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Latest Articles

Smoking, Vaping, and Orthopedic Surgery

Most people are aware of the harm that smoking causes to the heart and lungs. In 1964 the U.S. Surgeon General released the landmark report linking tobacco use and lung cancer and cardiovascular disease. Since then, cardiologists, pulmonologists, and primary-care physicians have helped to educate the public about the risks. However, the negative effects of tobacco […]

How do I know if I have carpal tunnel syndrome?

Common carpal tunnel symptoms include: tingling or “pins and needles” in fingertips night pain in hand, waking up from sleep numbness in thumb, index and middle fingers hand weakness In most cases, the diagnosis of carpal tunnel syndrome is based on symptoms, medical history, and physical examination. A steroid injection into the carpal tunnel (cortisone […]

Thumb Arthritis Surgery

Thumb arthritis is a common cause of thumb pain. At the base of the thumb is a special joint called the carpo-meta-carpal (CMC) joint. The thumb CMC gives our thumbs a wide range of thumb motion. The ability to touch the thumb to the small finger is called “opposition.” This function makes human hands special. […]

Xiaflex treatment for Dupuytrens contracture

Xiaflex is a non-surgical treatment option for Dupuytren’s contracture. This medication is used to break-up or dissolve the Dupuytren’s cords in patients hands. Recovery is quicker than open fasciectomy surgery. Most patients have significant improvement in the flexion contracture, but recurrence of the contracture is common. Many patients need an additional treatment for the hand […]

Lumps, Bumps, and Cysts in the Hand

Tumors of the hand and upper extremity are surprisingly common. They can occur in people of all ages — from children to the elderly. Fortunately, the vast majority of these tumors are benign, NOT cancerous. Nevertheless, every tumor should be carefully evaluated. Benign tumors which do not cause pain, dysfunction, or problems do not require […]

Do arthritis supplements work?

Do glucosamine and chondroitin sulfate supplements help osteoarthritis pain? Many patients ask this question in the office.  The answer is not so simple. Manufacturers of glucosamine and chondroitin sulfate promote their products as “joint protective” and “supportive of joint health” and claim to reduce pain and increase joint mobility. Some advertisements also claim that their […]

Trigger Finger Treatment in Raleigh NC

Trigger finger is a condition affecting any of the fingers or thumb in the hand — not just the index finger. Symptoms occur when there is catching between the flexor tendons of the hand and the sheath which surrounds the tendons. Instead of gliding smoothly through the sheath, the tendons can meet resistance within the […]

Gout: Disease of the Kings

Gout is a common type of inflammatory arthritis typically presenting with a red, hot, swollen, extremely painful joint. Gout frequently affects joints in the big toe, ankle or knee but can happen elsewhere. Gout can also involve the fingers, wrist and elbow. A “gout attack” usually starts suddenly and the pain increases rapidly.  Because of […]