than some other thumbnails.
Photo Credit: WorldWide Interweb

A Detroit area woman who was recently ghosted after a first date was curious about the reason why, so she had a local radio station contact her date. And would you guess what the reason was? Go ahead, take a guess. … It wasn’t because of her looks; she was beautiful. It wasn’t because of her personality; they said they had a good date. Wouldn’t you know it? Of all things in the world, it was because she had “toe thumbs.”

As surprising as that sounds, she’s not the first to be called out on it.

The gorgeous actress and model Megan Fox has been scrutinized for having “toe thumbs” too.

You know what we say? If that’s the worst of your problems, you can consider yourself very fortunate.

There is really nothing wrong with this type of thumb, which is more appropriately called a “clubbed thumb” or “stub thumb.” It works just like any other thumb. It just looks a wee bit shorter and wider. It’s cute if you really think about it.

Technically, it’s a Brachydactyly type D skeletal variation, or Brachymegalodactylism.

Those big words simply mean that the thumb is about 2/3 the size of a longer thumb, and the nail bed is usually shorter as well.

The reason it occurs is nothing serious. The end bones of the thumbs are shorter, and that’s essentially all there is to it. It’s just one of those genetic factors that make people who they are.

So we’ve mentioned Megan Fox, but do you know of any other celebrities who have these thumbs?

We do!

  • Sanaa Lathan (“The Family that Preys,” “The Best Man,” “Now You See Me 2”)
  • Malin Akerman (“The Proposal,” “Watchmen”)
  • Tory Mussett (“Peter Pan,” “Boogeyman”)
  • Ashley Tesoro (Christian and country music singer, “The Bold and the Beautiful”)

Did you ever even notice? Probably not, because all of those celebrities are beautiful just the way they are.

So if you have clubbed thumbs, wear them proudly!

If you still genuinely don’t like them, contact us to learn more about clubbed thumb surgery options or other solutions.

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Elbows General Hands

Stem Cell Therapy for Hands, Wrists, and Elbows

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There are many forms of therapy for hands, wrists, and elbows.

Stem cell therapy can be an effective method of treating pain in the hands, wrists, or elbows. If you are a candidate for stem cell therapy, you probably have many questions. Our hand surgeon is here to answer them. In the meantime, following are some of the basics about stem cell therapy for hands, wrists, and elbows.

What is Stem Cell Therapy?

Stem cells are cells from which all other cells are generated. Stem cells divide to form “daughter cells,” with either become new stem cells or specialized cells. They can be guided to become specific cells that can be used for medical purposes, such as repairing damaged tissues. Stem cells may also be grown into new tissue for use in transplants and regenerative medicine.

Individuals who may benefit from stem cell therapy include those with spinal cord injuries, diabetes, Parkinson’s disease, heart disease, stroke, osteoarthritis, burns, and cancer.

Stem Cell Therapy for Hands, Wrists, and Elbows

Because stem cells replicate themselves, they can mirror the qualities of healthy cells in order to repair damage. They can decrease inflammation, strengthen the affected area, and repair damaged tissue and tendons.

Stem cell therapy for hands, wrists, and elbows can be used treat trigger finger, joint pain, golfer’s elbow, carpal tunnel, gout, tennis elbow, and arthritis.

  • Cartilage in the wrist specifically has a limited ability to self-repair, and osteoarthritis can lead to a loss of cartilage. Stem cell therapy can help rejuvenate and replenish the cells in the wrist to aid in mobility.
  • Individuals suffering from elbow pain can benefit from stem cell therapy. It enables new, healthy tissue to grow at the site of an injury to reduce pain and repair damage.
  • Pain in the hand and thumb can also be addressed, including arthritis in the fingers.

A board-certified hand surgeon, Dr. Arora and the Arora Hand Surgery team gather stem cells from patients’ own tissue, which can help heal the targeted area without risk of harsh side effects or allergic reactions.

If you are regularly experiencing pain in your hand, wrist, or elbow, contact Dr. Arora to see if stem cell therapy is right for you.

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General

What are the Muscles in the Human Hand?

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Muscles in the human hand control the fingers through tendons. Fingers have no muscles.

Pop quiz: How many muscles do you have in your fingers? If you said, “Zero! That’s a trick question,” you’ve got our number. Your fingers contain no “muscles” at all. They’re actually controlled by muscles in your hands and arms that are connected to your fingers by tendons. So what are the muscles in the human hand?

Following are some of the basics you might want to know, especially if you’re experiencing pain in your hands, wrists, or fingers.

Muscles in the Human Hand

1. Interossei (Dorsal and Palmar)

You know the old trick of determining how many days are in a month by counting on your knuckles and the grooves between them? Well, the shorter months land in the area of the interossei muscles. All these muscles serve the same purpose, which is to bend the joints. The “dorsal interossei” muscles, however, allow us to spread out fingers, while we close them together with the “palmar interossei” muscles.

2. Lumbricals

The lumbrical muscles in the human hand can be found under each finger. They allow us to straighten our fingers and bend the joints.

3. Hypothenar

The hypothenar muscle group is located on the small finger side of the hand. This muscle group enables the small finger to bend and pull away from the ring finger. It also allows us to make a fist, as well as bring the small finger toward the thumb.

The muscles within this group are:

  • Abductor digiti minimi
  • Flexor digiti minimi
  • Opponens digiti minimi

4. Thenar

The thenar muscle group is located in the bulky area under your thumb. The muscles enable the thumb to move in multiple directions, bend, and rotate. Without these muscles, we couldn’t grasp items.

Muscles in this group are:

  • Abductor pollicis brevis
  • Flexor pollicis brevis
  • Opponens pollicis

The Thumb Exception

Although there are no muscles in the fingers, two muscles can be found near the thumb: the adductor pollicis and the abductor pollicis longus.

The first is located between the index finger and thumb, and the second passes through the wrist. We couldn’t pinch without them.

Seeking Treatment

If you have carpal tunnel syndrome, cubital tunnel syndrome, or other hand or wrist conditions, they can cause pain in and around any of these muscles.

If you are experiencing pain or swelling in your hand, wrist, or fingers, make an appointment to see our hand surgeon in Macomb Township, Howell, Warren, or West Bloomfield.

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General Hands Wrists

Hand or Wrist Tumors: Should You Be Worried?

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Hand or wrist tumors can be frightening, but often are harmless. Either way, you should schedule an appointment with our hand surgeon in Howell, Warren, West Bloomfield, or Macomb Township to have the wrist or hand growth analyzed.

If you have a sudden growth or lump on your hand or wrist, the sight can be unsettling. Your mind may immediately go to a dark place, where you worry about serious conditions like cancer. It’s important to know, however, that hand or wrist tumors are usually not as bad as they look.

What You Need to Know About Hand or Wrist Tumors

A tumor can be defined as swelling on a part of the body due to the abnormal growth of tissue.

The word “tumor” is not synonymous with cancer. In fact, the vast majority of hand or wrist tumors are non-cancerous and painless.

Types of tumors that can develop on the hands and wrists include:

  • Giant Cell Tumor of the Tendon Sheath: This usually benign tumor most often occurs in patients older than 30. It grows slowly and is painless, and most often is found on the fingers.
  • Lipomas: Lipomas are the most common type of tumor, but they do not appear on the hands or wrists as frequently as on other areas of the body, such as the back or thigh. The benign fatty tissue growth usually affects adults ages 50 or older. They are soft to the touch and grow slowly.
  • Nerve Sheath Tumors: The nerve sheath is tissue that insulates the peripheral nerves, and a nerve sheath tumor grows within the cells of this covering. It can cause symptoms of shooting sharp pain in the affected area.
  • Neuromas: The growths are found along nerves and are caused by a traumatic event, such as a cut to the nerve. They are often very painful.

Other common types of tumors and other growths, such as cysts, that appear on the hands or wrists include ganglion cysts and epidermal inclusion cysts.

Treatment for Hand or Wrist Tumors

Occasionally an ultrasound will be performed or an MRI ordered to help distinguish the mass. If it is believed to be non-cancerous and is not troublesome, no action is necessary. Most people, however, do not want to live with the growth, so they elect to have them surgically removed.

Patients who are experiencing pain associated with these masses may be prescribed anti-inflammatory medications or given splints.

Individuals who are concerned about hand or wrist tumors should make an appointment with our hand surgeon, Dr. Arora. A proper examination can give you peace of mind if the growth is harmless, or help protect you if it isn’t.

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Fingers General

All About Fingernails: What They Are and How Long It Takes for Fingernails to Grow Back after an Injury

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Fingernails can be rather mysterious. What are fingernails made of? How do fingernails grow? How long does it take for fingernails to grow back after an injury? If you are concerned about fingernail regrowth or damage to your nail bed, make an appointment to see our hand surgeon.

It’s amazing how something so basic can be so mysterious. Of course, we’re talking about fingernails. We were all born with them, we have them with us for every second of every day, we clip them, we have fun polishing them, and yet most of the general population doesn’t actually know what they are.

What are Fingernails, Really?

Do you really, truly know what fingernails are? Are they bones? Ligaments? Tissue? Really thick skin? Are you using them to scratch your head right now?

If you said tissue, you’re on the right track. Fingernails are made of keratin, a protein that forms the cells that make up the tissue in nails. Nails form under your skin and push old cells through as they start to grow. The nails you see, therefore, are essentially dead cells. While the visible part of your nails have no feeling, the inner part of your nails under your skin do. That’s why you can feel pressure near your cuticles but feel nothing when you clip your nails.

Your cuticles are there, by the way, to protect the growth of the cells and prevent infection. Most nail technicians remove them during a manicure for cosmetic purposes. While that’s relatively harmless, it means the cuticles won’t be as effective at their job of protecting your nails and fingers from fungus and other infections.

Can You Completely Lose a Fingernail?

You often hear people talking about “losing a fingernail,” but is that really possible? The answer is yes and no.

You can completely lose the dead cells, the visible part of your nail. But truly, the heart of your nail is under your skin in what is called the matrix or nail root, and you generally won’t lose that. You can, however, damage the matrix, resulting in deformation of the fingernail as it grows back.

How Long Does it Take for Fingernails to Grow Back after an Injury?

If the visible part of your fingernails becomes detached due to an injury, the nail will grow back on its own. But it will require some patience on your part. For the average adult, fingernails grow about 1/10 of an inch a month. That means it can take up to six months for your fingernail to grow back to its full size.

But if you’ve recently lost a fingernail, look at the bright side: At least it wasn’t a toenail. Toenails grow back three to four times slower than fingernails, so it could take up to 1 1/2 years for a toenail to grow back completely.

Nutrients for Healthy Fingernails

Vitamins that are believed to be beneficial for nails include:

  • Biotin, naturally found in foods including liver, nuts, salmon, avocados, sweet potatoes, and cauliflower.
  • Folic Acid/Vitamin B9, naturally found in foods including leafy green vegetables, citrus fruits, beans, cereals, and rice.
  • Vitamin D, naturally found in dairy products, fatty fish, and eggs.
  • Vitamin B12, naturally found in organ meats, beef, clams, sardines, tuna, trout, salmon, eggs, and dairy products.
  • Iron, naturally found in shellfish, spinach, legumes, red meat, pumpkin seeds, quinoa, turkey, broccoli, tofu, and dark chocolate.
  • Magnesium, naturally found in bananas, dark chocolate, avocados, nuts, legumes, tofu, seeds, whole grains, some fatty fish, and leafy greens.
  • Vitamin C, naturally found in abundance in kakadu plums, as well as cherries, chili peppers, guava, persimmons, thyme, kiwi, and kale.
  • Zinc, naturally found in meat, shellfish, legumes, seeds, nuts, eggs, some vegetables, and dark chocolate.

Other Interesting Facts about Fingernails

  1. Children’s and teenager’s fingernails grow faster than that of adults.
  2. Fingernails grow faster in the summer than in the winter. It’s unclear why this is so, but it’s possibly related to the additional absorption of Vitamin D into your body as a result of more time out in the sun.
  3. Your hair is made out of the same substance.
  4. Men’s nails tend to grow faster than women’s nails.

One More Thing We Have to Say

While all of the above refers to relatively minor fingernail injuries and basic fingernail regrowth, some situations could be more serious and require immediate care. If you have a serious injury, acting quickly can prevent permanent damage to your nail bed or fingers. For assistance, visit an urgent care facility or make an appointment to see Dr. Arora in Howell, West Bloomfield, Warren, or Macomb Township.

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Conditions Elbows General Hands

Cellphone Overload: How to Avoid Hand and Elbow Pain

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It's important to give your hands a break from cellphone use in order to avoid hand and elbow pain. If you are experiencing pain in your hands, wrists, or fingers, make an appointment to see hand surgeon Dr. Avery Arora.

Have you ever used your cellphone for so long that your hands became numb, your fingers stopped functioning properly, and you gave up on mentally blaming autocorrect? If so, it was probably slightly comical at the time. If this happens repeatedly, however, soon enough it won’t be funny anymore. If you do use your phone frequently, it’s important to know how to hold your phone to avoid hand and elbow pain.

If you don’t, eventually you could be dealing with something worse than just sore thumbs, uncooperative fingers, and a really hot ear.

Ways to Avoid Hand and Elbow Pain when Using Cellphones

1. Try using text-to-speak, at least every now and then.

2. Use a cellphone stand so you can set the phone on a table or desk instead of holding it. When you do, you can use any finger you want to play those games and give the other fingers a break.

3. Make a conscious effort to regularly stretch and flex your fingers, wrists, and elbows.

4. If you talk on the phone for long periods of time, holding the phone up to your ear can cause discomfort at your elbow. To avoid this problem, try using:

  • A headset
  • The speaker option
  • A video calling app like FaceTime
  • Internet calling options such as Skype

What Could Happen: Carpal Tunnel Syndrome and Cubital Tunnel Syndrome

You might believe that the tingling in your hands due to cellphone use is just a temporary sensation, and it probably is. But if you don’t make conscious efforts to avoid hand and elbow pain when using cellphones, you could end up facing some very real issues.

Carpal Tunnel Syndrome

Carpal tunnel syndrome is the result of swelling and pressure in a “tunnel” in the wrist, which consists of nine tendons and a median nerve.

Causes of this very common condition are unclear, but improper use of keyboards, tools, and even cellphones can increase CTS. Other examples of activities that can increase carpal tunnel syndrome include driving a motorcycle and playing a violin.

Individuals with CTS can experience tingling, a weaker grip, numbness, a tendency to drop things, and pain in the hand and wrist.

Cubital Tunnel Syndrome

Ever wonder why it’s far from funny when something hits your “funny bone”? To the contrary, it’s extremely painful. The truth is that what you feel comes from a nerve that runs behind a bone in the elbow through the “cubital tunnel.”

Pressure on the nerve can affect the blood supply to the nerve, causing arm pain and weakness in the hand. Direct pressure, such as leaning on your elbow, can compress the nerve and cause some of your fingers to “fall asleep.”

Both cubital tunnel syndrome and carpal tunnel syndrome are painful conditions that may lead you to seek medical treatment.

Contact Arora Hand Surgery for More Information

For more information about how cellphone use affects your hands, fingers, wrists, and elbows, explore the Procedures & Conditions pages of our website to learn more about symptoms you may be experiencing. If you’re regularly feeling pain or numbness in your hands or arms, contact one of our Arora Hand Surgery offices by phone or request an appointment online.

Categories
General Wrists

Carpal Tunnel Syndrome: Condition Often Comes with Serious Consequences

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Jessica Alba is one of the celebrities who has experienced carpal tunnel syndrome.
Jessica Alba worried that she had experienced a stroke when she felt the effects of carpal tunnel syndrome, which women are more susceptible to than men are. (Photo courtesy of PMK)

If you are experiencing carpal tunnel syndrome, like Al Roker has, schedule an appointment to see our hand surgeon.
Al Roker is among the celebrities who have experienced carpal tunnel syndrome.

Playing video games, typing on a keyboard, driving a motorcycle, and playing a musical instrument can all make the symptoms of carpal tunnel syndrome worse, and anyone who has experienced it will tell you it’s serious business.

Carpal tunnel syndrome, which is a pinched nerve that results from pressure and swelling in a “tunnel” in the wrist, can be much more painful than the general public realizes.

In fact, in October Al Roker of “The Today Show” was forced to undergo emergency carpal tunnel surgery when he lost use of his thumb during rehearsals for a Broadway show.

But he is far from the only star who has experienced CTS.

  • When Jessica Alba woke up to a numb arm, she worried that she had experienced a stroke. As it turns out, she was experiencing carpal tunnel syndrome, which women are three times more susceptible to than men are.
  • Online gaming and video games are often the culprits when it comes to irritating existing carpal tunnel issues, as “Friends” star Matthew Perry and Boston Red Sox Pitcher David Price might possibly tell you.
  • In 2015, Brooke Shields underwent carpal tunnel surgery on both of her wrists.

Jessica Alba is one of the celebrities who has experienced carpal tunnel syndrome.
Jessica Alba worried that she had experienced a stroke when she felt the effects of carpal tunnel syndrome, which women are more susceptible to than men are. (Photo courtesy of PMK)

The exact causes of CTS are unclear, so that means it can essentially affect anyone at any time. Some activities, like those mentioned above, can exacerbate the condition, which includes pain, swelling, and numbness in the hands.

Although you might not be able to avoid CTS completely, you can be proactive by:

  • Using proper posture as you’re typing and also using ergonomic keyboards
  • Using wrist braces during activities like bowling
  • Using protection as you’re working in the construction, automobile, and manufacturing industry.

Bending and stretching your wrists every now and then during certain activities can help as well.

In some cases, surgery may be necessary to address the issue. The surgery usually entails cutting a ligament within the carpal tunnel on the palm side of your hand.

If you’re experiencing CTS symptoms, make an appointment to see our hand surgeon for an exam.

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General Treatments Wrists

Carpal Tunnel Syndrome: What It Is and How to Prevent It

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As depicted here, poor wrist placement while working at a computer might be one of the factors involved in the onset of carpal tunnel syndrome.

We’ve all heard about carpal tunnel syndrome (CTS) all our lives, and most of us realize it has something to do with painful wrists.

But why does it happen, really? And is there a way to prevent it?

What is Carpal Tunnel Syndrome?

The general public tends to speak about it casually, but for people who are experiencing carpal tunnel, it can mean extreme pain.

In general terms, CTS is a pinched nerve in the wrist. The phrase carpal tunnel itself refers to a space in the wrist where nine tendons and the median nerve pass from the arm into the hand. Carpal tunnel syndrome is the result of pressure and swelling in this tunnel, which in turn increases pressure to the median nerve, located at the wrist.

Signs of CTS include tingling, numbness, a weaker grip, a tendency to drop things, and pain in the hand, fingers, and arm.

Because a combination of factors may be involved, it can be difficult to determine the exact cause of CTS in each case. Some of these factors may include rheumatoid arthritis, thyroid conditions, pregnancy, diabetes, high blood pressure, and prior injuries.

Activities that can increase carpal tunnel syndrome symptoms include improper use of computer keyboards, regular use of power tools or hand tools, driving a motorcycle, and repeated use of your wrist, such as playing a violin or guitar.

How to Prevent It

Without a definite cause, it can be challenging to completely prevent carpal tunnel syndrome. But you can definitely try to be proactive by using:

  • Proper posture when typing.
  • Adjusting sitting height to allow for a natural angle to the wrist.
  • Ergonomic keyboards.
  • Braces when participating in activities that strain your wrists, such as bowling.
  • Proper protection as possible if you work in the manufacturing, automobile, assembly line, or construction industry.

You should also remember to give your wrists a break from whatever you are doing for a few minutes every couple of hours. During that time, stretch and bend your wrists and hands.

CTS Treatment

CTS symptoms can be relieved by changing patterns of hand use or temporarily splinting the wrist during sleep. A steroid injection that can relieve symptoms around the nerve may be helpful as well.

In more serious cases, surgery may be required to cut the ligament that forms the top of the tunnel on the palm side of the hand. The result is an enlarging of the tunnel and therefore a decrease of pressure on the nerve.

If you are experiencing carpal tunnel syndrome symptoms that cannot be relieved by home remedies, schedule an appointment to see Dr. Avery Arora in West Bloomfield, Howell, Macomb, or Warren.

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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.