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 […]
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 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 […]
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 […]
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 […]
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 (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 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 […]
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 […]
