Hand

Hand Rehab for Extensor Tendon Injuries: What Works?

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One good way to decide what's the best course of treatment in hand therapy is to do a search of articles published on a topic of interest. In this case, the focus is on rehab for surgically repaired extensor tendon injuries. What works best: immobilization (no movement), early but controlled mobilization (some movement), or early and active mobilization (full movement)?




My surgeon thinks there's a strong chance that I have carpal tunnel syndrome. Is there any reason to go ahead with the electric tests to measure the nerve function?

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Carpal tunnel syndrome is a common problem affecting the hand and wrist. Symptoms begin when the median nerve gets squeezed inside the carpal tunnel of the wrist. Carpal tunnel syndrome is also known as nerve entrapment or compressive neuropathy. Any condition that decreases the size of the carpal tunnel or enlarges the tissues inside the tunnel can produce the symptoms of carpal tunnel syndrome.




I'm seeing a specialist to find out if I have carpal tunnel syndrome or something else. It's been one test after another and I still don't know what's wrong. Is this typical?

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Diagnosing nerve entrapments such as carpal tunnel syndrome can be a challenge. There's really no single test that says, yes you have carpal tunnel syndrome or no you don't. Most physicians, surgeons, and other specialists rely on what you tell them (the medical history) and what they see during the exam.




I'm 75-years old and have a chondroma of the index finger. It's right at the tip and involves the nail. The surgeon is suggesting removing the tip of the finger and installing a new joint with lots of reconstruction of the finger. It's not on my right hand, so I say just lop it off. Is there any problem with that idea?

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A chondroma is a benign tumor made up of cartilage cells. They are usually benign but can cause painful swelling. The most common location is in the hands and feet (fingers and toes). Usually, a chondroma is removed with clear margins to prevent local recurrence. Clear margins means when viewed under the microscope, the tumor is completely surrounded by a layer of normal cells.




Best Way to Diagnose Carpal Tunnel Syndrome

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Dr. Brent Graham at the Toronto Western Hospital (Canada) has been working on finding the best way to diagnose carpal tunnel syndrome (CTS). Currently, there isn't a clear consensus on the best clinical tests to use in making this diagnosis.




Case of the Mistaken Identify in a Finger Tumor

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Surgeons from the Plastic and Reconstructive Surgery department at the University of Pittsburgh present the case of a rare chondroma. A chondroma is a benign tumor made up of cartilage cells. They are usually benign but can cause painful swelling. The most common location is in the hands and feet (fingers and toes).




My hand is in constant pain

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So, I was attacked about a year ago.. and lucky enough to have insurance at the time (lucky enough to live to tell about it). My hands and fingers fingers had been cut in an attempt to ward of my attacker and my tendons were severed in 3 of my fingers. I did have surgery to fix them.. and didn't do much in the way of therapy (I had lost my job as a result of my hopitilization) and could not afford the co-pays. I am now insurance-less.. and my hand is stuck in this claw. It hurts.. I can type.. but.. am wondering if I can get an additional surgery done to get my normal fingers back?




I've had all kinds of tests on my arms and hands to find out what's causing the numbness and tingling in my thumb and index finger. It wasn't until they did nerve conduction tests, that the physician finally diagnosed me with carpal tunnel syndrome. Why don't they just start with that test in the first place?

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Pressure on a nerve can cause entrapment leading to symptoms such as pain, numbness, and/or weakness. Carpal tunnel syndrome is a common problem affecting the hand and wrist. Symptoms begin when the median nerve gets squeezed inside the carpal tunnel of the wrist.




I can't believe how many people I know (including myself) have carpal tunnel syndrome. Is this an epidemic or what?

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Studies of the general population report as many as 15 per cent of adults have carpal tunnel syndrome (CTS). If you are comparing yourself to other patients in a hand surgeon's office, then the number of people with this condition is much higher -- more like 70 per cent. That makes sense since those patients have a common problem treated by a single individual (the surgeon).




I'm really disappointed because I thought the surgery I had to release the connective tissue around my finger tendons was going to make it possible to open up my palm. Instead, I think I'm actually worse. What went wrong?

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Dupuytren's contracture is a fairly common disorder of the fingers. Although the exact cause is unknown, it occurs most often in middle-aged, white men. It is genetic in nature, meaning it runs in families.





*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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