Category Archives: Hand Relief

De Quervain’s Disease: What you need to know from MISI

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Named after the Swiss surgeon, Dr. Fritz De Quervain, who first identified the condition, De Quervain tenosynovitis, more commonly referred to as De Quervain’s disease, is a hand condition affecting a patient’s ability to move his or her thumb. This happens when the tendons on the thumb side of the wrist become swollen, causing pain when twisting, grasping or making a fist.

The causes of this painful hand condition include chronic overuse of the wrist, direct injury to the wrist or tendon area, and inflammatory arthritis. One interesting fact about De Quervain tenosynovitis is that women are more likely than men to suffer from this condition, especially after pregnancy. It used to be referred to as washerwoman’s sprain or mother’s wrist.

De Quervain’s Treatment

Treatment for De Quervain’s disease is aimed at reducing inflammation, maintaining movement in the thumb and preventing recurrence. In order to properly diagnose the condition, a hand surgeon will perform a simple test called the Finkelstein’s Test. The patient makes a fist with their fingers closed over the thumb with the wrist angled towards their little finger. If this causes pain on the thumb side of your wrist, chances are it’s De Quervain’s disease.

De Quervain’s treatment options consist of the following:

  • A splint, worn every day and night for 4-6 weeks, to hold the affected area firm and still
  • Ice applied to the affected area in order to reduce inflammation
  • Anti-inflammatory medications, such as naproxen or ibuprofen, to reduce pain and swelling
  • Corticosteroids injections to relieve pain and inflammation

In cases where the condition does not respond to conventional treatment options, surgery may need to be considered. At MISI, our approach involves a 2cm incision over the affected tendons in the wrist area in order to release the pressure and allow more room for tendon movement. This procedure takes as little as seven minutes with an average recovery period of seven days.


Hand Pain Relief: Identifying and Treating a Broken Hand

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Identifying-and-Treating-a-Broken-Hand for-Hand-Pain-Relief

A broken hand is never a condition to be taken lightly. Given we rely so heavily on using our hands, even a slight loss of function can result in a lifelong disability. Finding hand pain relief from a broken hand often requires a visit to a doctor and possible rehabilitation care.

The Hand Structure and How it can Break

A human hand, made up of 27 bones, is quite complex and can be broken down into several categories:

  • The carpal bones, eight in all, are the bones found in the wrist.
  • The five metacarpals are located within the palm of your hand and are connected to the carpal bones.
  • The phalanges are the small bones that form the fingers of the hand. There are 14 in total, with two phalanges in each thumb and three in each finger.

In addition to the 27 hand bones, there are the knuckles, which are known as the metacarpal-phalangeal joints. Also in the hand are the PIP and DIP joints. The PIP joint, or proximal interphalangeal, is the joint closest to the palm, and the DIP joint, or distal interphalangeal joint, is the closest joint to the fingertips.

The hand does not break easily, but it can occur due to improperly using tools, blunt trauma, falls, crush injuries or sports injuries. Tennis, baseball and softball players are predominantly at risk of injuring their hand.

Signs, Symptoms and Treatment of a Hand Injury

Due to the intense nature of a hand injury, the symptoms are not difficult to spot. Signs that you’ve broken your hand include difficulty gripping or moving the hand, swelling, pain, bruising, weakness or misaligned fingers.

The most important thing to remember about a suspected hand injury is that if left untreated, it can cause permanent damage to bones, joints, nerves and tendons. That is why it’s so important for a doctor to take an X-ray, examine the hand immediately and determine the best course of treatment. Treatment depends on a variety of factors, from location of injury to length of time between injury and treatment. Hand pain relief can usually be achieved with medications and, in some cases, with surgery.

Preventing Hand Injuries

The vast majority of hand injuries can be prevented. Below are some tips on how to prevent a hand injury:

  • Wear appropriate hand and wrist guards when playing certain sports to ensure proper protection of your hands.
  • Be cautious when playing ball sports, such as football, baseball or tennis, as these sports are more likely to cause hand injuries.
  • Wear correct protective equipment when there is a risk of a hand injury while working.
  • Avoid punching, hitting or slamming your hand in expression, as many injuries can be inflicted this way.
  • Seek immediate medical attention for any symptoms that may be related to a hand injury.

Carpal Tunnel Treatment: Tips for Preventing and Treating Carpal Tunnel Syndrome

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For those who suffer from the debilitating effects of carpal tunnel syndrome, finding carpal tunnel treatment and prevention strategies can be difficult. While there is no definitive way to fully prevent the onset of the condition, there are measures that can be taken to alleviate the symptoms of carpal tunnel syndrome and prevent aggravating flare-ups.

Symptoms of Carpal Tunnel

The median nerve runs from the forearm to the hand through a space in the wrist called the carpal tunnel. Carpal tunnel syndrome may develop when the median nerve becomes pressed at the wrist, causing numbness, tingling, burning, and a gradual weakening of the hand. Sufferers may also experience symptoms at night while sleeping.

Diabetes, pregnancy and obesity are a few risk factors for carpal tunnel syndrome. People who engage in activities requiring repetitive motion of the wrist and hands or repetitive use of vibrating equipment such as hand power tools are also at risk of developing carpal tunnel syndrome. People who are on computers for a long period of time may develop carpal tunnel syndrome because of improper hand and wrist positions while typing.  Many sufferers use computers for long periods of time in office environments while being positioned in unnatural postures. Prolonged and untreated carpal tunnel syndrome may lead to the eventual debilitation of the hand.

Preventing Carpal Tunnel Syndrome

Due to carpal tunnel syndrome’s delicate nature, the most important part of managing it is preventing symptoms from occurring. Here are some ways to prevent carpal tunnel syndrome symptoms:

  • Use ergonomic sense. Because carpal tunnel syndrome can worsen due to work conditions, it’s important to ensure office spaces follow ergonomic guidelines. Ergonomic guidelines would require a mouse and keyboard designed for correct hand positioning, computer desks at the proper height, and chairs that encourage proper body posture.
  • Take breaks. Carpal tunnel syndrome sufferers should take frequent breaks to ensure that the wrists and hands are not being overworked. Stretching exercises, breathing, and relaxation techniques are great ways to prevent overexertion of the median nerve.
  • Maintain good posture. Body posture is essential to maintaining good arm posture. A person should be seated in an ergonomically sound chair, with their back straight, shoulders back, and feet planted on the ground.

Carpal tunnel treatment can range from wearing wrist braces to minimize movement and further damage to the nerve, to surgery that releases the transverse carpal ligament and alleviates the pain and numbness to the median nerve. Visit Minimally Invasive Hand Relief to learn more about carpal tunnel treatment options.

Hand Conditions 101 | Cracking Knuckles and Arthritis

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For people who regularly crack their knuckles and joints, one common thing they hear is that it can cause damage. In this blog, we’ve taken a look at the myths associated with cracking knuckles and hand conditions such as arthritis.

What happens when you crack your knuckles?

Your joints are lubricated by synovial fluid. When your fingers are extended, the gases in the synovial fluid form bubbles in between the joint cavities. When you crack your fingers, the pressure of that bubble increases very suddenly and at a rapid pace, causing the bubble to pop and make the cracking noise. A recent study asserts that the act of cracking your knuckles creates a cavity in the synovial fluid found in the joints, and the sound heard is that cavity forming.

Once a person cracks his or her knuckles, it usually takes 20 to 30 minutes before they’re able to do it again. While some people experience relief when cracking their joints, others crack their knuckles out of habit. Regardless of the reason, there has been a long-held myth that cracking knuckles can contribute to arthritis.

Hand Conditions and Cracking Your Knuckles

Studies have shown there is little to no connection between cracking knuckles and arthritis in the hands. But that doesn’t mean there’s nothing to worry about.

People who crack their knuckles on a constant basis have been shown to be at a higher risk of inflammation in the hands and developing a weaker handgrip. There’s also the possibility of injuring your fingers. And while cracking your knuckles has not been found to cause these hand conditions, joints that make a cracking or popping sound on their own could be indicative of hand conditions such as bursitis, arthritis and tendinitis. Severe forms of those conditions in extreme cases may require hand surgery to relieve the symptoms and improve hand movement.

Ultimately, cracking your knuckles most likely won’t cause arthritis, but it is still a good habit to break to prevent injury, swollen hands or a weak grip. For more information on hand conditions you think you might be experiencing, talk to your doctor or specialist.


Minimally Invasive Spine Surgery | What Does ACGME Fellowship-Trained Mean?

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When severe pain and chronic back problems force you to seek spine surgery, it can be easy to overlook aspects of your surgeon’s training and experience for quick relief. While we know it can be tempting to find any doctor experienced in minimally invasive spine surgery to entrust your back problems to, the truth is something as serious as spine surgery requires someone with the training and expertise to treat those issues safely and effectively. An ACGME (Accreditation Council for Graduate Medical Education) fellowship-trained spine surgeon is the ideal professional to treat your symptoms.


Why does ACGME fellowship training matter?

Some doctors choose to pursue fellowship training past their residency in order to become more specialized in their area of choice. While it means an additional year of school, that year prepares dedicated surgeons for the challenges of performing potentially life-altering procedures.

As a patient, you may not know that, while any qualified doctor can attempt to treat back pain, a spine surgeon with ACGME fellowship training has the knowledge necessary to not only locate the source of pain, but to treat it with greater accuracy and effectiveness. In fact, once fellowship training is over, in order to ensure their expertise in their chosen specialty, additional board exams are required.

ACGME fellowship-trained doctors are more informed about the latest technology and treatment options for your specific needs. A general practitioner may be able to give you a treatment plan for your pain or injury, but may not know enough about the specific area to identify newer and more effective treatments to implement.


What should you look for in fellowship-trained back doctors?

  • Find a doctor who is board eligible or board certified with ACGME fellowship training in

    spine surgery.

  • Find a doctor you are comfortable with. It doesn’t matter how highly recommended they are, if you do not feel comfortable with a doctor, it will not work. Being uncomfortable may prevent you from asking important questions regarding your condition and treatment.
  • Find a specialist with access to the latest technology and treatments available for your condition.

    Whether you suffer from chronic back pain or herniated discs, it’s important to err on the side of caution and find someone with access to all of the best possible equipment, medication and surgical treatments in the industry. That will give you the greatest chance for a fast recovery.

  • Look for a doctor working in a specialty practice.

    Chances are, if your doctor is fellowship trained in the spinal column and working in a practice specializing in that area, they treat patients with spinal problems exclusively. This means they will have a greater understanding of specific problem areas that you may need help with.

MISI specialists: Your minimally invasive spine surgery awaits

Every spine surgeon at MISI is fellowship-trained with specialties in orthopedic and spine care. They have been handpicked by MISI’s director, whose priority is to give patients access to the most highly qualified, highly educated and highly experienced medical professionals in their field. When you go to MISI in search of an ACGME fellowship-trained spine surgeon, you can rest easy knowing that you will receive only the best and most experienced in minimally invasive spine surgery.

A surgeon with the right level of expertise should treat your debilitating pain. Call MISI today at (855) 339-4481 to set up your appointment with an ACGME fellowship-trained specialist and get yourself on the road to recovery.

Minimally Invasive Spine Surgery and More | How MISI Treats Football Injuries

By | Foot Relief, Hand Relief, Orthopedic Relief, Pain Relief, Spine Relief | No Comments

minimally-invasive-spine-surgeryDuring football season, you’ll often hear the same thing from your fantasy football-loving friends: “I can’t believe my player is injured!” As the season for this punishing sport rolls on, so does the potential for damage, at every level of play.  We often see patients with injuries similar to those that take your favorite quarterbacks and wide receivers out of the game, some of which we treat with innovative pain management procedures and if needed, minimally invasive spine surgeries, including:

  • Herniated Discs:

    You may remember Tony Romo suffering a herniated disc toward the end of the 2013 season. This type of injury can create serious pain and numbness in the lower back and legs. While the traditional surgical method requires stripping away back muscles and exposing the spine, we perform minimally invasive spine surgery, which is much less traumatic and avoids damaging muscles and surrounding tissues. Instead, the procedure often involves the use of real time X-rays and the insertion of a small tube system through a 3-7mm incision. Through minimally invasive spine surgery, patients can recover faster and get back to living.

  • Finger Fractures:

    Dez Bryant delayed treatment for his pinkie fracture for three games in the 2012-2013 season. Putting off finger fracture treatment is something you should never do. A fractured finger may seem like a small thing, but in reality it can be a complex injury. There are many bones in the hand that work together to perform specialized tasks, so an injury to one of them can cause the entire hand to be misaligned. Usually, fractured fingers can be repaired non-surgically using a splint, but in particularly bad cases surgery is required to promote and allow for proper healing.

  • Torn Meniscus:

    This is one of the most common sports injuries. When he landed awkwardly after a jump during this season opener, Jadeveon Clowney tore a meniscus, taking him out for four to six weeks. When one is torn, a person can experience pain, stiffness, swelling and the knee “giving way.” Similar to our minimally invasive spine surgery, we treat torn menisci using minimally invasive knee arthroscopy by inserting a tiny camera through a small incision to provide a clear view inside of the knee. Once inside, the surgeon repairs or trims the tears using state-of-the-art instruments and techniques.

  • Whiplash:

    This happens when an impact or blow causes the head to jerk forward or backward abruptly. Jay Cutler was forced to take some time out when he suffered this injury in 2012. A person suffering from whiplash has pain and stiffness in the neck and often in the muscles of the head, chest, shoulders and arms. For whiplash pain, we use real-time X-rays to map out pain trigger points, letting the doctors know exactly where to apply medicine.

Football players can benefit from minimally invasive surgery, but so can the rest of us! MISI is the most advanced option for treating spine, hand, foot and general pain. Call the Minimally Invasive Surgical Institute today at 855-466-6741 or visit our website to set up an appointment.

Meet MISI | Your Choice in Minimally Invasive Spine Surgery and More

By | Foot Relief, Hand Relief, Orthopedic Relief, Pain Relief, Spine Relief | No Comments

Minimally Invasive Spine SurgeryAt the Minimally Invasive Surgical Institute (MISI), our fellowship-trained doctors offer procedures including minimally invasive spine surgery to help decrease your pain without large incisions or lengthy recovery times. While traditional open neck and spine surgery require large incisions, long hospital stays and painful recoveries, minimally invasive spine surgery involves incisions so small that they can often be covered with a single Band-Aid®. Our team of certified doctors is dedicated to getting you back on your feet and back to your life more quickly.

While MISI is an innovator in spine procedures, we don’t just treat back pain and perform spine surgery. Our team specializes in a variety of areas, including the neck, hand, foot and general pain, to help our patients alleviate their symptoms and get back to living their lives stronger, healthier and happier.

Our doctors are more concerned with patients than procedures and will explore every possible treatment before suggesting surgery, which is always the last option. This might include rehab, physical therapy, outpatient pain management procedures or a variety of other options. If necessary, our team may then suggest an endoscopic procedure, laser spine surgery or minimally invasive spine surgery.

The primary difference between MISI and other clinics is our team of experienced and innovative surgeons.

Our doctors are fellowship-trained, educated to be thought leaders in their field and are on the cutting-edge of minimally invasive procedures.  As field authorities, they’re also advisors to international technology companies, helping design groundbreaking tools for minimally invasive surgery.

Why suffer with pain when you have an alternative? Get back to your life. Call the Minimally Invasive Surgical Institute today at 855-466-6741 to set up an appointment, and learn how you can benefit from minimally invasive spine surgery or our other minimally invasive treatments.