Endoscopic Carpal Tunnel Release Surgery is done with aid of an arthroscope through a less- than-one-inch incision in the wrist crease. The small incision results in less post-operative pain, and a faster recovery with results equivalent to traditional surgical technique with the incision in the palm.The surgery releases pressure on the hand's major nerve, which runs through a passageway in the wrist called the carpal tunnel. Pressure may be caused by disease (such as rheumatoid arthritis), injury, fluid retention, overuse, or repetitive motion. The pressure causes tingling in the hand, numbness, aching, and can lead to impaired hand function <span="bold">(carpal tunnel syndrome).
Cubital Tunnel Release is done through a minimal incision at the inner aspect of the elbow to release the ulnar nerve, the second most common form of nerve surgery on the arm, to relieve tingling and numbness in the ring and little fingers <span="bold">(cubital tunnel syndrome).
Trigger Finger Release is done through a minimal incision in the palm corresponding to the area of maximal discomfort overlying the flexor tendon that is involved. Surgical division of the involved pulley resolves the inflammation and locking (triggering) of the digit or thumb. The disorder is more common with overuse activities, especially in diabetics.
Basilar Joint Arthritis of the Thumb is a pattern of wear and tear osteoarthritis of the joint at the base of the thumb, also known as the CMC joint. Painful motion of the joint and a distorted appearance of the area are common. Surgery can resolve the pain and improve the appearance of the area.
Epicondylitis is a tendonitis at the insertion point of tendons to the bone around the elbow and is both painful and limits physical activities. When it effects the lateral epicondyle it is called Tennis Elbow and when it effects the medial epicondyle it is referred to as Golfer's Elbow. Many patients can respond to supervised Occupational Hand Therapy, those that don't can have surgical release of the tendon insertion as an outpatient.
Wrist Pain is a common problem with a variety of causes that may require more extensive testing if it does not resolve with a reasonable length of time. Often misdiagnosed as a sprain, internal derangements of the wrist bones secondary to a ligament tear requires prompt accurate diagnosis to help reduce permanent injury.
Dupuytren's Contracture is a not uncommon progressive disease that causes fibrous bands to develop between the palm and fingers that can result in bent or contracted fingers. A situation that interferes with normal function can result. Surgical intervention has been the traditional treatment. In selected patients, Dr. Salomon has been able to obtain results comparable to surgery with an in the office injection of Xiaflex™ avoiding the prolonged recovery associated with an operation.
Worker's Compensation Injury can involve any of the above common diagnoses or other injuries to tendons, nerves, or bones. We are familiar with how to expedite care for Worker's Compensation patients.