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General Treatments Wrists

Treating Fractures in the Wrist

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The way fractures in the wrist are treated is going to vary a lot depending on where the fracture is and what fracture you have sustained. Many people think that treating a fractured wrist is simple, but it’s not. Fractured wrists can be divided into two categories. They can be displaced, or they can be categorized as non-displaced.

When you fracture your wrist, the pain is intense. The pain is usually felt immediately. There are usually some physical and visual symptoms that show. Many complain of having numbness in their hands, or they may notice that their hands and fingers change color. Your wrist bone might even stick out of your skin.

Understanding how to treat a fractured wrist is important because fractured wrists happen very frequently. It’s estimated that approximately 250,000 people fracture their wrist in the United States on an annual basis. The reason why a wrist fracture happens so frequently is because of the number of ways that we as humans fall. When you fall, be it forward or backward, the first thing you do is put out your hands in order to stabilize yourself. This can lead to injury.

The treatment that you will receive for your fractured wrist is going to vary depending on how severe it is. If it’s just a simple fracture, our doctor may set your wrist and then put a cast on it. He is going to monitor your wrist to make sure that the bone heals properly. A more severe fracture may require a surgical procedure. It’s going to change with each situation.

In the vast majority of circumstances, surgery is not necessary when treating fractures in the wrist. The cast is enough to keep the wrist in place while it heals. You may need to have some form of physical therapy to help you regain your flexibility and your strength in your wrist. It is essential that you follow the instructions provided by our doctor and your physical therapist for optimal results.

As you can see, there is no one-size-fits-all fix when it comes to treating fractures in the wrist. However, with therapy, immobilization and in some cases surgery, a fractured wrist can be treated. When your wrist has completely recovered, you should be able to return to your normal activities.

If you have sustained a wrist fracture, make an appointment at Arora Hand Surgery sooner rather than later. You can consult with our expert at our office in West Bloomfield, Howell, Warren, or Macomb to see which treatment is best in your case. Contact us today to schedule a consultation!

Conditions General Wrists

Symptoms of Carpal Tunnel Syndrome

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When a person has carpal tunnel syndrome, they will often feel a numbness or tingling in their hands. Their hands will feel weak, and they will not have the control over their hands that they did prior to developing the condition. This is because carpal tunnel syndrome puts pressure on the median nerve, which is located in your wrist. This nerve is essential for proper hand functioning and sensation.

The median nerve, along with other tendons needed for hand movement, run through your carpal tunnel. It is a small space that is located in your wrist. The median nerve controls all of your fingers with the exception of your pinky.

What are the Causes of Carpal Tunnel Syndrome?

The pressure that is put on the median nerve is usually due to swelling. However, it can be anything that makes that carpal tunnel space, where the median nerve and tendons travel, smaller. Some of the most common causes of carpal tunnel syndrome include:

  • Diabetes
  • Arthritis
  • Hyperthyroidism
  • Repetitive hand movements
  • Pregnancy

What are the Most Common Symptoms?

Pain, weakness, a tingling sensation and numbness in the fingers are the most common symptoms associated with carpal tunnel syndrome. In some instances, people will have pain between their hand and their elbow.

Carpal tunnel syndrome often exhibits symptoms in the middle finger, the thumb and the index finger. You may also feel the sensation in the lower half of your ring finger. Since a different nerve gives the sensation to your pinky finger, it is not affected with carpal tunnel syndrome.

Most people say that they experience the most powerful symptoms at night. The symptoms can be so strong that they cause people to wake up and find relief by shaking their hand.

What Steps Can Be Taken to Diagnose Carpal Tunnel Syndrome?

With carpal tunnel syndrome, our doctor will physically examine your hands and your arms. He will talk with you about health issues you may have, ranging from arthritis to diabetes. He will likely ask about any recent injuries to your arm, wrist or neck. Our doctor will be keenly interested in knowing about your daily routine. During the examination, our doctor can test your hand for strength, reaction time, sensation and endurance.

When it comes to getting treatment for carpal tunnel, the sooner you start, the better. The sooner you begin treatment, the greater chance you have of preventing long-term damage to the median nerve. The team at Arora Hand Surgery can come up with a customized treatment for you with the goal of eliminating pain and improving sensation and mobility in the affected hand. Contact us today to schedule a consultation at our office in West Bloomfield, Howell, Warren, or Macomb.

General Wrists

Signs That My Wrist is Fractured

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The wrist is made up of eight small bones that connect to the ulna and radius in the forearm. The connection between these bones makes it possible to freely move your wrist. Breaking any of these 10 bones near the hand will be classified as a fractured wrist. The pain and discomfort caused by a fractured wrist usually makes the condition very easy to diagnose. However, there are some common signs to look for when your wrist is fractured.

Recent Traumatic Accident or Fall

If you have strong and healthy bones, then it is very hard to fracture your wrist without a traumatic accident or fall. Fractured wrists are extremely common in automobile accidents because your instinct is to put up your hands before crashing. This puts your wrist in the perfect position to break after colliding with the steering wheel or air bag. It is also entirely possible to break your wrist by falling on the ground. The bones in your wrist break because they are unable to support your body weight as you attempt to stop the fall. If you are experiencing pain in your hands and wrist after an accident or fall, then there is a very good chance that your wrist is fractured.

Severe Pain and Bruising

Severe pain and bruising is the biggest sign that you have suffered a serious injury. If your severe pain gets worse as you attempt to extend or flex your wrist, then you likely broke one of the bones near your wrist. The pain will also intensify if you attempt to grip or squeeze an item. Some people think broken bones make it impossible to move the injured area, but that is not true. You will likely be able to move your wrist while it is fractured, but this movement will be limited and painful.

Deformity of the Wrist

Breaking one of the bones in your wrist will commonly make your wrist look odd and deformed. The trauma that caused the fractured wrist will create a lot of swelling in the area. This can make the wrist appear much bigger than normal. A bad injury to the wrist can also knock a bone out of place. This will make the wrist look bent or crooked. Something is seriously wrong with your wrist if it starts to look deformed, so you will want to get it checked out by our doctor as soon as possible.

Numbness and Tingling in the Fingers

It is possible for a fractured wrist to damage the nerves in your hand. If this occurs, then you will likely experience numbness and tingling in your fingers throughout the day. The fingers can also become pale in appearance if the fractured wrist is limiting blood flow to the hand. The nerve issues are only going to get worse over time, so repairing the fractured wrist in a timely manner is the only way to prevent a long recovery process.

Treating Your Fractured Wrist

If you believe your wrist is fractured, make an appointment at Arora Hand Surgery in West Bloomfield, Howell, Warren, or Macomb. Contact us today to schedule a consultation to learn about your treatment options.

General Wrists

How Can I Treat My Fractured Wrist?

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A fractured wrist is not as simple as most people believe. A wrist fracture can be displaced or non-displaced. When you have a fractured wrist, you usually feel immediate and severe pain. You may also experience some numbness in your hand, your hands and fingers may change color and you might see the wrist bone protrude out of the skin.

Wrist fractures are relatively common. It is estimated that a quarter of a million people experience a fractured wrist every single year in the United States. One of the reasons why this injury is so common is because of the wide range of ways humans use their wrists. Injuries can come from car accidents, playing sports or work.

Depending on the location and severity of the injury, the treatment options vary significantly from case to case. Some simpler wrist fractures can be treated by just setting the wrist and casting it. Then you wait for the bone to heal in its proper position. However, other fractures may require you to get an operation, and you may need to endure a post-operative recovery. It all depends on the unique situation.

With most wrist fractures, you do not need surgery. All you need is to have a cast put on your wrist, and you need to have a little bit of downtime at home. The cast is used to keep your wrist immobilized while it heals. Other cases may require an operation.

You should expect to have some wrist stiffness, especially if your fractured wrist required you to have surgery. The stiffness will gradually improve. Our doctor may prescribe hand therapy as a way of helping you keep your strength.

As you can see, there is no one-size-fits-all treatment for a fractured wrist. The treatment will depend on the extent of the injury, as well as your age, your occupation, your hand dominance and your overall health, among other things. During a consultation with Dr. Arora at Arora Hand Surgery, your wrist can be evaluated and a customized treatment plan can be created for you. The main goal is to fix the fractured wrist and then regain strength and function.

For your convenience, Arora Hand Surgery has locations in West Bloomfield, Howell, Warren, and Macomb. Contact us today to schedule a consultation regarding your fractured wrist.

General Wrists

Common Causes of a Sprained Wrist

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If you have ever had pain and swelling in your wrist after an event such as a fall, which may have caused you to bend the wrist farther than it was designed to bend, you may have a sprained wrist. These injuries occur because of damage to a ligament, the connective tissue in the body that connects muscle and bone.

What Causes a Sprained Wrist

When you fall, the natural tendency is to reach out with the hand in order to break the fall. As a result, the impact of the hand hitting the ground and the momentum created by your body travelling toward the ground at a rapid speed causes the wrist to bend further than it is capable of bending naturally. When this happens, something has to give. Since the tendons are there to connect the tissue together, they are what get stretched to the point of injury. The injury could be that of a tear or it could be something less traumatic. At any rate, an injury occurs that is accompanied by pain, swelling and difficulty in using the wrist.

Diagnosis & Treatment of a Sprain

If you have a fall that results in an injury to your wrist, you should seek medical care. You will, first of all, want to make sure there are no broken bones. The only way to rule this out is to get an X-ray. If there are no broken bones, you will still need to be treated for the sprained wrist.

The method that is used to treat a sprained wrist will depend on the extent of the injury. It may be that wearing a splint for a few days will be all that is needed. In extreme cases, surgery may be required. If there is a ligament tear, it will need to be reconnected.

If you have a sprained wrist, you should understand that there are a number of bones, ligaments and cartilage that must connect and interact correctly for the wrist to function as it should. For this reason, letting an injury go without having it evaluated by a qualified hand doctor like Dr. Arora can lead to long-term discomfort and failure to regain full use of the wrist. Therefore, you should always seek treatment in these situations.

In addition to falls, other conditions can result in wrist injuries as well. For example, operating a piece of equipment that is held by the hand can result in an injury if that equipment makes a sudden move and takes your wrist with it. In these cases, the injury incurred could be similar to those incurred with a fall.

There are other wrist conditions that can happen over time, such as carpal tunnel syndrome. These cumulative trauma disorders can reach the point where they cause a lot of discomfort.

If you have a sprained wrist or a similar type of condition, schedule an appointment with our doctor at Arora Hand Surgery. We have offices in West Bloomfield, Howell, Warren, and Macomb. Call us today to request a consultation to learn more about your treatment options.

General Wrists

Treating a Wrist Sprain with a Splint

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Wrist sprains are common injuries that can happen to people of all ages from a variety of causes. They can happen as sports injuries or from simple falls during normal daily activities. Whenever you fall, the natural reaction is to reach the hand out in an attempt to break the fall. This is what causes a tremendous amount of wrist sprains as the impact of the fall and the weight of the body are absorbed by the wrist, overextending it.

An injury to a ligament is known as a sprain. Ligaments are the connectors in the body that connect bone to bone as opposed to tendons, which connect muscle to bone. Sprains can vary in their severity to those that have only minor ligament damage and accompanying pain and swelling to the most severe, which is a complete tear of the ligament. When this happens, there is a loss of function in the affected joint.

A splint is commonly used as part of a treatment program for a sprain. Splints help to immobilize the joint in order to limit further irritation and to promote healing. Sometimes, people will use splints as a way of treating themselves when they suffer a sprain. However, splints used by individuals should only be used as a way to keep the injured joint immobile until professional medical help can be obtained.

Only through a professional evaluation can a sprain-type injury be properly diagnosed. One should seek medical care after an injury of this nature to rule out other injury types, such as fractures. If no fracture is involved, the sprain should be evaluated for severity. While most sprains will heal on their own, some of the most severe ones could require surgery.

When a splint is used as part of treatment, our doctor’s recommendations should be followed regarding when and for how long to wear it. If you wear the splint for too long, you could be putting yourself at risk for additional joint stiffness and muscle weakness. Depending on your particular injury, our doctor may recommend some strengthening and stretching exercises.

If you have suffered a fall or some type of joint injury and you are experiencing symptoms like pain, swelling and tenderness, you should seek an evaluation from our team at Arora Hand Surgery. Our medical professionals can conduct whatever tests are necessary for an accurate diagnosis and develop a treatment plan accordingly. We have offices in West Bloomfield, Howell, Warren, and Macomb. Contact us today to schedule a consultation.

General Wrists

Wrist and Arm Fractures in Toddlers

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You have probably heard it said, and maybe even said it yourself, that when a child is hurt, it hurts the parent twice as much. Of course that is debatable, but indisputably it can be very hard on a parent seeing a toddler fall down and sustain a fracture.

That said, you are never going to prevent a toddler from ever falling down, and at some point it is very possible that a fracture will occur. Toddlers hardly ever incur a sprain – it is almost invariably a fracture. The good news is that even when a fracture does occur in a young child, it will usually heal quickly.

Identifying a Wrist or Arm Fracture in a Toddler

Toddlers are like the rest of us – when forward movement goes wrong, the natural reaction is to extend the hand in order to break the fall. Unfortunately, sometimes breaking the fall means breaking the wrist or the arm. Your first tip-off that a fracture may have occurred is obvious – the child will begin to cry. Do not assume, though, that just because the child can move the wrist or the arm, nothing is broken. You may not even be aware that a fracture has occurred unless the bone is obviously out of position. Generally speaking, if the child is in pain, and the pain does not ease quickly, a fracture is possible.

Types of Wrist and Arm Fractures in Toddlers

One of the most common fractures in toddlers occurs above the wrist, in the radius, which is the large bone in the forearm. In fact, nearly half of the broken bones in toddlers occur close to the end of the radius.

Another type of fracture is a “torus” fracture, where the bone collapses but does not break completely. This type of fracture usually heals well.

A greenstick fracture is another type of partial fracture that usually heals well. With a greenstick fracture, you may not notice symptoms – there could be very little bruising or swelling, but the child will be reluctant to use the arm, and the area may be tender. The joints will all still move.

See a Doctor

You probably know that doctors are required by law to report suspected cases of child abuse. Unfortunately, that knowledge sometimes makes good parents reluctant to seek medical assistance. Keep in mind that if the incident is isolated, and the child does not appear to have any other injuries, the doctor is very likely to accept your explanation that it was an accident. You should never be afraid to take your child to the doctor if you suspect a fracture.

Feel free to contact our hand surgeon’s office in West Bloomfield, Howell, Warren, or Macomb to get in touch with a medical professional.

Most Toddler Fractures Heal Easily

Most of the time, when a toddler has had a fracture of the arm or wrist, he or she will want to begin using the arm right away. Frequently, this is not a problem, as toddlers heal very quickly and effectively. Sometimes, though, the doctor may recommend the use of a sling. Obviously, the arm or wrist should be handled more gently than usual as healing progresses.

General Wrists

How do I treat a sprained wrist?

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Spraining your wrist is one of the most common injuries, and it can happen more easily than you might think. You could be playing sports and have a collision, you could slip and fall walking down the stairs, and receive the injury in countless other ways. A sprained wrist occurs when your outstretch palm hits the floor or another surface and bends backwards momentarily. This causes the ligaments in the wrist to stretch further than they were meant to stretch. Small tears can occur, and in some cases, it is possible to snap the ligament entirely.

Most Common Symptoms

When a person sprains their wrist, there is a substantial amount of pain. In addition, the area tends to swell. The site of the injury will be warm to the touch as it swells. The area will also be extremely tender to the touch – even a light touch can send swells of pain through the body. Bruising tends to occur as well.

At the moment of the sprain, it is common for the injured party to feel the tear as it occurs. This can actually be the most frightening part for many people, as they know that something bad happened … they just do not know the extent of the injuries.

The Diagnosis

While you might suspect that you have a sprained wrist, the only way to know for sure is to speak with a doctor. You do not want to believe that you have a sprained wrist when it is actually broken. The doctor will examine you, and they may require that you have an x-ray as well. This will give them a look “inside” to make sure that there are no fractured bones in the wrist. They may require other imaging tests as well, such as an MRI, to get the entire picture.

Types of Sprains

There are several “grades” of sprains – Grade I, II, and III. The mildest of these is Grade I, which is reserved for those sprains that have only minor ligament damage. The Grade II sprains have more damage, as well as more pain. Some patients might feel as though their wrist joint feels loose. They will also lose proper function of the wrist until it heals. A Grade III sprain is the most serious, as it means that ligament is torn and the patient will not have any use of their wrist.

Treatment Options

When you have a sprain, you will want to follow the acronym RICE – Rest, Ice, Compress, Elevate. Keep the wrist resting and add ice to the area to keep the swelling down. Use a bandage to compress the area, which will also help with the swelling. Keep your wrist elevated so it is above heart level.

You can also take over the counter non-steroidal anti-inflammatory drugs, which can help to keep the swelling down, and which can provide you with pain relief. Those who suffer from a Grade III sprain may need to have surgery to proper repair.

While most sprains aren’t serious and can heal on their own, you should still get a medical opinion. Contact our hand surgeon’s office in West Bloomfield, Howell, Warren, or Macomb to get in touch with a medical professional. You need to have a proper diagnosis if you are expected to heal.

General Treatments Wrists

How to Use a Compression Bandage on an Injured Wrist

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If you have wrist pain due to a sprain, strain or medical condition like carpal tunnel syndrome or arthritis, you may find it helpful to wrap the wrist with an elastic bandage in order to help alleviate the pain. Wrist wrapping is also sometimes done to prevent injuries when participating in certain sports. It is, of course, important to know how to wrap a wrist properly.

Step 1

Make sure you have a bandage of the proper length. If it is too short, you are just going to have to start the process all over again. Begin wrapping at the point farthest away from your heart. This helps to ease swelling in the lower part of the wrist, that can sometimes actually be aggravated by the process of wrapping, and it also encourages the return of blood and lymphatic fluid. So start the first wrap just below the knuckles, covering the palm, and extending around the fingers.

Step 2

Pass the wrap between your index finger and thumb, and then do a few wraps around the wrist, extending upward toward the elbow. This provides the best level of stability, and helps to prevent further injury to the wrist. Each wrap should cover about half of the previous wrap.

Step 3

Reverse the direction. Once you get to the elbow, keep on wrapping until you are back at your hand. If you started the procedure with a bandage that is too short, you can use two bandages. Just place the start of the second one a few inches over the end of the first one, and continue wrapping. When you get to the thumb, make a figure 8 and wrap upwards a bit more.

Step 4

Secure the bandage, using either the clips that were provided with the bandage or a safety pin. You may need some assistance in order to do this.

Step 5

Make sure that the bandage is not too tightly wrapped. If your fingers feel cold, the bandage should be loosened. You should also be able to wiggle your fingers. You want to be sure that the bandage is tight enough to provide support, but not so tight that it interferes with blood flow.

Other Considerations

If you are applying ice to an injured area, make sure that you remove the bandage first. You should find that the discomfort and swelling in the injured area will ease within 72 hours, but if it does not, you should see your doctor. Keep in mind, too, that if you are not sure of the nature of the injury, it may not be wise to self-diagnose and self-treat. Some injuries can actually be aggravated by using an elastic bandage.

Also, make sure that you remove the bandage periodically to allow air circulation to the affected area.

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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.