Our hands are vital assets to even the most basic day-to-day activities. Their fragile bone structure and intricate network of tendons and nerves makes them vulnerable to injury or pain, and a loss of function can severely complicate daily living.
Hand Conditions and Injuries Treated at Bucks County Orthopedic Specialists
The Bucks County Orthopedic Specialists’ hand surgeons and physicians are fellowship trained in advanced hand and wrist procedures; spanning from the most common of hand conditions, such as carpal tunnel syndrome, to the care of more complex problems and procedures, such as congenital hand deformities, hand or wrist reconstructions and total wrist replacements.
Some of the more common conditions treated at Bucks County Orthopedic Specialists (BCOS) include:
• Carpal tunnel syndrome (CTS)
• Trigger finger
• Hand or wrist fractures
• Hand or wrist sprains
• Finger or wrist arthritis
• Tendon ruptures or lacerations
• Nerve injuries
• Nerve compressions
• Hand or wrist contractures
• Hand or wrist deformities
• Dupuytren’s contractures
• Skier’s (Gamekeeper’s) thumb
The BCOS Treatment Experience
The hand specialists at BCOS tailor each treatment approach to the needs of the individual patient. “Treatment starts from the simplest conservative care and progresses to more complex reconstructions or replacements, if necessary,” said Dr. Jung Park, M.D. “Our goal is to help our patients return to their daily lives through the safest and fastest treatment options available to them.”
Dr. Jung Park joined BCOS in 2013 and specializes in hand and upper extremity surgery, along with general orthopedics. He provides specialized treatment options for patients of all ages, from newborns with congenital hand deformities to elderly patients with end stage arthritis.
“We offer some of the top treatments to our patients to ensure their comfort and quick recovery,” said Dr. Park. “For example, for Dupuytren’s contracture, we provide in-office enzymatic needle injections and manipulation as an alternative to the traditional open fasciectomy. These injections are minimally invasive and results can be as effective as the traditional methods.”
Most hand or wrist surgeries that are conducted by BCOS surgeons can be performed under local anesthesia, which has numerous benefits:
Many patients are able to drive themselves to and from surgery since no sedation is needed
Patients do not need to fast the night before
Local anesthesia delivers very minimal, if any, side effects
Spotlight: Trigger Finger
Trigger finger is one of the most common hand issues treated by the hand specialists at BCOS. It occurs when inflammation narrows the space within the sheath that surrounds the tendon in the affected finger, limiting its natural gliding motion.
Signs and symptoms of trigger finger may progress from mild to severe, and can range from simple tenderness and pain with movement to active triggering with a feeling of locking and catching with motion. If severe enough, some may even experience an inability to fully flex or straighten the finger.
Some individuals may be at a greater risk for developing trigger finger than others. It is most commonly seen in individuals whose occupation or hobbies involve repetitive hand use and prolonged gripping, which can strain the hand. Diseases, such as diabetes, hyperthyroidism, rheumatoid arthritis, and tuberculosis, are also closely linked to an increased risk of trigger finger. This hand issue is most commonly found in women.
Treatment options for trigger finger can include rest with a splint, NSAIDS, steroid injections and lastly if necessary, surgical release, which can be done under local anesthesia. While treatment is different for every patient, the most prevalent and very effective treatment option is steroid injections, which yield a 70% resolution rate.