Tips To Manage Arthritis Wrist Pain

by Administrator 23. March 2015 07:07

Wrist Arthritis is a painful condition that causes inflammation of the wrist joint. Overwork, excessive weight bearing activities, trauma, degenerative joint disease and infections can cause Wrist Arthritis. There are three types of Wrist Arthritis namely Osteoarthritis, Inflammatory Arthritis and Post-Traumatic Arthritis.

Symptoms

Some of the common symptoms of Wrist Arthritis include joint pain, stiffness, swelling, tenderness, redness, locking and difficulty in moving the joint. The patient often develops deformity and nodules at the joint along with problem in gripping objects.

Tips on managing the pain due to Wrist Arthritis

There are a number of ways to ease the pain including medication, exercise and stress reduction. Here are some tips that will help you manage the pain effectively.

  • Consult a surgeon: If you are experiencing pain in wrist, then it is important that you consult your wrist doctor and discuss your symptoms. It is essential to get immediate medical evaluation so that the treatment can be started.
  • Make required lifestyle changes: Arthritis is a common problem with obese people and therefore, it is crucial that you maintain a healthy lifestyle. Excessive weight puts strain and stress on the body joints that causes inflammation, stiffness along with wear and tear. You can follow these tips for a healthy lifestyle.
  • Exercise: Make sure you exercise regularly to keep your weight under check and reduce arthritis pain.
  • Eat healthy food: To keep yourself fit, take low-calorie diet and low fat foods. Eat plenty of fruits and vegetables and make sure you intake vitamins, minerals, and other essential components.
  • Avoid alcohol and smoking: You should try to quit alcohol and smoking in order to stay healthy and fit.
  • Take breaks while working: While working on anything you must make sure that you take short breaks and stretch your hands, arms and legs.
  • Develop a positive attitude: To manage your arthritis symptoms, make sure you adopt a wellness lifestyle. Stay happy, involve yourself in different activities and build up a positive approach towards your pain.
  • Control stress levels: Be expressive and share your feelings with a close relative or friend. You can even consider taking a short vacation to avoid stress. You should try and get complete rest and indulge in activities that make you happy. Meditation can also be greatly helpful in reducing stress.
  • Wrist splint: You can also use a splint to rest your joint especially if you are suffering from pain and swelling. The wrist doctor may also advise you to use a splint during certain activities.

For complete treatment of Wrist Arthritis, consult Dr. Neagle in Carrollton, TX. To schedule an appointment with the hand surgeon, call at (972) 492 - 1334 or visit 4780 North Josey Lane, Carrollton, Texas 75010.

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Scapholunate Ligament Tear: Orthopedic Carrollton

by Administrator 18. February 2015 12:42

The Scapholunate Ligament connects the two carpal bones together, scaphoid and lunate. These play a major role in the proper movement of the wrist joint by making both the bones move in the same direction and stabilizing the wrists. In a Scapholunate Ligament tear, these bones change their positions and the scaphoid bends forward while the lunate goes backwards. Thus, there is a significant loss of grip due to an unusual gap between them, which eventually lead to Wrist Arthritis.

Causes

Scapholunate Ligament tears are mainly caused due to a fall with an outstretched hand, motor vehicle accident, weight lifting etc. Certain degenerative conditions of the wrist, such as Arthritis, can also weaken the Scapholunate Ligament and make it vulnerable to injuries.

Symptoms

  • Intense pain in the thumb side of the wrist
  • Swelling at the back or center of the wrist
  • Clicking sound while moving the wrist
  • Stiffness on the affected side
  • Loss of grip
  • Visible bruising and discoloration
  • Instability of the wrist
  • Loss of motion in the wrist, in severe cases

Diagnosis

To diagnose a Scapholunate Ligament tear, the orthopedic doctor may physically examine the wrist to determine the exact location of the pain. He may also suggest certain imaging tests such as X-rays and MRI scan to rule out the presence of fracture or tissue damage.

Treatment

Depending upon the severity and cause of the condition, the orthopedic doctor may prescribe the following treatment options:

  • Anti-Inflammatory Medications: The patient may be prescribed certain non-steroidal anti-inflammatory medications to reduce pain and inflammation in the wrist.
  • Immobilization: Giving complete rest to the wrist by restricting its movements can allow the affected muscles and tissues to heal. 
  • Activity Modification: Activities that increases pain, such as pushing or gripping, should be avoided till the pain subsides.
  • Braces: The orthopedic doctor may also prescribe wearing a brace or cast for two to six weeks. This will help to provide stability and support to the wrist.
  • Physical Therapy: Once the pain and swelling has reduced, rehabilitation programs may help to restore the normal strength and range of motion of the wrist.
  • Surgery: It is usually recommended in severe cases of Scapholunate Ligament tear. During a procedure, the wrist surgeon may use pins and wires to hold the two carpal bones together. 

For comprehensive diagnosis and treatment of Scapholunate Ligament Tear, you can consult Dr. Neagle in Carrollton, TX. To schedule an appointment with the hand and wrist specialist, you can call at (972) 492 – 1334.

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Carpal Tunnel Syndrome Prevention

by Administrator 19. January 2015 14:06

Carpel Tunnel Syndrome is caused due to various reasons, which makes it difficult to suggest a single mode of prevention. Still, some preventive measures can minimize the risk of Carpel Tunnel Syndrome, especially if caused due to work related disorders. By making changes to the work area and the posture people can avoid Carpal Tunnel Syndrome. Employers are also trying to prevent repetitive stress injuries among employees by modifying the tasks, buying new ergonomic equipment and furniture, and analyzing workstations to reduce the stress.

If you work on computer all day long, then you are highly susceptible to Carpal Tunnel Syndrome. The Carpal Tunnel is a passageway for bones and ligaments at the base of the hand. The hand has a median nerve and tendon, which when pressed or squeezed causes Carpal Tunnel Syndrome. The condition affects the sensations to the palm side of your thumb and fingers.

Here are some tips that can help you prevent Carpal Tunnel Syndrome.

Rest And Avoid Repetition

If you do repetitive tasks such as using a keyword, it is crucial that you take regular rest and breaks. You should avoid overexertion of the wrist and hand muscles. By taking frequent breaks, you can reduce the discomfort and strain. During breaks, stretch your limbs, lean back in chair, take deep breaths and squeeze the shoulder blades together.

Maintain Good Posture

You should maintain a good posture, especially while typing or using the computer. You should sit straight with the spine against the back of the chair, rest your elbows along the side of the body and keep the wrists straight. Place the feet firmly on the floor or on a footrest. Keep the monitor at eye level so that your neck is not strained and keep the head upright so that proper blood circulation is maintained.

Use Ergonomic Furniture

Often bad posture is the result of poorly designed furniture. You should make sure that your chair is adjusted at proper height and has a supportive backrest.
Use right keyboard and mouse

Make sure you use right keyboard that can protect the hands and adjust the tension of the keys so that they can be pressed without any extra force. Your hands and wrist should remain in a relaxed position. Replace the keyboard with a jointed-type keyboard and the mouse with a trackball device.

To know more about Carpal Tunnel Syndrome or any other hand/wrist condition, consult Dr. Charles Neagle in Carrollton, TX. You can visit the hand surgeon at 4780 North Josey Lane, Carrollton, Texas 75010 or call at (972) 492-1334.

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Tips To Prevent Wrist Pain

by Administrator 20. November 2014 07:23

There are a number of tasks we perform in our daily lives that can be a cause of wrist pain. Repetitive strenuous movements of the writs an often lead to or aggravate many orthopedic conditions like Trigger Finger and Carpal Tunnel Syndrome. To prevent such problems, as well as to prevent hand and wrist pain, here are some easy tips that you must follow in your daily routine.

  • Stretching: A lot of our daily activities such as driving, texting and typing require the wrist to be held in awkward and stiff positions. In order to neutralize this, try stretches that can help loosen up your strained muscles in the wrists, palms and fingers.
  • Drink lots of water: Loss of electrolyte and dehydration can also be a cause of muscle cramps. Keeping yourself properly hydrated can prevent painful cramps, particularly if it is due to rigorous exercise.
  • Take potassium and Vitamin D: Lack of important nutrients from the diet can also lead to wrist pain. Improving the intake of vitamin D and potassium can prevent cramps in the wrist.
  • Take short breaks: One of the most important tips to prevent wrist injury is to take short breaks after regular time gaps. Whether you are typing, sewing or playing a sport, give some time for your hands to rest and avoid any pain in the wrist.
  • Hold your wrists right: You must remember that whatever you do – playing piano, typing, chopping vegetables, using the mouse, you should always hold the wrist in a straight position. While typing, do not rest the hands on any surface. When you are not doing anything, rest your hands with the palm side up.
  • Exercise in the correct way: wrist pains can also be caused due to improper posture while cycling, pushups, lifting weights or yoga. Make sure you are doing the exercises properly to avoid any pain afterwards.
  • Wear protective gloves: These can help to keep the wrist in the appropriate position. The gloves and splints can be worn while you are typing or even during sleep.

Wrist pain can lead to many serious conditions if not prevented and treated at an earlier stage. For more information about wrist pain and its related medical conditions, you can consult Dr. Neagle, a renowned hand surgeon in Carrollton, TX. To schedule an appointment, call at (972) 492-1334 or visit 4780 North Josey Lane, Carrollton, Texas 75010.

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Orthopedic Treatment For Mallet Finger

by Administrator 22. September 2014 09:18

Mallet Finger which is also known as Baseball Finger or Dropped Finger is a disfigurement of the finger and is frequently suffered by athletes. This deformity of the finger is caused by hyperflexion, bending of limbs or joints beyond their normal limit, of the Extensor Digitorum Tendons that are present in fingers.

Causes:  Some of the most common causes of a Mallet Finger are:

  • A ball or any other object bangs the tip of the finger and ceases it to straighten completely
  • A result of cuts while working in the kitchen and it commonly occurs to the index or middle fingers.
  • Rapid motion that jams the tip of the finger against an object

Symptoms: Some of the symptoms of Mallet Finger are:

  • Painful, red and swollen finger soon after the injury
  • Blood may get clotted beneath the nail
  • Inability to straighten the injured finger

Diagnosis:

The hand surgeon performs normal physical examination to diagnose Mallet Finger. However X-rays serve as a technique for precise detection which is required to see if there is a related fracture which will change the course of treatment to be provided.

Treatments for mallet finger: There are basically two types of treatments for mallet finger:

  • Non-Surgical Treatment
  • Surgical Treatment

Non- Surgical treatment

Ice can be applied to reduce swelling along with keeping the hand above heart level immediately after the injury. One should seek immediate medical help and if there is no large fracture, Mallet Finger injury does not require any surgery. Orthopedic doctor may recommendeasily applying a splint for about 6-8 weeks. A splint allows the ends of the ripped tendon to stay together and heal. One should be very cautious during this process and the splint should not be removed in any case, as if the process is disrupted it must start all over again. 

Surgical Treatment

The surgical treatment is reserved for some distinctive cases where the injury show signs of large fracture or joint misalignment or if the non-surgical treatment fails to repair the torn tendon. It is also done in cases where the patient has to continue using his hand. The surgery involves the orthopedic surgeon inserting a metal pin inside the bone to act as an internal splint. Surgical treatments may also include tightening the stretched tendon tissue, using tendon grafts or even fusing the joint straight. Although surgery is kept as the last resort it is advised only for severe cases.

For complete diagnosis and treatment of Mallet finger, you can visit Dr. Neagle in Carrollton, TX. To schedule an appointment with the hand and wrist specialist, call at (972) 492 – 1334.

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Lunate Dislocation: Causes, Symptoms & Treatment

by Administrator 21. August 2014 08:37

Lunate dislocation is a wrist injury that involves displacement of a small bone called the carpal bone in the wrist. The bone dislocates from its normal position and may occur due to falling from a height or an accident.

Causes

Some of the main causes of Lunate dislocation include

  • Trauma to the wrist due to falling on an outstretched hand
  • Severe wrist sprain
  • A malformed joint called congenital abnormality is more susceptible to dislocation
  • Sports that involve stress on wrist and hand
  • Repeated injury
  • Poor strength and flexibility of wrist

Symptoms

Major symptoms of Lunate dislocation are

  • Pain
  • Numbness
  • Tingling of fingers
  • Inflammation in the wrist and hand
  • Limited movement of the wrist and hand

Diagnosis

Regular X-ray is helpful in determining Lunate dislocation however it is not possible to get clear x-rays if the injuries are severe. The orthopedic doctor can also recommend a CT scan or MRI for the diagnosis of the condition.

Treatment

It is important to treat the Lunate dislocation as soon as possible. The patient should immediately consult a wrist and hand surgeon, who will evaluate the damage and the extent of the injury. The surgeon can use non-surgical or surgical methods to realign the Lunate bone so that it is properly oriented. Orthopedic doctors try to reposition the bone non-surgically and to reduce pain and swelling the doctor often prescribes some non-steroidal anti-inflammatory medicines. They may also suggest hot and cold therapy to reduce pain and inflammation. In case the symptoms still persist and the patient experiences pain and inflammation in wrist, then surgery is required to offer relief to the patient. In some cases a minor surgery is required to stabilize the bone so that it can heal properly. Surgeons may use pins through the skin to hold the dislocated bone which are removed later on. After surgery, the patient may take up to six months to recover completely. Physician often recommend certain strengthening and stretching exercises to regain strength and motion of the wrist.

In case of accidents however, Lunate Dislocation can occur along with fracture and ligament tears. The dislocated bone may press on the nerve that passes through the joint and may cause Carpel Tunnel Syndrome. Thus, surgeons may have to carry out additional surgeries to treat fractures, broken ligaments and Carpel Tunnel Syndrome. It is advisable to seek prompt medical assistance as immediate treatment may eliminate the chances of wrist arthritis and instability of wrist joint, etc.

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Hand Arthritis: Causes, Symptoms & Treatment

by Administrator 14. July 2014 06:16

Arthritis is a degenerative condition in which bones and joints become degraded over time and start losing their strength and functionality. Arthritis in the hand is a serious condition which can severely limit most of your functionality and deplete your hand strength. Apart from age-related causes, hand arthritis can also develop due to genetic and hereditary factors or as a result of injury to the hand. In the hand, there are four different areas which can be vulnerable to the development of arthritis and these are –

  • The wrist joint
  • The basilar joint – the joint between the wrist and the thumb
  • The DIP joint at the fingertips
  •  The knuckle joint or the PIP joint

With these vulnerable areas, cases of hand arthritis are commonly found in all parts of the world. With prompt orthopedic treatment, people affected by this debilitating condition can resume normal activities and regain the strength and flexibility of their hands.

Causes

Arthritis of the hand is usually caused by one of several different possible factors. The most common variety of arthritis is called Osteoarthritis, which is an age-related phenomenon and usually occurs in seniors. Due to age-related deterioration of joints, osteoarthritis is more likely to affect joints that are actively used and joints in the hand are particularly vulnerable. Arthritis of the hand can also develop as a result of injury or impact damage to the hand. With the joint that is already weakened, it is easier for arthritis to set in. Arthritis can also manifest itself if you have had surgery and last but not the least; arthritis can also be caused due to hereditary factors.

Symptoms

The primary symptom of hand arthritis is that severe pain is felt in and near the affected joint. The pain might get better after periods of rest and worsen after periods of heavy activity. There is also a pronounced loss of flexibility and motion of the joint and joint operation can be painful and difficult. There can also be instances of redness and inflammation at the affected joint.

Treatment

When detected early, hand arthritis can be treated non-surgically. Modes of treatment include lifestyle changes that allow affected people to avoid activities that aggravate the pain, splinting the joint to provide support, heat or ice treatment and the use of non-steroidal anti-inflammatory drugs. For people who have advanced cases of hand arthritis, there might be need for reconstructive surgery.

Dr. Neagle in Carrollton TX treats a wide range of hand and wrist conditions. For diagnosis or treatment of your hand or wrist problem, visit him at 4780 North Josey Lane, Carrollton, Texas 75010. You can also request an appointment with the hand surgeon  by calling at (972) 492-1334.

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Orthopedic Treatment For Carpal Tunnel Syndrome

by Administrator 15. May 2014 06:55

Carpel Tunnel Syndrome (CTS) is an extremely painful condition related to the hand, fingers and wrist. Carpel Tunnel Syndrome is caused by compression of a nerve or when the position of the tissue inside the Carpal Tunnel shifts. Carpal tunnel is the space between the bone and the wrist and CTS can be caused by repetitive movements and fluid retention.

Causes of this condition:

  • Swollen tendons
  • Insufficient activity of the thyroid gland or hypothyroidism
  • Tumor in the carpal tunnel
  • Stress or diabetes
  • Subjecting of the wrist to excessive vibration
  • Rheumatoid Arthritis
  • Genetics
  • Aromatase inhibitor drugs
  • A fall or blow to the wrist
  • Dislocation of the wrist

It can lead to the following symptoms:

  • Tingling, tiredness or numbness in the hand
  • Pain in the fingers or along the region covering their forearm
  • Discomfort during the night
  • Favoring the idea of shaking the hand for respite

Options for treatment:

The first step here is to set an appointment with a reputed orthopedic doctor. He will examine your wrist and inspect your condition to determine the extent of the condition. Disclose any information that he is seeking such as the time and cause the injury, extent of the pain and your medical history. He may even order tests and X-rays to discover possible causes of the disease and determine the extent of the damage. The wrist surgeon can also inquire about any other disease which could be a possible trigger for the condition and also about the nature of your occupation. Physical inspection of your neck, hand and shoulder, in addition to your wrist will provide the doctor with the much needed information to treat you properly.
If the nature of the condition is not severe, the hand surgeon might suggest:

  • Taking a break from all rigorous activities that involve using the wrist
  • Taking anti-inflammatory medicines and pain killers to keep swelling and pain at bay
  • Taking supplements
  • Icing the wrist or using a cold pack
  • Using a splint

If the extent of damage is declared extreme the orthopedic surgeon might recommend surgery though surgery is kept as a last resort. Usually other means of medication and healing are tried before surgical intervention is sought. During the post-surgery period, you would be asked to take rest and possibly undergo a physical therapy program.

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Orthopedic Treatment For Arthritis Hand Pain

by Administrator 21. April 2014 11:50

Arthritis of the hand can be a deterrent when it comes to carrying out daily activities smoothly. Whether it is tying a shoelace, or placing a fine thread though a needle, you could experience considerable difficulty in case you are affected by hand arthritis. Therefore, it is important to know its causes, symptoms, and how it can be treated effectively by an arthritis hand pain expert.

Hand arthritis is a term used to describe a condition wherein there is inflammation of one or more joints that make up the hand. The cartilage that is responsible for smooth movement of the hand joints gradually begins to recede, leading to onset of symptoms of hand arthritis. Fractures and dislocations in the hand can be a major reason for arthritis hand pain.

Some of the symptoms of arthritis hand pain include:

  • Pain in the joints
  • Difficulty in moving the hand
  • Burning sensations in the hand
  • Swelling that becomes more prominent after tasks that involve heavy usage of hands
  • Changes in the surrounding joints
  • Warmth in the hand; body’s inflammatory response to the condition
  • At times, a cyst could also develop in the hand or fingers

A hand surgeon will typically diagnose hand arthritis by using techniques such as X-rays and Magnetic Resonance Imaging, or MRI, as it is popularly known. At times it may so happen that a patient of hand arthritis will have nothing to show for the condition when an X-ray is done. In such situations, the expert may go in for a bone scan which is a far more effective way to ascertain the presence of hand arthritis.

The mode of treatment will largely depend on the extent of the condition and the causes for its occurrence. The patient’s age and his daily routine will also determine the form of treatment to be administered. As far as non-surgical methods for hand arthritis are concerned, certain medications and injections might help. In certain cases, a splint is worn during periods when the joints are exposed to maximum stress. This helps in supporting the joint and avoiding any further damage.

If the above methods fail to provide relief, surgery is the only way out. For this, a variety of methods are available. The form of surgery varies from patient to patient. A joint fusion is one of the most common procedures used. After the surgery has been conducted, a program of rehabilitation and therapy is recommended to restore the joints to full strength and functionality.

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