We offer treatment for the following hand conditions: congenital hand deformities (hand problems you are born with), arthritis of the hand and wrist, trigger fingers, 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, or 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 orthopedic 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 6-10 weeks.
This is a very common condition, with a variety of causes. We offer both non-surgical treatment (steroid injection) and surgical treatment (trigger finger release). Surgery typically takes 5-10 minutes and is done under local anesthesia (you are wide awake, but the finger is numb). Recovery typically takes 2 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 non-surgical treatment.
Non-surgical treatment consists of injecting an enzyme (collagenase) just below the skin where the contracture is located. The injection treatment if 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 4-6 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 2 hours. You usually go home the same day, and then require 6-8 weeks of hand therapy. Your orthopedic surgeon will discuss with you which is 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 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, infections, just to name but a few conditions. We have a very experienced team that 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 to schedule an appointment. Our reconstructive patients come to us froom Mason City, Algona, Iowa Falls, New Hampton and Charles City.