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General

Thumb Arthritis Defined: What It Is and How It Can Be Treated

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Arthritis can affect nearly every joint in your body and your hands, but a very common area for arthritis is the thumb. Thumb arthritis tends to occur in your hands sooner than other forms of arthritis, but other than some minor stiffness, it may take several years before you experience any significant problems. If ignored, however, the arthritis may progress to a more serious level, perhaps even requiring surgery.

So why is a thumb so susceptible to arthritis? And is there any way to prevent it? Read on to learn more.

Arthritis Basics

Before we get into why arthritis affects thumbs more often than other parts of the hand, let’s start with the basic definition of arthritis.

In simple terms, the most common form of arthritis, called degenerative arthritis, occurs when the lubricating, cushioning cartilage at the ends of bones wears away. As a result, the bones rub against each other, causing stiffness, pain, and swelling.

The word “arthritis” is a general word used to describe joint pain or joint disease. In fact, there are more than 100 different types of arthritis, and they affect approximately 300,000 children and 50 million adults. It is more common among women, and risk factors include age, obesity, and lack of physical activity.

Why Thumb Arthritis is Common

The most common type of arthritis in the hands involves the last joint of each finger (nearest the tip), but the second most common is thumb arthritis.

It is also known as basal joint arthritis and occurs when cartilage at the base of the thumb wears away. At first, the symptoms can be so mild that you only notice the problem when you’re trying to do something like unlock a door, zip up your jacket, or snap your fingers, but the symptoms may get worse with time.

The simple reason why it is so common is because of how much we use our thumbs, as well as the fact that the thumb can move in different directions, causing more stress on the joint.  The saddle-shaped joint gives the thumb the ability to move down, up, and across the palm, as well as to pinch.

In addition to age, thumb arthritis is often brought on by injury and may be hereditary.

Thumb Arthritis Prevention, Remedies, and Treatments

You might not be able to completely prevent arthritis, but you may be able to delay it or reduce its effects. Some ways to avoid the progression of thumb arthritis, hand arthritis, or arthritis in other parts of the body include:

  • maintaining a healthy body weight
  • making efforts to protect yourself from injuries when participating in sports, games, or other activities that strain your hands, such as bowling, knitting, cooking, gardening, or home and automobile repair and maintenance.
  • eating a balanced diet rich in fruits, vegetables, whole grains, and spices that fight inflammation
  • taking precautions to avoid injuries when pulling, pushing, or lifting objects
  • using a wrist cushion and a special keyboard if you use your computer often
  • exercising your hands, just as you would other parts of your body, to keep your fingers flexible.

In more serious, acute cases, you can get temporary relief by applying ice to the area or using a heating pad. Both methods have been known to be effective, but it depends on the type of pain and swelling you’re experiencing. Ask your doctor what’s best in your case.

Other remedies may include taking medication, having a cortisone injection at the basal joint area, or having your doctor set the thumb with a splint.

If necessary, treating thumb arthritis may require surgical procedures, such as a trapeziectomy that involves removal of a bone in the wrist, an osteotomy that realigns the bones, or joint replacement with grafts from tendons.

If you are suffering from arthritis pain in your thumb or anywhere in your hands, schedule an appointment to come see us. We’ll help you identify the right treatments for you.

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Fingers General

Nerve Damage in the Finger: What You Should Know

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Your fingers are essential for completing daily chores and living a complete life. However, due to injury, cuts or trauma, it is possible that you might injure it. Frequently, such events lead to nerve damage in the finger. It is important that you get your hands and fingers checked at a reputable facility such as Arora Hand Surgery in Macomb, Michigan. Nerve damage in the finger can lead to severe complications if left untreated.

What Are The Common Causes?

Generally, nerve damage occurs in any part of the body due to trauma or injury. If you have been in an accident, then chances of nerve damage in your fingers increase greatly. You can also acquire an injury by overstretching your fingers.

Many times individuals crush their fingers between door jambs or while closing a drawer. Such trauma can also lead to massive nerve damage in the finger.

Additionally, burn accidents (even minor cooking burns) can lead to severe nerve damage. It is important that you get in touch with a knowledgeable surgeon in order to ensure that all parts of your fingers are in working order.

What Are The Symptoms Of Nerve Damage In the Finger?

The nerves present in fingers, wrists, and hands serve both motor and sensory purpose. If your nerves are damaged, then chances are that these functions shall be highly affected. Nerve damage can render you unable to use your fingers to the maximum. You might also experience minor symptoms such as twitching, tingling, burning, pain, and numbness. Other symptoms indicating damage of nerve in the finger can include weakness, increased sensitivity, and paralysis among others.

How to Test For Damage

There are many techniques and exercises that you can perform at home in order to recognize nerve damage in the finger. The first thing you should look for are signs of trauma or injury. It is possible to get injured without realizing while leading busy lives. For instance, you might have banged your hand on the car door in your hurry to get to work and not realized because the pain was minor. However, it is possible for an unassuming injury to escalate quickly into nerve damage. Hence, it is important that you carefully scrutinize your fingers for cuts, burns, and bruises.

Next, you should look for sensations. Check whether there is any tingling, numbness, pain, swelling or any other similar sensation. Notice if your fingers are not opening completely or are drooping slightly. You should go to a doctor immediately if there is discoloration or any deformity.

Lastly, there are exercises that can be performed to understand whether you have nerve damage the in finger. Check the strength of your fingers by holding a pencil in each finger and squeezing it.  Any finger that is unable to hold long might be injured.

There are many medications and treatment available to treat damage of nerve in the finger. However, it is important that you get in touch with a specialist.

Schedule An Appointment

If you think you might be experiencing nerve damage in your finger, give Arora Hand Surgery in Macomb Township a call to make a consultation with an experienced specialist.

Schedule an Appointment

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Fingers General

5 Signs You Should Seek Broken Knuckle Treatment

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Most people depend on healthy hands to complete tasks in everyday life. When knuckles break, the ability to perform these tasks becomes almost impossible. At times, knuckle injuries can be treated at home. However, we can explain when it is critical that you seek broken knuckle treatment services, such as those provided by Arora Hand Surgery.
 
 

Symptoms of a Broken Knuckle

Have you ever engaged in a rigorous physical activity and left wondering if you have injured yourself? Many of us avoid going to the doctor until we know an injury needs professional attention. Below you will learn the symptoms of broken knuckles. If you find yourself with a knuckle injury now or in the future, you will be equipped with information on what to do about it.

Popping Sensation

If you hear a popping sound or feel a popping sensation when your knuckles make contact with a hard object, then chances are that your knuckles are broken. Needless to say, call our broken knuckle treatment provider as soon as possible.

Pain

Whether you hear a popping sound or not, intense pain always occurs in the event of broken knuckles. The level of the pain is determined by the degree of the injury that has occurred in the knuckles. If you experience pain after your knuckles come in blunt contact with an object, it is appropriate to seek professional knuckle treatment services.

Swelling

As you begin to experience pain in your hand after the impact, you may also notice swelling. The area around the injury will swell as well and become stiff and hard to move.

Numbness

When the swelling occurs, you may also experience tingling and numbness that may spread throughout the entire arm. Numbness is a critical signal that you should seek broken knuckle treatment immediately.

Bruising

Depending on the degree of the impact, you will notice a bruised knuckle quite rapidly. This is yet another sign that you require broken knuckle treatment.

Getting Broken Knuckle Treatment

For expert broken knuckle treatment services, get in touch with our staff at Arora Hand Surgery, with offices in Howell, West Bloomfield, Macomb Township, and Warren. Contact us today and book your appointment!

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General Wrists

The Most Common Sprained Wrist Symptoms

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A sprained wrist is one of the most common injuries among athletes. All it takes is one momentary loss of balance, and the force of the fall bends the wrist back toward the forearm. This action stretches the ligaments that connect the wrist and hand bones a little too far, causing tiny tears or a complete break in the ligament. Exerting too much pressure, twisting it too far, or being hit in the wrist can also cause a sprain. These injuries are associated with injuries which are common in basketball, baseball, gymnastics, diving, skiing, skating, skateboarding, and inline skating. If you are experiencing sprained wrist symptoms, call Aurora Hand Surgery in Michigan to schedule a consultation.

Sprained Wrist Symptoms

A sprained wrist will feel tender and warm around the injury, along with some pain and swelling, as well as bruising. Some patients can feel a popping or tearing sensation along with the other sprained wrist symptoms. There are three grades of a wrist sprain:

  • Grade I involves pain with some minor damage to the ligament.
  • Grade II involves loss of function to the wrist with more severe ligament damage and pain, as well as a feeling of looseness to the joint.
  • Garde III involves severe pain, and a completely torn ligament with loss of function and looseness of the joint.

A diagnosis can be made using an x-ray, MRI, an arthrogram (a special x-ray or MRI done after the dye is injected into the wrist), or an arthroscopy (a minimally-invasive surgery in which a tiny camera is inserted into the wrist.

Treatment

With a sprained wrist, it’s best to start with the R.I.C.E. method:

  • Rest the sprained limb for at least 48 hours.
  • Ice it to reduce pain and swelling.
  • Compress the injury with a bandage.
  • Elevate the wrist above your heart.

For severe sprains, like Grades II or III, it’s best to contact a doctor, as they might recommend surgery to repair the torn ligament. The length of treatment and recovery depends on the individual and the severity of the injury. Recovery times vary as well.

For more information regarding sprained wrist symptoms and treatment, contact us today at Arora Hand Surgery and book an appointment in West Bloomfield, Warren, Macomb, or Howell.

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General Hands

Common Broken Hand Symptoms

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Injuries to our hands happen, and sometimes they are more severe than others. While most minor hand injuries, such as bruises or sprains, can heal on their own with time, significant injuries such as broken bones require care from a doctor or specialist to heal correctly and not leave any long-lasting and unwanted effects. If you’ve recently injured your hand in a sporting event or other type of incident, here are some broken hand symptoms which you can run through to help determine whether you should seek professional treatment. More often than not, you should.

A Closer Look at Broken Hand Symptoms

When most people injure their hands, the severity of the injury can seem fairly obvious. However, no two injuries are ever the same. If you feel any of the following symptoms, especially after an accident, it is advised that you seek medical care as soon as possible.

The most common broken hand symptoms are:

  • Swelling, bruising, or pain
  • Misalignment of the fingers
  • Weakness of the hand
  • Inability to grasp objects
  • Reduced range of motion of the fingers

At-Home Remedies

While at-home remedies may be sufficient for a day or two after a hand injury, if pain or swelling still exists and has shown no signs of subsiding, you may be experiencing broken hand symptoms, and it is recommended that you visit a doctor or specialist as soon as possible to prevent long-term damage.

Medical Treatment

Hands are intricate parts of the body. The hand is composed of 27 bones, including those in the wrist. Because of this, medical procedures to examine a broken hand can be fairly complex and time-consuming. A medical procedure follows a relatively standard format. Once the issue has been identified, we can plan a customized treatment for you.

If you’ve recently injured your hand, or if you are feeling any of the broken hand symptoms listed above, contact our doctor immediately. Arora Hand Surgery has offices located in Howell, West Bloomfield, Warren, and Macomb Township.  Contact us today to book an appointment for professional treatment.

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General Wrists

Wrist Pain with No Swelling – Possible Causes

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Injuries like fractures and sprains are most often the sources of wrist pain. However, long-term conditions like arthritis, repetitive stress and carpal tunnel syndrome can also cause wrist pain with no swelling. Since there are other factors that can cause wrist pain besides obvious causes like fractures, an accurate diagnosis is needed to get the proper treatment and healing approach. Arora Hand Surgery offers superior diagnostic services to determine the actual cause of the pain.

Arthritis

Arthritis occurs in two forms: rheumatoid arthritis and osteoarthritis. Rheumatoid arthritis is a condition where the body’s immune system attacks its tissues. The wrist is often the first target, and when one wrist is affected, the other is too. Osteoarthritis occurs when the cartilage cushioning the bones at the joints deteriorates with time. This condition is uncommon, and when it happens, it is often because the wrist in question has had an injury in the past.

Injuries

Injuries occur due to sudden impact and when repetitive stress is applied to a particular part of the body. Sudden impacts involve an immediate application of force, such as when you fall on your knee and injure it or when you land on an outstretched hand and injure your wrist joint. This kind of fall can result in fractures, sprains, and strains. Injuries like these, even fractures like the scaphoid fracture that occurs on the thumb, may not be visible on X-rays immediately after the injury. Oftentimes, the patient complains of wrist pain with no swelling.

Ganglion Cysts

With a tendency to occur on the part opposite the palm, these soft tissue cysts can be painful. Surprisingly, an activity may worsen the pain or improve it. Patients should look out for pain that shifts by either reducing or increasing when they take part in an activity that involves the wrist.

Carpal Tunnel Syndrome

Carpal tunnel syndrome is a condition that develops when a lot of pressure is applied to the median nerve as it passes through a passageway on the palm side of the wrist called the carpal tunnel.

Kienbock’s Disease

Common among young adults, this disorder is the progressive collapse of one of the small bones in the wrist when the blood supply to the bone is interrupted. The ‘dead’ bone makes the wrist tender and painful.

Wrist Pain with No Swelling? Come and See Us

While there are many causes of wrist pain with no swelling, the location of the pain will help Dr. Arora at Arora Hand Surgery perform a proper diagnosis to determine the exact cause of the wrist pain. Contact us today to book an appointment at our office in West Bloomfield, Howell, Warren, or Macomb!

Categories
General

How to Handle a Nail Bed Injury

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A nail bed injury often occurs along with damage to other parts of the finger in the same area. This can include fractures of the bones, cuts to the nail bed or fingertip skin, cuts to the tendons of the finger, or damage to the nerve endings themselves. Nail bed injuries can be easily repaired by a skilled professional like those at Arora Hand Surgery.
 
 

What Causes a Nail Bed Injury?

Often, these injuries are a result of getting one’s finger caught in a slamming door. In addition, a cut, crushing injury, or pinch injury to the tip of the finger can also cause an injury to the nail bed.

Presentation

This type of crushing injury can lead to an extremely painful buildup of blood underneath the fingernail. Other nail bed injuries can lead to the nail cracking or splitting into pieces, can tear off pieces of the nail, or can lead to injuries to the surrounding area of the finger.

Diagnosing

It is necessary to spend some time talking to the patient to obtain an accurate history of what caused the injury. It’s recommended that you get an X-ray in order to check for any fractures associated with the injury, as they may also require treatment. It may be necessary to give the patient appropriate anesthesia and examine the nail, often with magnification, before one can completely evaluate the injury. Any additional medical issues that could affect wound healing should also be discussed.

Treatment

The goal of treatment is to restore the nail and the finger to their original functional state. A basic hematoma can be drained by poking a small hole in the nail to eliminate the pressure that is building up and by providing the patient with pain medication. If surgical repair is required, the procedure is usually very straightforward. The goal is often to restore alignment of any fractures that have occurred, to repair the nail bed, and to reattach any detached fragments of bone.

The injury itself will partially determine the doctor’s ability to repair the finger and restore the nail bed to its normal state. If the nail bed injury is clean and sharp, it is likely that it can be fully repaired. If the nail bed has experienced severe crushing, there may be more scarring from the injury, and it may be more difficult to repair it fully. It all depends on the unique situation.

Treating Your Nail Bed Injury

For more information about how to handle a nail bed injury, speak with the experts at Arora Hand Surgery in Howell, West Bloomfield, Macomb, and Warren. We can determine the best course of action and help you begin the healing process. Contact us today to schedule a consultation!

Categories
Fingers General

Broken Knuckle vs. Fractured Knuckle

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Knuckles are joints essential to the function of our fingers and hands.  They are the point where the phalanx bone of a finger meets with the metacarpal bone of the hand.  Each hand has five knuckle joints and twice as many knuckle bones.  It is rare that knuckles break or fracture, but not impossible.  They become vulnerable when the hand is clenched, and the fist is used to hit a hard surface.  If you are concerned, you may be dealing with a broken or fractured knuckle.

What Can Cause a Broken or Fractured Knuckle?

Impact on a hard surface is the main reason a knuckle may be fractured or broken.  With fractures, it is most common that the knuckle closest to the little finger is injured.  Breaks and fractures rarely happen in multiples.  However, the greater the trauma, the greater the chance of multiple injuries.  Examples of situations that can lead to broken or fractured knuckles are:

  • Fighting
  • Work accidents
  • Auto accidents
  • Sport injuries

What are Symptoms of a Fractured or Broken Knuckle?

If you have broken or fractured your knuckle, there will be a great deal of discomfort.  Your ability to perform daily activities will be affected.  If you have the following symptoms, it is likely you have a fractured or broken a knuckle:

  • Numbness
  • Pain following trauma
  • Trouble forming a fist
  • Stiffness
  • Swelling that affects the use of your hand
  • Bruising

Diagnosing a Broken or Fractured Knuckle

Broken knuckles are easily identified because of the excruciating pain you will immediately feel following the injury.  When we diagnose broken or fractured knuckles, we check for visual signs consistent with trauma.  Pressure touch will result in severe pain if the injury is present.  We may also use an X-ray or CT scan to pinpoint the exact location and severity of a fracture.

How are These Injuries Treated?

The treatment of a fracture or break of the knuckle depends on whether the knuckle has been displaced.  A non-displaced injury can sometimes be treated conservatively.  However, a displaced injury that has separated or fractured a segment of the bone will require surgery.

It is always best to try to avoid injury to the knuckles.  Avoid striking objects with your closed fist or breaking your fall with outstretched arms.  If you feel you may have broken or fractured your knuckle, make an appointment at Arora Hand Surgery in Warren, Macomb, West Bloomfield, or Howell. Contact us today to book your consultation.

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Fingers General Hands

Common Sprained Thumb Symptoms

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When the connective tissues of the thumb are damaged, the result is a sprain.  Typically, it is the ulnar collateral ligament that is injured.  Damage to the thumb can be a serious injury because the functionality of the hand is heavily dependent on its use. When the thumb is sprained, essential activities such as pinching or grasping we usually take for granted cannot be performed.  Recognizing sprained thumb symptoms can help you identify an injury so you can promptly seek treatment.  At Arora Hand Surgery, we diagnose and repair injuries to the thumbs, hands and other areas.

Causes of a Sprained Thumb

Your thumbs are made up of two bones called phalanges and two joints.  The joints are visible when you bend your thumbs.  Connective tissues, including ligaments, help keep the bones stable and prevent friction between them.  The ulnar collateral ligament, the main ligament in your thumb, connects your thumb’s base to the lower bone.  When the ligament is stretched too far or is torn, the result is a sprain. Most often, this occurs when the thumb is bent backward.  That said, sprains can occur gradually when the thumb is repeatedly strained over time.

Sprained Thumb Symptoms

The sprained thumb symptoms you may experience depend on the severity of your sprain.  You may not always have symptoms right away. As with most injuries, the most common symptom is pain.  You may find the pain is more severe during certain activities.  You may experience bruising or swelling.  Also, the base of your thumb may be tender.

When the sprain is severe, your thumb will immediately swell and bruise.  Your ability to grasp with your thumb and index finger will be impaired.  If you find that your thumb is unstable or lax, it is possible you have fully ruptured the ligament.  A ruptured ligament will require surgery.

Seeking Treatment

If you are experiencing any of the sprained thumb symptoms listed above, we urge you to seek medical attention.  Should diagnosis and treatment be needed, the experts at Arora Hand Surgery, specializing in exceptional treatment and restoration of damage to the hands, fingers, and thumbs, can help.  Contact us today to schedule a consultation at our office in Macomb Township, Warren, Howell, or West Bloomfield.

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Patient

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.