Hot vs Cold: When to Ice or Heat an Injury

A common question doctors and physical therapists often hear from patients is whether to use hot or cold therapy on an injury. Both are inexpensive and extremely effective modalities that can assist in healing and speeding up recovery.

Hot Treatments
Heat can come in the form of heated packs, warm compresses, hot baths, or other forms of hydrotherapy. These hot therapies warm up the skin and tissue, which stimulates blood flow in the affected area. Increased blood flow improves range of motion and flexibility by delivering oxygen and nutrients to the muscles and joints. By reducing tension, muscles can relax, which helps to relieve pain. Gentle stretching and other anaerobic exercises performed at home can also increase the treatment’s effectiveness. People beginning physical or occupational therapy sessions typically benefit most from hot treatments.

Cold Treatments
Ice packs, gel packs, cold wraps, cold baths, or other forms of hydrotherapy are all viable options for cold therapy. By cooling the skin and soft tissues, inflammation is reduced, slowing down blood flow and preventing swelling in the affected area. Following exercise or therapy, cold treatments are particularly effective. People who suffer from sprains, strains, fractures, or other injuries generally benefit most from cold therapy. Also, cold treatments are useful for reducing arthritis swelling.

While both treatments are beneficial in certain instances, it is imperative to mind the following safety tips before applying either therapy.

  1. Never place either treatment directly on the skin. Always use a thin towel or cloth between the hot or cold application and your skin to act as a barrier.
  2. Always treat the affected area for 15 minutes or less. Remove the application and let your skin normalize to room temperature (about 10 minutes) before re-applying the treatment. Never fall asleep or leave either hot or cold treatment on your skin for a prolonged period.
  3. Check the temperature before applying it to your skin. Hot treatments should not be scalding, and cold should be barely uncomfortable but not unbearable.
  4.  While undergoing treatment, check your skin every five minutes to ensure there is no excessive redness, swelling, burning, freezing, or overall inadequate sensations.

For more information about hot or cold therapy or to speak with someone who can advise whether either treatment would be right for you, call the specialists at MI Hand & Wrist today.

Michigan Hand & Wrist was founded in 2001 with the mission to provide the highest-quality care for patients seeking surgical or non-surgical hand or upper extremity relief. Our goal is to exhaust all non-operative measures before discussing or moving on to surgical interventions. We offer on-site physical therapy from therapists committed to improving your quality of life. Our individualized treatments are modern, progressive, and exceptional. Contact us today at www.michiganhandandwrist.com or call 248-596-0412.

Written by the digital marketing staff at Creative Programs & Systems: www.cpsmi.com.

Four Common Types of Hand Tumors

Tumors within the hand can be many different shapes and sizes. Technically, tumors can be cancerous, but most are benign. Common hand and wrist tumors are both above and below the skin.

Warts
These extremely common bumps are non-cancerous and spread due to the human papillomavirus (HPV) easily. Warts are mostly harmless but can be embarrassing, rough or dry, and itchy. Many wart-removal procedures exist, and it is possible to remove them at home effectively. Pumice stones, over-the-counter freezing kits, or certain chemicals are all viable options.

Ganglion Cysts
Some of the most common tumors in the hand, ganglion cysts, can fluctuate in size and appearance. They might be soft or firm, appearing on the wrist or base of a finger. Sometimes these cysts can appear to be smaller than a pea. The cause of these tumors is unknown, and they might be painful. Treatment options include aspiration or surgical removal.

Giant Cell Tumors
The second most common tumors are usually solid and not filled with liquid. Over time, they may slowly grow larger. These tumors are not cancerous.

Epidermal Inclusion
Also benign, these tumors can form where a cut or puncture previously occurred. A soft, waxy material called keratin is what makes up most of the tumor.

One condition that is commonly mistaken for a tumor is Dupuytren’s contracture. This condition causes firm pits, bumps, and cords in the palm, making it difficult to flatten completely. However, it is not technically a tumor.

A specialist should examine hand or wrist tumors to ensure they are benign. Hand surgeons can help devise treatment options through x-rays or bone scans. While sometimes the best option is to leave it alone, other times surgery might be required. There are also many non-surgical options.  

To make an appointment with a hand and wrist specialist to examine a tumor or growth, contact the Michigan Hand & Wrist experts today.

Michigan Hand & Wrist was founded in 2001 with the mission to provide the highest-quality care for patients seeking surgical or non-surgical hand or upper extremity relief. Our goal is to exhaust all non-operative measures before discussing or moving on to surgical interventions. We offer on-site physical therapy from therapists committed to improving your quality of life. Our individualized treatments are modern, progressive, and exceptional. Contact us today at www.michiganhandandwrist.com or call 248-596-0412.

Written by the digital marketing staff at Creative Programs & Systems: www.cpsmi.com.

Tips to Avoid Winter Sports Injuries

Chilly weather means the start of winter sports for many athletes. While most people generally associate sports injuries with warmer months, realistically, they can happen any time. It is essential to understand what to do if you find yourself in a situation that might result in bodily harm.

Sledding
For many of us, this pastime seems harmless; however, the dangers of sledding are linked to running into objects at high speeds or falling off the sled. Concussions and broken bones are common results of these accidents.

  • Wear a helmet
  • Ensure your path is totally clear
  • Face forward in a seated position; do not glide down the hill head-first
  • Sled during the day or in well-lit areas at night
  • For extra protection and warmth, pile on layers of clothing

Skiing & Snowboarding
Zipping down a hill at lightning-fast speeds with little to no protection can be an accident waiting to happen. Many body parts are at risk of injury while skiing or snowboarding.

  • Learn the proper form and technique before you take to the slopes
  • Fit your gear adequately and wear a helmet
  • Choose ski runs that are appropriate for your ability
  • Stay hydrated and take frequent breaks if you are tired
  • Stretch before hitting the slopes
  • Avoid using your arms to break your fall

Ice Skating
Enjoyed by figure skaters and hobbyists alike, ankle sprains, fractures, wrist and hand injuries, along with ACL tears are frequently found on the rink.

  • Ensure your skates fit properly
  • Stretch before skirting across the ice
  • Pay attention to your balance and maintain correct posture
  • Avoid performing tricks unless you have been adequately trained
  • Watch for ice chips, cracks, and other hazards
  • Protect your hands and wrists by keeping them near your body when falling
  • Wear a helmet as a learning beginner

Ice Hockey
This sport often involves collisions with other players, pucks, sticks, boards, plexiglass, and more. Injuries resulting from ice hockey include sprains, tears, strains, fractures, dislocations, concussions, muscle pulls, broken teeth, spine injuries, and muscle pulls. The list of damages done to your body can be extensive, so it is imperative to take the proper precautions.

  • Wear all protective equipment, making sure none of it is damaged
  • Master basic ice skating skills (forward, backward, quick stop, etc.)
  • Stretch and warm up before play
  • Stay hydrated and ensure you are in good physical condition
  • Know where to look: understand the rules of ice hockey
  • Treat injuries as soon as possible
  • Before a collision, avoid leading with your head or arms

Winter sports injuries can be preventable despite being fairly common. Follow safety guidelines to prevent getting hurt while still having fun.

If your hands or wrists have been injured during a sporting event, contact the specialists at MI Hand & Wrist today for a full evaluation and treatment plan.

Michigan Hand & Wrist was founded in 2001 with the mission to provide the highest-quality care for patients seeking surgical or non-surgical hand or upper extremity relief. Our goal is to exhaust all non-operative measures before discussing or moving on to surgical interventions. We offer on-site physical therapy from therapists committed to improving your quality of life. Our individualized treatments are modern, progressive, and exceptional. Contact us today at www.michiganhandandwrist.com or call 248-596-0412.

Written by the digital marketing staff at Creative Programs & Systems: www.cpsmi.com.

Causes of Hand & Wrist Pain

Our hands and wrists are often an afterthought when it comes to self-care. Many people are not proactive in protecting their extremities from damage despite the fact that they are vital to a number of daily activities. Fine motor functions wouldn’t be possible without our hand-eye coordination; thus, pain in the area can easily affect your overall quality of life. Read on to discover some common culprits of hand and wrist pain and how to manage them.

Arthritis: osteoarthritis is when cartilage (cushions for your bones) deteriorates over time. It is typically uncommon in the wrist, though it may occur in those who have suffered injuries in the past. Rheumatoid arthritis is a disorder in which the body’s immune system attacks the tissues. The wrists are commonly susceptible and both are usually involved. Basal (thumb) arthritis is recognized by pain at the thumb base and can be treated with splints, injections, and reconstructive surgery.

Tendonitis: an inflammation of the tendons, which connects muscle to bone. It is caused by repetitive use or sudden injury. Symptoms consist of pain in the tendon area, swelling, and loss of motion. Treatments include ice, rest, immobilization, and anti-inflammatory medications. Steroid injections are also sometimes recommended.

Carpal Tunnel Syndrome: affecting almost eight million people in America, this syndrome is marked by a numbness and tingling in the hand/arm, which is caused by a pinched nerve in the wrist. Symptoms include hand numbness, pin-and-needles sensation, wrist pain, and cramping. Splints are recommended in order to give the wrists a break, but anti-inflammatory drugs or surgery can be treatments as well.

Trigger finger: recognized when the tendons in the fingers or thumb become stuck in a bent position. Pain, popping sensation when using specific fingers, and stiffness are common symptoms. Treatment consists of immobilization, anti-inflammatory medication, restricting activities, and steroid injections.

Cubital Tunnel Syndrome: numb or tingling sensations in the ring and small fingers, forearm, and/or weakness in the hand are signs of this syndrome. Avoiding actions that cause the syndrome can help reduce symptoms. Wrapping a pillow or towel loosely around the elbow can help, as can wearing a splint at night while sleeping. Surgery is sometimes recommended in severe cases.

Ganglion Cyst: commonly found on the underside of wrists. Usually benign, they can quickly grow and change in size. Bigger cysts can be painful or limit wrist movement. Repetitive movements can cause the cysts to grow, while rest can help them subside. In severe cases, immobilization or non-surgical draining of the fluid is recommended. If the cyst returns, minor surgery for a full removal is sometimes required.

Repetitive Strain Injury: muscles, tendons, nerves, and ligaments are affected, caused by improper technique or overuse of the fingers, hands, and wrists. More than three million cases per year are reported in America. Anti-inflammatory drugs and physical therapy are most commonly prescribed.

De Quervain’s Tenosynovitis: marked pain on the thumb side of your wrist, swelling near the base of the thumb, inability to make a fist, strenuous to grasp objects, or difficulty moving the thumb. Treated with over-the-counter medications or steroids to reduce swelling, the exact cause hasn’t been proven.

For proper diagnosis of any of the above syndromes or diseases, contact the specialists at Michigan Hand & Wrist today. We not only diagnose, but we can also help you manage your symptoms and live pain-free.

Michigan Hand & Wrist was founded in 2001 with the mission to provide the highest-quality care for patients seeking surgical or non-surgical hand or upper extremity relief. Our goal is to exhaust all non-operative measures before discussing or moving on to surgical interventions. We offer on-site physical therapy from therapists committed to improving your quality of life. Our individualized treatments are modern, progressive, and exceptional. Contact us today at www.michiganhandandwrist.com or call 248-596-0412.

Written by the digital marketing staff at Creative Programs & Systems: www.cpsmi.com.

Ultrasound Guidance Following Carpal Tunnel Surgery Leads to Quicker Relief

Faster and longer-term relief from carpal tunnel can be achieved by using ultrasound-guided release. This treatment makes carpal tunnel release surgery safer and less-invasive than conventional open or endoscopic surgeries. Improvements in hand function and comfortability are also possible with ultrasound-guided carpal tunnel release (UGCTR.)

Researchers from Thomas Jefferson University Hospital investigated the long-term implications of UGCTR. They found patients had sustained improvements due to the smaller incisions and faster recovery up to one-year post-surgery.

Sarah I. Kamel, M.D., Assistant Professor of Radiology, said, “Our study demonstrates that ultrasound-guided carpal tunnel release can be performed safely, with high patient satisfaction and significant long-term relief. The rapid post-operative recovery and longstanding relief of symptoms suggest that ultrasound-guided carpal tunnel release may be advantageous to traditional surgical methods of transverse carpal ligament transection.”

Patients were required to fill out three questionnaires designed to assess their hand’s pain and function levels. Researchers used this data as a tool to measure and judge the outcomes. The patients provided answers pre-procedure, two-weeks post-procedure, and 1.7 years later. 

While two patients required follow-up surgery within eight to ten days following the first procedure, no patients experienced immediate complications. The team made two adjustments to avoid these outcomes in the future. They now include more extensive pre-procedural cleaning that extends around the forearm prior to draping. They perform two passes of the ligament transection to potentially decrease the risk of remnant tissue that may contribute to incomplete release.

These results point to the UGCTR procedure’s efficacy, but future investigations into follow-up and cost analysis are necessary. “Ultrasound-guided carpal tunnel release quickly improves hand function and reduces hand discomfort, with persistent improvement at one year. Ultrasound-guided carpal tunnel release may be a safe, effective, and less-invasive alternative to traditional open or endoscopic surgery, particularly in patients for whom traditional surgery may be high-risk or contraindicated,” said the team.

For more information on ultrasound guidance following carpal tunnel surgery, read the full journal report by the American Journal of Roentgenology. For carpal tunnel guidance, contact the professionals at Michigan Hand & Wrist today.

Michigan Hand & Wrist was founded in 2001 with the mission to provide the highest-quality care for patients seeking surgical or non-surgical hand or upper extremity relief. Our goal is to exhaust all non-operative measures before discussing or moving on to surgical interventions. We offer on-site physical therapy from therapists committed to improving your quality of life. Our individualized treatments are modern, progressive, and exceptional. Contact us today at www.michiganhandandwrist.com or call 248-596-0412.

Written by the digital marketing staff at Creative Programs & Systems: www.cpsmi.com.

Five Ways to Help Prevent Carpal Tunnel Syndrome

Carpal Tunnel is prevalent in today’s society; people typically associate the syndrome with years of heavy typing, computer use, and other office tasks. However, Carpal Tunnel can affect anyone who performs repetitive hand movements. Approximately 500,000 people undergo surgery each year; it is one of the most common hand operations. Thankfully, there are ways to prevent Carpal Tunnel by reducing the amount of pressure on your hands and wrists.

  1. Stretch Often
    A few hand stretches per day helps to loosen up ligaments and tendons. Make a fist with your hand, then extend your fingers until they point straight out. Repeat this process ten times. To modify this stretch, you can also fan your fingers out horizontally as far as you can.
  2. Be Ambidextrous
    Try to use your non-dominant hand to pick up or transfer objects, open doors, hold drinking cups, etc. This helps reduce pressure on your dominant hand due to repetitive movements.
  3. Loosen Grip
    Most people don’t realize they are over-exerting their hands when they write/hold a pen or pencil, type on a keyboard, hold a steering wheel, use tools, and other everyday tasks. Try to loosen your grip on these objects.
  4. Stay Warm
    Cold climates or environments can contribute to pain and stiffness. If necessary, warm up your surroundings by turning up the thermostat, use a space heater, or wear fingerless gloves while working. The heat will help stimulate blood flow, thus improving circulation and keeping hands and wrists loose.
  5. Maintain Posture
    One of the simplest ways to prevent Carpal Tunnel is to maintain proper posture. When slouching, your shoulders pull your neck and shoulder muscles forward, which causes the nerves to tighten. This domino-effect also affects your hands and wrists.

Are you or a loved one experiencing symptoms of Carpal Tunnel? Michigan Hand and Wrist specializes in assessing and consulting patients dealing with hand and other upper extremity issues. Check out our previous blog post to learn more about Carpal Tunnel.

Michigan Hand & Wrist was founded in 2001 with the mission to provide the highest-quality care for patients seeking surgical or non-surgical hand and upper extremity relief. Our goal is to exhaust all non-operative measures before discussing or moving on to surgical interventions. We offer on-site physical therapy with therapists committed to improving your quality of life. Our individualized treatments are modern, progressive, and exceptional. Contact us today at www.michiganhandandwrist.com or call 248-596-0412.

Written by the digital marketing staff at Creative Programs & Systems: www.cpsmi.com.

Carpal Tunnel Syndrome FAQ

What is carpal tunnel syndrome?It is a condition in which there is excessive pressure on the median nerve in the wrist that stimulates feeling and movement to parts of the hand. Carpal tunnel syndrome can lead to tingling, numbness, and muscle damage to the hand and fingers. What are the causes?Making the same hand and wrist movements repeatedly may cause the condition. It hasn’t been proven that typing on keyboards or using a mouse causes the condition, but these activities can contribute to tendonitis or bursitis. What are the symptoms?

  • Difficulty gripping objects
  • Numbness or tingling in the thumb, fingers, or palm
  • Pain in the wrist or hand
  • Pain extending to elbow 

 As the disease progresses, patients can develop a burning sensation or shooting pains in the forearm. Chronic carpal tunnel syndrome can also lead to atrophy of the hand muscles. How is it diagnosed?Often carpal tunnel takes the wrap for a myriad of conditions or diseases that involve pain of the hand and arm. The term is so well known but only 1 in 5 people with these symptoms actually have carpal tunnel syndrome. To establish a diagnosis, a clinician will evaluate your elbows, wrists, and arms for strength and flexibility imbalances, tissue adhesions, and muscle dysfunction. What are the treatment options?Current research supports the use of physical therapy to restore normal movements to the elbow, hand, and wrist. You can make changes in your home or at work to alleviate pain and pressure. Some medications, like Ibuprofen and Naproxen, are used to relieve symptoms temporarily. Corticosteroid injections can also be given in the carpal tunnel area to relieve pain. Surgery is usually a last resort option for those with chronic carpal tunnel syndrome, but has a very high success rate. If you are experiencing symptoms of carpal tunnel syndrome, the experts at Michigan Hand and Wrist offers comprehensive adult and pediatric care to treat this condition. Live your life pain-free and contact the experienced medical team at Michigan Hand and Wrist to begin your treatment.

Do I Have Wrist Tendonitis?

Are you experiencing difficulty and pain when moving your wrist? One of the most common causes of wrist pain is a condition called wrist tendonitis, also known as tenosynovitis. It’s characterized by irritation and inflammation of the tendons around the wrist joint, and is a fairly common condition. So, how do you know if you are experiencing wrist tendonitis?

Symptoms

  • difficulty moving wrist
  • pain in area of inflammation
  • swelling of surrounding soft tissue

How to Diagnose

Wrist tendonitis is most often diagnosed by looking for the characteristic symptoms. Symptoms are universal, but a more specific analysis is required to determine the precise location of the inflammation. A trained physician can perform stretch tests to determine exactly which tendon is the source of discomfort. One form of wrist tendonitis, called ‘DeQuervain’s tenosynovitis’, is the inflammation of the tendon at the base of the thumb. This form of tendonitis most commonly afflicts new mothers and is diagnosed using a specific test called ‘Finkelstein’s’ test’. This is just one example of the many forms of wrist tendonitis. Depending on the specific source of pain, there are a number of different treatment options available.

Treatments

Immobilization

Splinting the wrist is the first step towards treating wrist tendonitis. By restricting the tendon and allowing it to rest, inflammation and pain should decrease. 

Anti-inflammatory Medications

Anti-inflammatory medications are effective at decreasing inflammation and swelling in the soft tissue, which is the primary cause of the pain. This treatment, however effective, is not a permanent solution to an ongoing problem. 

Cortisone Injection

Cortisone is a powerful anti-inflammatory that is administered through injection directly at the source of pain. Again, this treatment may be only temporary and can weaken the tendons over time. 

Surgery

If the previously listed methods of treatment were deemed ineffective and the problem is recurring a doctor might recommend a surgical procedure. Through surgery, areas of the tendon and inflammatory tissue can be removed, allowing the tendon to move freely. If you are experiencing wrist pain it is highly recommended that you visit an orthopedic surgeon immediately. They can correctly diagnose your condition and recommend the correct treatment plan for your specific issue. For the most respected orthopedic surgeons in Michigan contact Michigan Hand and Wrist, P.C. and discuss with them your individualized treatment plan.

How to Find the Best Michigan Hand Doctor

You should never consider settling for anything less than the best medical services. Who wouldn’t want the most experienced and qualified medical professionals to deal with their healthcare matters? Here are some suggestions for finding a trustworthy medical professional.

It’s best to want a medical professional that graduated from a prestigious university, but that isn’t the only factor to consider. It is also a good idea to look into their experience. While you’re waiting at the physician’s office, look around at his or her diplomas and certificates and notice the names of the institutions they studied and served at. Later, use the internet to check on these institutions and to ensure they’re viable.

There are many reasons a physician might have had legal problems in the past. In the event of having a physician with prior legal problems, be sure to research the reasons why they may have occurred. It’s well worth the effort of investigating a potential physician to ensure that they are trustworthy.

A lot of people base their decision, when selecting a health care provider, by the proximity of the hand doctor to home and the ability to get to and from appointments. If you decide on a hand doctor doesn’t live in close proximity to you, it’s likely you could encounter problems when attempting to make it to appointments in a timely manner. Remember that, while in a rural area, extended time driving to a hand doctor’s office could keep you from completing other important activities.

It is important that their physician not only be skilled, educated and experienced, but pleasant as well. Some patients also consider the age of the physician to be of importance when making a decision. While some consider physicians that are older to be more experienced, and therefore of greater value as a physician, it can be a concern that these practitioners may well not have current knowledge, or be as accepting of new technology that has been unveiled in the medical world. Likewise, younger physicians are more likely to embrace new technologies for medical procedures, diagnosis, or special tests.

Detroit Hour Magazine has named Michigan Hand and Wrist as one of Michigan’s top doctors for the past three years! The highly skilled, board certified orthopedic surgeons at Michigan Hand and Wrist will treat your condition with the utmost care. Contact us today to eliminate your pain!

Is Hand or Wrist Surgery Right For You?

Dealing with hand and wrist pain can be endlessly frustrating in its ability to prevent you from interacting with the world around you.  Every daily activity can become a struggle.  Managing and treating wrist pain should always be a priority, but how do you know if surgery is a viable option?  Here are some of the most common conditions that can be treated with surgery:

Carpal Tunnel Syndrome

Carpal tunnel syndrome is caused by pressure on the median nerve in the hand and results in a pain, tingling, numbness, swelling, and weakness.  Surgery can relieve the pressure on the nerve by creating a small incision on the transverse carpal ligament and relieving the pressure. 

Recovery from this surgery usually takes about four to six weeks and may require hand therapy.

Tennis Elbow (Lateral Epicondylitis)

Tennis elbow, also commonly referred to as golfer’s elbow, is a type of painful tendonitis that results in pain on the outer side of the elbow and forearm.  Symptoms are typically most severe while gripping and lifting with the hand in specific positions.

Chronically irritated tissues can be removed though surgery, with the main goal to relieve pain. Surgery alleviates the symptoms of tennis elbow in around 70-90% of patients.

Ganglion Cyst

Ganglion cysts, which are small fluid-filled lumps, grow out of the tissues surrounding a joint.  While most commonly occurring on the back or underside of the wrist, they can appear on a number of joints on the hand. 

While mostly harmless, a ganglion cyst can put pressure on the nerves that pass through the joint, causing pain, tingling, and muscle weakness. If a ganglion cyst is recurring, or doesn’t respond to nonsurgical treatment, a procedure can be performed that removes the ganglion, as well as the involved joint capsule that’s considered its root.

To learn more about how hand and wrist surgery can help you eliminate your pain, contact the award-winning orthopedic surgeons at Michigan Hand and Wrist, P.C. and discuss with them your individualized treatment plan.