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Latest Articles

Pictures of Dupuytrens Disease Hands

  This patient has metacarpophalangeal (MP) and proximal interphalageal (PIP) joint  flexion contractures in the small finger due to Dupuytrens contracture.   In the following image, the abnormal Dupuytrens cords and nodules are illustrated in black. There are no joint contracture in the index finger or ring finger.

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 […]

Treatment of Snake Bite Injuries to the Hand in North Carolina

Most snakes in North Carolina are non-venomous. These snakes are not dangerous to humans. The two families of venomous snakes in North Carolina include the Viperidea and Elapidae families. The Copperhead, Cottonmouth (often called “water moccasins”), Eastern Diamondback, and Timber Rattlesnake are examples of pit vipers in the Viperidea Family. Pit Vipers make up approximately […]

Numbness and tingling in hands at night? It could be carpal tunnel

Carpal tunnel syndrome (CTS) is the most common nerve problem in the arm. It results from increased pressure on the median nerve at the wrist, within the carpal tunnel. Carpal tunnel syndrome is a type of “pinched nerve.” The symptoms are usually worse at night and can wake patients up from sleep. The word “carpus” is […]

Mommy’s Wrist Pain

DeQuervain’s tendonitis is a common tendinopathy causing function-limiting pain on the radial aspect of the wrist involving the extensor pollicis brevis (EPB) and abductor pollicis longus (APL) tendons of the thumb. The condition receives its eponym from the Swiss physician Fritz DeQuervain who described several cases of “washerwoman’s sprain” in the late-1800s. The condition has […]

Needle Aponeurotomy for Dupuytrens at Raleigh Hand

Needle aponeurotomy (NA) is a minimally-invasive procedure performed under local anesthesia in the office. This procedure is also referred to as “percutaneous fasciotomy” by some surgeons. Using the tip of a syringe needle, the tight cords in the palm are perforated multiple times. Then the fingers are manipulated to rupture the cords, allowing the fingers to […]

The Opioid Epidemic in the United States

The opioid epidemic continues to escalate in communities throughout the United States. More families are now being affected by addiction, overdose, and death from narcotics than ever before. Approximately 70,000 Americans died of opioid-related causes in 2017. Patients and physicians should be educated about the risks and benefits of opioid medications, and only use these […]

What does hand arthritis look like on x-ray?

  Arthritis is typically diagnosed on x-rays. Osteoarthritis (OA) is the most common form of arthritis and is related to wear-and-tear processes, genetics, injuries, and it is a normal part of the aging process. An arthritic joint will demonstrate narrowing of the space between the bones as the cartilage thins, bone spurs or calcium deposits on the […]