Hand

My brother had the choice of having his broken wrist (the scaphoid) treated by surgery or by cast. He picked the cast because the total bill would be so much less. I'm not sure why the doctor would offer him the considerably more expensive surgery if the cheaper option was available.

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Research has been done into the costs of treatments for broken scaphoids and, for the most part, costs vary considerably in either direction due to the patient's circumstances.




If a broken wrist (on the side of the thumb) can be treated by either cast or surgery, why would surgery be picked over casts since there are more risks to surgery?

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If someone breaks the scaphoid bone, the wrist bone that is at the base of the thumb, doctors often have a choice of treatment. In some cases, surgery is essential because of how severe the break is, but if the break isn't complicated, they may have the choice of casting or surgery.




A Hand Surgeon Looks Back

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The focus of this study was the treatment of a nonunion (didn't heal) fracture of the scaphoid bone in the wrist. A loss of blood supply to the area led to a condition called avascular necrosis (AVN). Avascular means without blood and necrosis refers to the death of bone.




I received a steroid injection for my carpal tunnel syndrome. At first, the pain was gone but now it's slowly coming back. Is that normal or have I re-injured my hand?

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Steroid injections into the carpal tunnel area are common in treating the disorder. The steroids are used to reduce inflammation so the nerve isn't irritated within the carpal tunnel, which passes through your wrist.




I heard that a successful outcome from treatment for something like carpal tunnel syndrome isn't always complete disappearance of pain or symptoms. How is this so?

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When deciding on a particular treatment for a particular problem, such as carpal tunnel syndrome, doctors look at what the ultimate goal is for each patient. Unfortunately, complete and total resolution of a medical problem isn't always possible and sometimes doctors are looking at the best possible improvement.




My mother has some ugly looking soft bumps on the top of her hand/wrist, which her doctor says are ganglion cysts. I couldn't understand her explanation though. What are ganglion cysts?

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A ganglion cyst is a mass or benign tumor (benign means not cancerous) on the top of a joint o on the sheath (covering) of a tendon. They can be large or small, and can feel spongy or firm. More women than men get them and they most often start appearing between the ages of 20 and 40 years.




No Set Guidelines Other Than "Be Aggressive" for Antibiotic Use for Community-Acquired MRSA of the Hand

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Community-acquired methicillin-resistant staphylococcus aureus (MRSA) is becoming more common in among the general population, not just those who are ill. While most healthy people aren't affected by MRSA, the high rate of community-acquired MRSA can be dangerous to those who are weaker and those with chronic illnesses, like diabetes. Sixty percent of people with diabetes develop complications from MRSA compared with only 11 percent of people who don't have diabetes.




Arthroscopic Ganglion Cyst Resection Showing Good Results

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Ganglion cysts, swellings at the top of a joint or on a tendon, can cause pain and affect your movement. For example, if one is on the joint at the base of your finger, you may have trouble moving that finger. The cyst may feel firm or spongy when you touch it. Generally, these cysts are removed arthroscopically, a surgery technique in which the surgeon makes tiny incisions and uses long, narrow instruments to reach inside.




Nonsurgical Options to Treat Carpal Tunnel Syndrome

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Surgery for the repetitive stress injury, carpal tunnel syndrome, isn't always the best approach. Some patients, for a variety of reasons, either shouldn't have, don't yet need, or can't have surgery. For this reason, it's important to look for alternative, nonsurgical approaches to treatment. The author of this article asks the question, "What is the best nonsurgical treatment for carpal tunnel syndrome?"




My daughter had carpal tunnel surgery last week but says she still has just as much pain as before the operation. How long does it take for the pain to go away?

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Some patients experience immediate reduction in pain, numbness, and tingling -- symptoms that are so common with carpal tunnel syndrome. Others develop some swelling postoperatively and that fluid puts pressure on the median nerve reproducing the same painful symptoms that were present before surgery.





*Disclaimer:*The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.
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