Category : Hand

Hand Hand Surgeon Steroid Injection

Ask a Doctor: Steroid Injections

Hand surgeon Steven Goldberg, MD, answers your questions about steroid injections.


Steroid injections are a common non-operative treatment for multiple musculoskeletal conditions. The following are a list of some conditions where steroid injections may be recommended:

 

How do steroids work?

There are different types of steroids. Glucocorticoid steroids are the ones used to treat the musculoskeletal problems listed above. There are many different types of steroids that have different onsets of action, duration, solubility, and reasons for use. Any single medication may be used at different doses and volumes depending on the clinical problem. There is no single steroid regimen that is “best”. They have different effects on many different types of tissue, but they may work to reduce inflammation and change the array of proteins that cells make.

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Arthritis Hand Hand Therapy Thumb Arthritis

Advice from a Certified Hand Therapist: Surgery for Thumb Arthritis Pain

Thumb arthritis pain can be debilitating, making everyday self-care tasks intolerable. There is a surgical option when other treatments, such as injections and therapy, fail to adequately reduce pain. A carpometacarpal arthroplasty or CMC arthroplasty is a joint replacement procedure for the base of your thumb. It eliminates the grinding and pain felt from the rubbing of bone on bone after the protective cartilage has worn away, usually caused by arthritis.

Below are some commonly asked questions regarding this procedure:

Will I be in a cast?

Yes. You will likely be in a cast for 2-4 weeks. You will also use either a removable orthosis a hand therapist will custom make for you or an off-the-shelf thumb and wrist splint for a month after the cast has been removed. This will help maintain the optimum position of your thumb as you are healing and protect your new thumb joint.

What happens after my thumb has been immobilized?

Any time a joint has been immobilized, it takes time to regain your flexibility. For this surgery, the wrist and thumb are usually quite stiff. Your doctor will likely recommend you see a hand therapist to assist you with regaining the range of motion and strength safely.

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Hand Hand Surgery Replantation

What is Replantation?

Replantation is a procedure during which a surgeon will reattach a finger, hand or arm that has been completely cut from a person’s body. Replantation, however, isn’t always an option. A surgeon will only perform this procedure if the limb is still expected to function without pain. Sometimes, the body part is too damaged to perform a replant.

This procedure takes a number of hours to complete. The steps include:

  • Step 1: Damaged tissue is carefully removed.
  • Step 2: Bone ends are shortened and rejoined with pins, wires, or plates and screws. This holds the part in place to allow the rest of the tissues to be restored.
  • Step 3: Muscles, tendons, arteries, nerves and veins are then repaired. Sometimes grafts or artificial spacers of bone, skin, tendons and blood vessels may be needed, too. The grafts can be from your own body or from a tissue bank.
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Hand Hand Pain Overuse

Smartphone-Related Hand Injuries and How to Reduce Them

from WRVO Public Media

Repeated use of anything can cause wear and tear including your smartphone. Continued scrolling and tapping can wear down the tendons in your hand and wrist causing injury. Repetitive use injuries are common in older adults but health professionals are seeing injury in younger patients as the age smartphone use decreases.

Dr. Daniel Polatsch, an orthopedic hand surgeon and co-director of the New York Hand and Wrist Center of Lenox Hill, joins us this week to discuss how extended use of smartphones can cause injury and how to reduce the risk of it.

Trigger finger and tendonitis are two of the more common injuries related to overusing your hands. This is usually common in people who spend long hours typing at the computer all day but Polatsch is seeing more patients come in with these injuries due to smartphone use.

“It can develop into something called a trigger finger or trigger thumb which is actually the proper name,” said Polatsch.

Read the full story.

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Hand Hand Safety Knife Safety Turkey Carving

Infographic: How to Carve a Turkey

In the United States, 88% of people eat turkey on Thanksgiving. That leaves a lot of room for hand injuries! It’s not uncommon to accidentally cut yourself while carving a turkey or other meats. Unfortunately, carving injuries can be serious, sometimes involving amputation. Here’s how you can safely carve a turkey this Thanksgiving:

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Anatomy Finger Hand Joints

Anatomy 101: Finger Joints

Joints are cartilage surfaces that connect bones to each other. This cartilage allows our bones to glide smoothly against one another, allowing us painless movement. There are four joints in each finger, totaling 20 joints in each hand!

The small, ringer, middle and index fingers all have the same four joints:

  1. Distal Interphalangeal Joint (DIP): The DIP joint is located at the tip of the finger, just before the finger nail starts. Arthritis can develop at this joint, and it is also commonly fractured.
  2. Proximal Interphalangeal Joint (PIP): The PIP joint is the joint just below the DIP joint. It is located below the top two bones of the finger and allows the finger to bend and extend. This joint can become stiff easily after injury.
  3. Metacarpophalangeal Joint (MCP): The MP joint is where the hand bone meets the finger bone, referred to as the “knuckle.” These joints are very important, allowing us to bend/flex and spread our fingers.
  4. Carpometacarpal Joint (CMC Joint): The CMC joint is located at the bottom of the hand bone. This joint varies in each finger. For example, in the index finger, it has little motion. In the small finger, it has a lot of motion. Injuries and problems with this joint are uncommon.

The thumb joints are a little different than the other finger joints. To learn more about the thumb joints and more about the finger joints, visit our online Anatomy section.

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Hand Hand Safety Knife Safety Pumpkin Carving

How to Carve a Pumpkin

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Food Hand Hand Therapy Knife Safety

Advice from a Certified Hand Therapist: Kitchen Knife Safety

Serious hand injuries can occur during daily activities such as preparing food. Many hand injuries can be prevented with simple adjustments to routines. In preparation for the upcoming fall cooking season, please consider some safe, simple adjustments to your own routine in cutting various food items to prevent knife slips, which can cause injuries to the tendons or the nerves in your hand.

Mangoes

This delicious, yet slippery fruit can be a challenge when it comes to cutting and preparing for serving. The danger arises from removing the outside peel of the fruit. Once this is removed, the fruit center is extremely juicy and becomes difficult to hold. The fruit is also oval-shaped, difficult to place on a cutting board and has a large pit in the center.

Here’s a safe method for preparing mangoes:

  1. Keep the peel intact! Instead, stand the mango on a cutting board with stem side down and cut mango into two large pieces from either side of the pit. Be sure to cut toward a cutting board or solid surface and not the palm of your hand.
  2. Taking the two large pieces with peel side on cutting board, you can use a paring knife to cut cubes or slices of the mango, being sure not to cut through the peel. Again, be certain you are cutting toward a hard surface and not your hand.
  3. Once all your cuts are made, you can begin to peel away the skin of the mango by turning the skin inside out OR you can use a spoon (not anything sharp) and scoop the cut pieces away from the skin of the mango.
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