We offer treatment for the following hand conditions: congenital hand deformities (hand problems you are born with), arthritis of the hand and wrist, trigger finger, Dupuytren’s contracture, nerve compression (including carpal tunnel syndrome), treatment of traumatic injuries and treatment of some types of cancers of the hand.
Children may be born with too many, not enough fingers or fingers that catch (trigger finger). When a person is born with too many fingers, it is called polydactyly. Syndactyly refers to fingers that are stuck together. Rarely, people can be born with an absent or underdeveloped thumb, called thumb hypoplasia or aplasia. We offer a variety of surgical treatments to help make the hand more functional and normal in appearance.
Arthritis of the Hand and Wrist
People may develop arthritis from prior injuries, overuse or medical conditions (rheumatoid arthritis). We offer a variety of treatment options, including joint rebalancing operations, joint fusions and joint replacements that can help make your hand more functional. These operations are typically done under general anesthesia by an orthopaedic surgeon (you are completely asleep, with a breathing tube in your throat). Most often, you are able to go home the same day. Postoperative hand therapy is required, and typically lasts six to ten weeks.
This is a very common condition, with a variety of causes. We offer both nonsurgical treatment (steroid injection) and surgical treatment (trigger finger release). Surgery typically takes five to ten minutes and is done under local anesthesia (you are wide awake, but the finger is numb). Recovery typically takes two weeks.
This is a condition where the finger(s) gradually become more bent (flexed). Occasionally, this may be so bad that you can’t reach around objects (soda can) to grasp them or you can no longer put your hand in your pocket or a glove. Unfortunately, there is no cure for this condition, but there are good options to help improve the function of your hand. We offer both surgical and nonsurgical treatment.
Nonsurgical treatment consists of injecting an enzyme (collagenase) just below the skin where the contracture is located. The injection treatment is administered in the office, typically without the need for anesthesia. Dupuytren’s tissue, which is rich in collagen, is broken down by the collagenase. When you return the following day, numbing medicine is injected into your hand, and the contractures are broken by manipulating the hand. You then typically require four to six weeks of post-treatment hand therapy. The injections are usually covered by insurance.
Surgery is done under general anesthesia (you are completely asleep, with a tube in your throat) and typically lasts two hours. You usually go home the same day and then require six to eight weeks of hand therapy. Your orthopaedic surgeon will discuss with you which option (surgery or enzyme injection) is best for you.
Many people can suffer from various types of nerve compression, including carpal tunnel syndrome (median nerve), cubital tunnel syndrome (ulnar nerve) and radial tunnel syndrome (radial nerve), to name just a few. We offer treatment for most every type of nerve compression in the hand and forearm.
Certain medical conditions are frequently associated with carpal tunnel syndrome, including diabetes, hypothyroidism, obesity and pregnancy, so treatment of them can often help relieve the symptoms of carpal tunnel syndrome. Certain types of environmental/work exposure can worsen the symptoms of carpal tunnel syndrome, as well, so it is important that you follow appropriate ergonomic techniques when at work or at home.
We treat nearly all types of hand injuries, including fractures, dislocations, tendon and nerve injuries, amputations and infections, to name but a few conditions. We have a very experienced team who can help get you back to having a hand that works, looks and feels better.
Cancers of the Hand
Cancers of the hand are, thankfully, rare. Nonetheless, we have extensive experience in treatment of many types of cancer of the hand and can help you get the appropriate treatment you need. Our goal is to treat the cancer as aggressively as possible and yet leave you with a hand as functional as possible. Often, we work with the oncology (cancer) doctors, in addition to working closely with your primary care doctor, when treating these types of conditions.
To learn more about our reconstructive surgery procedures, please call 641.494.5360 today or use our online form to schedule an appointment. Our reconstructive patients come to us from Albert Lea, Algona, Belmond, Britt, Buffalo Center, Charles City, Clarion, Cresco, Emmetsburg, Forest City, Garner, Greene, Hampton, Iowa Falls, Lake Mills, Mason City, New Hampton, Northwood, Osage, Waverly and surrounding communities.
I used to visit the ER often with undiagnosed heart problems. During my last visit in 2004, they told me I probably wouldn’t make it another year. That’s when my doctor at Mason City Clinic found my mitral valve malfunction and surgically repaired it. I recently had my annual EKG exam and my cardiologist found no heart problems whatsoever. Which means I can keep raising my squash, musk melon and tomatoes.Read More
With no warning signs, Jansen Wyatt, 54, suddenly collapsed in his home last November. His daughter-in-law rushed him to the ER at Palo Alto County Health System in Emmetsburg, where they diagnosed a severe heart attack. Jansen was helicoptered to Mason City’s Mercy Medical Center. Samuel Congello, DO, a board-certified cardiologist with Mercy’s Heart and Vascular Institute.Read More
ENT & Allergy Patient
As a young girl I was diagnosed with hearing loss in my right ear. I had many ear infections and surgeries, but the problem only got worse. It was getting hard to do my job because I was missing parts of conversations. Hearing aids only caused me more infections. Then I found Dr. Henry Diggelmann at Mason City Clinic. He recommended BAHA (bone anchored hearing aid), which creates sound using bone amplification.Read More
Plastic Surgery Patient
After years as a special education teacher handling children with significant disabilities and behavioral challenges, I began having limited use of my hands due to severe arthritis pain. I found myself fighting back tears every day because the pain was so bad. I could no longer enjoy one of my favorite hobbies, quilting, either. I met with Dr. René Recinos, a plastic surgeon from Mason City Clinic and recommended a procedure called arthrodesis.Read More
Retired school teacher Charlene Hanson used to love walking in the woods – until the pain and inflammation of arthritis took it away from her. Since she had heard such great things at church and in the community about Mason City Clinic’s Orthopedic Department and Dr. Darron Jones, she made them her choice to replace her arthritic hip and knee.Read More
Roger was always very active, but a few years ago his hip started to bother him. When he would go to bed at night the pain was very severe. “I would have to lay on the floor and put my legs up on the couch to relieve the pain,” said Roger.
His orthopedic surgeon at the Mason City Clinic Dr. Darron Jones said, “I can give you cortisone shots, but this is a quality of life question.
Plastic Surgery Patient
Donna Drake lived with a growing basal cell skin cancer (the most common skin cancer) on her lower eyelid for three years. A family practitioner at Franklin General Hospital recommended Mason City Clinic’s plastic and reconstructive surgeon, Dr. Mark Mulkey, who identified the cancer and performed the extremely delicate eyelid surgery to remove it and reconstruct her eyelid.Read More
Melody Wagner loved walking until severe pain from bunions stopped her cold. She found a board-certified podiatrist at Mason City Clinic’s Podiatry Department. Podiatrists perform leading-edge surgery for bunions and hammertoes, as well as advanced treatments for diabetic feet, heel pain, ingrown toenails and more. Melody was afraid of a painful procedure and a long recovery.Read More
One snowy night about seven years ago, I felt a sudden pain in the back of my leg. I thought I could shake it off and went out to shovel some snow. After a few minutes, I went back inside and collapsed. My wife called 911 but the ambulance couldn’t get to me because of the snow. My neighbors used snow blowers to clear the road and my driveway so the ambulance could get to me.Read More
I injured my knee as a teenager and had surgery. Then, as I got older, the pain returned and began affecting my routine and overall enjoyment of life. My doctor referred me to Darron Jones, MD, an orthopedic surgeon. After a thorough exam, he said I was a candidate for knee replacement. I had the procedure in late January 2014 and was back among the grapes by the beginning of March.Read More
We have a lot of flower gardens on our acreage, and I was having problems kneeling to weed. I couldn’t walk long distances anymore and it was painful to get in and out of the car, walk up and down the stairs. Simple everyday tasks were hard. Eventually I was limping and in a great deal of pain.” said Sheryl Borcherding of Emmons, MN.Read More
Jane, 70, a retired nurse, is a very active person. She is a mother of one daughter and son in law, and has lots of 4 legged kids: guinea pigs, goats, Newfoundland dogs and 10 cats. I suffered with knee pain for a long time and would always take extra strength Ty-lenol.Read More
Gene Wagler, a special needs teacher from Clear Lake, didn’t have a history of heart problems before his heart attack 23 years ago. Gene said, “I didn’t feel any pain that day but I had a “gnawing” sensation in my chest. Within hours Gene was in the Mercy One-North Iowa ER and Dr. Sam Congello, an interventional cardiologist.Read More
GERD Surgical Patient
Kathleen Hanna, 60, is a mother of four, grandmother of nine and a para-assistant at Forest City Elementary School. “I had heartburn with regurgitation for 40 years, have had an ulcer, and have been on heartburn medication for about that long too.” Having been on heartburn medication for many years her physician was becoming worried that it was affecting the function of her kidneys.Read More
GERD Surgical Patient
In March 2019, Duane Obanion, 68, a farmer outside of Mason City, Iowa had an acid reflux attack. He aspirated into his lungs and got pneumonia. “I was in New York visiting my daughter when it happened and I ended up in the Urgent Care Center. When I got home I went to my family doctor and she put me in touch with Dr. Matthew Fabian, a general surgeon at the Mason City Clinic”.Read More