We treat a wide variety of ongoing hand and arm discomfort and pain, from the common carpal tunnel syndrome to less heard of conditions such as Dupuytren’s contracture or Olecranon Bursitis. Here at Katranji Hand Center we put our patients safety and effectiveness of treatment first as we explore both surgical and non-surgical options one-on-one with the patient. If a condition can be treated non-surgically through the use of splints or injections, we prefer to take that as our initial route to avoid any possible prolonged discomfort. During your consultation, we will go over all of your possible treatment options, giving you plenty of time, and information, to make the best decision for your treatment.
Carpal Tunnel
Carpal tunnel syndrome is essentially a pinched nerve in the wrist. There is a space in the wrist called the carpal tunnel where the median nerve and nine tendons pass from the forearm into the hand. Carpal tunnel syndrome happens when swelling in this tunnel puts pressure on the nerve.
Dupuytren's Contractor
Dupuytren’s contracture is an abnormal thickening of the tissue just beneath the skin. This thickening occurs in the palm and can extend into the fingers. Firm pits, bumps and cords (thick lines) can develop and cause the fingers to bend into the palm. This condition may also be known as Dupuytren’s Disease. Occasionally, the disease will cause thickening on top of the knuckles or cause lumps and cords on the soles of the feet (plantar fibromatosis).
Ganglion Cyst
A ganglion cyst is a lump around the hand and wrist that occurs adjacent to joints or tendons. Ganglion cysts are very common. They are most frequently found on back of the wrist, the palm side of the wrist, the base of the finger on the palm side, and the top of the end joint of the finger. Your ganglion cyst may be filled with a clear, gel-like fluid and resemble a water balloon on a stalk. They may fluctuate in size, and some may eventually disappear completely. A ganglion cyst is not cancerous and will not spread to other areas.
Numbness in Hands
Although carpal tunnel syndrome is a common condition associated with numbness in hands, it is not the only cause like neuropathy compression or pressure on nerves.
Tennis Elbow
Lateral epicondylitis, commonly known as “tennis elbow,” is a painful condition involving the tendons that attach to the bone on the outside (lateral) part of the elbow. Tendons transmit a muscle’s force to the bone. The muscle involved in this condition, the extensor carpi radialis brevis, helps to straighten and stabilize the wrist.
Thumb Arthritis
A joint is formed when two bones meet and articulate, which allows movement. Joints are lined with smooth cartilage that allows for the easy movement of one bone relative to another. Osteoarthritis, or degenerative arthritis, is a process that occurs with aging and describes the deterioration of the joint cartilage. Thumb arthritis is the second most common type of arthritis in the hand; the most prevalent hand arthritis involves the last joint in each finger.
Trigger Finger
Stenosing tenosynovitis is a condition commonly known as “trigger finger.” It is sometimes also called “trigger thumb.” The tendons that bend the fingers glide easily with the help of pulleys. These pulleys hold the tendons close to the bone. This is similar to how a line is held on a fishing rod. Trigger finger occurs when the pulley becomes too thick, so the tendon cannot glide easily through it.