HAND SURGERY
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No. 1 Hand Surgery in UK Specializing in:
- Trigger Finger
- Digital Mocous Cysts
- Dupuytren’s Disease
- Thumb Base Arthritis
- Carpal Tunnel Surgery
- Ganglions
- Tendon transfers
Trigger Finger
Trigger finger can affect any finger, but it is most common in the thumb and ring finger. It is also more common in women than in men and in people over the age of 40.
The exact cause of trigger finger is unknown, but it is thought to be related to overuse of the affected finger. Other risk factors for trigger finger include:
- Diabetes
- Digital Mocous Cysts
- Rheumatoid arthritis
- Thyroid disease
- Kidney disease
- Pregnancy
Symptoms Of Trigger Finger Include:
Steroid injections can help to reduce inflammation and pain. Surgery is usually only recommended for people with very severe trigger finger that does not respond to other treatments. The goal of surgery is to release the tendon sheath and improve the range of motion of the finger.
Most people with trigger finger make a full recovery with treatment. However, the condition can recur in some people.
- Pain and stiffness in the affected finger
- A popping or snapping sensation when moving the finger
- A lump in the palm of the hand at the base of the finger
- The finger locking in a bent position
Here Are Some Tips For Preventing Trigger Finger:
Avoid overuse of the affected finger.
Take breaks from activities that require repetitive gripping or grasping.
Wear gloves when performing activities that could put stress on your hands.
Stretch your fingers and hands regularly.
Maintain a healthy weight.
Treat any underlying medical conditions that may be contributing to trigger finger, such as diabetes or rheumatoid arthritis.
Dupuytren’s Disease
The exact cause of Dupuytren’s disease is unknown, but it is thought to be related to a combination of genetic and environmental factors.
Risk factors for Dupuytren’s disease include:
- Family history
- Male gender
- Caucasian race
- Smoking
- Alcoholism
- Diabetes
Dupuytren’s disease typically progresses slowly over time. The first sign of the disease is often the appearance of a small lump or thickening in the palm of the hand. Over time, the lump may grow larger and become harder. As the palmar fascia contracts, the fingers may begin to bend inwards towards the palm of the hand. There is no cure for Dupuytren’s disease, but there are treatments that can help to slow the progression of the disease and improve hand function. Treatment options include:
Observation
If the disease is mild and not causing any problems, your doctor may recommend simply observing it over time.
Steroid injections
Steroid injections can help to reduce inflammation and pain.
Needle aponeurotomy
Needle aponeurotomy is a minimally invasive procedure in which the surgeon uses a needle to break up the thickened palmar fascia.
Surgery
Surgery is usually recommended for people with more severe Dupuytren's disease that is causing significant problems with hand function. The goal of surgery is to remove the thickened palmar fascia and improve the range of motion of the fingers.
Ganglions
The exact cause of ganglions is unknown, but they are thought to be caused by a weakening of the tissue that covers the joints and tendons. This can happen due to overuse, injury, or simply age.
Ganglions are more common in women and people under the age of 40. They are also more common in people who participate in certain activities, such as gymnastics, tennis, and golf.
Most ganglions do not require treatment and will go away on their own within a few months. However, if a ganglion is painful, unsightly, or causing discomfort, there are a few treatment options available.
Treatment Options For Ganglions Include:
Observation
If the ganglion is small and not causing any problems, your doctor may recommend simply observing it over time.
Steroid injections
A steroid injection can help to reduce inflammation and pain. Steroid injections are often used in combination with aspiration.
Aspiration
Aspiration is a procedure in which a doctor uses a needle to drain the fluid from the ganglion. Aspiration is a simple and effective procedure, but the ganglion may recur after aspiration.
Surgery
Surgery is usually recommended for people with more severe Dupuytren's disease that is causing significant problems with hand function. The goal of surgery is to remove the thickened palmar fascia and improve the range of motion of the fingers.
Tips for Preventing Ganglions
If You Have A Ganglion, It Is Important To See A Doctor To Get A Diagnosis And Discuss Treatment Options.
- Avoid overuse of the affected area.
- Take breaks from activities that require repetitive gripping or grasping.
- Wear gloves when performing activities that could put stress on your hands or feet.
- Maintain a healthy weight.
- Treat any underlying medical conditions that may be contributing to the ganglion, such as arthritis or diabetes.
