Educating patients about different hand conditions is important in making patients a true partner in their care. I’ve updated a lot of the frequently asked questions on my website regarding hand surgery, including adding simple, easy-to-understand introductions to what cubital tunnel syndrome is, different types of hand arthritis, and Dupuytren’s contracture. Here are a few highlights:
What is Dupuytren’s contracture in Orange County?
Dupuytren’s contracture is a benign, progressive condition in which there is thickening of the fascia of the palm and fingers, creating cords and nodules. These draw the fingers and thumb toward the hand. It usually runs in families, and has often been reported in patients of Northern European descent. Dr. Ng offers many different treatment options, ranging from nonsurgical collagenase injection to surgical excision and release of the cords and nodules of the hand.
What is hand arthritis in Orange County?
Osteoarthritis of the hand occurs with time when wear and tear occurs in the small joints of the hand, or less commonly after remote trauma to the hand. With repeated use of a joint, the cartilage wears down, leading to bone rubbing on bone in the joint, which is painful. The most common joint for this to occur in is the base of the thumb. While there is no cure of osteoarthritis, there are many different nonsurgical and surgical treatments available to help with symptoms or to slow progression of arthritis.
Rheumatoid arthritis is an autoimmune inflammatory condition that involves the hands. With time, this can lead to nodules and subluxation of joints. It is best for this condition to be treated primarily by a rheumatologist. Dr. Ng provides surgical treatment of rheumatoid hand conditions. Surgeries are aimed at improving the function and appearance of the hand, and may excision of rheumatoid nodules, removal of inflamed synovial tissue, joint replacements, tendon transfers, and joint fusions.
What is a nerve transfer in Orange County?
After a traumatic injury to a nerve, the function that the nerve originally provided is lost. If your injury happened within the past year, the muscle that the nerve supplied will not yet have atrophied. In such cases, Dr. Ng may consider a surgical procedure in which she moves a nerve that provides a less critical function or an otherwise expendable nerve and reconnects it to the injured nerve. This may help with healing or restore hand function.
What is cubital tunnel syndrome in Orange County?
Cubital tunnel syndrome is compression of the ulnar nerve at the elbow, or near the “funny bone”. Irritation of this nerve can cause weakness of the hand, difficulty with pinch, and numbness and tingling of the hand, especially of the ring and small fingers. This often happens when you lean on your elbows a lot. Dr. Ng can discuss treatment options with you, which range from nonsurgical conservative management such as splinting or surgery.
How long does it take a nerve to heal?
Dr. Ng often tells her patients that nerves “grow back” at about 1 millimeter per day, or 1 inch per month. Dr. Ng can evaluate your nerve regeneration through follow up visits and by tapping on your hand or forearm to see where nerve healing has progressed to. Often, hand therapy is an important part of healthy nerve healing and desensitization.