Hand Surgery St. Petersburg
Carpal Tunnel Surgery
Carpal tunnel surgery may be required when carpal tunnel syndrome refractory to conservative treatment exists. What patients must realize is that carpal tunnel syndrome is a process that causes irreversible damage. To confirm the presence of carpal tunnel syndrome, a nerve conduction study is required. This coupled with a physical exam will help determine whether or not surgery is recommended. Carpal tunnel surgery is done to stop the process and prevent further irreversible damage from occurring. The surgery requires a small incision in the palm that is usually not visible once healed.
Dupuytren’s Disease, or Dupuytren’s Contracture, is a condition where the fascia, a layer of connective tissue beneath the skin, progressively contracts leading to pain and impaired motion. Left untreated, the process can lead to permanent loss of motion. While the standard of care is to remove the diseased fascia, the condition can be temporized by injecting Xiaflex to break up constricting cords or by small incisions.
Trigger finger, or stenosing tenosynovitis, occurs when flexor tendons develop a bulge preventing smooth gliding through pulleys in the palm. Treatment involves steroid injections in mild cases to surgery in more severe cases. The surgery is done on an outpatient basis with little to no downtime.
Tendon repairs are necessary when a rupture or laceration occurs to flexor or extensor tendons of the hand and wrist. Improvements in outcome of hand surgery is largely due to the post operative hand therapy. Regardless of who your hand surgeon is, make sure your post operative care involves a certified hand therapist (CHT). The best hand surgery can be undone without the guidance of a CHT.