Carpal Tunnel

Carpal tunnel syndrome occurs when one of the major sensory and motor nerves to the hand is constricted by the bones and ligaments of the wrist. Endoscopic carpal tunnel surgery helps to decrease numbness and tingling in the hand, preserve strength of the thumb, and reduce pain with a smaller incision and quicker recovery than classic open carpal tunnel surgery.

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Hand Rejuvenation

You may be considering hand rejuvenation.  Our hands are one of the most visible parts of our bodies.  We shake hands, use them to convey expression and emotion, and even place important symbols upon them.  Unfortunately, they are also one of the first places that the signs of aging can show.  Luckily, there are some things that you can do today to improve the appearance of your hands immediately, and for years to come.

Prevent Solar Damage:  One way to improve the appearance of the hands is to prevent solar damage.  Regular use of a UVA and UVB sunscreen, with an SPF of 30 or greater, can help to prevent the appearance brown spots.  Not only will your hands look better, but it will also diminish overall sun damage, decreasing your risk of skin cancer in the future.

Improve Color and Texture:  Another important step in hand rejuvenation is to improve skin color and texture.  Regular use of a moisturizer as well as an exfoliating cream will help to reverse the appearance of dry skin in the fall and winter months. The addition of a vitamin C or hydroquinone product can also improve the overall color and quality of the skin.  Stronger formulations of these medicines require the assistance of your doctor.  Our office staff can help you find the formulation that will work best for you.

Fillers:  One of the most exciting additions to hand rejuvenation is the use of fillers to make the hand appear more youthful, and hide the appearance of veins and tendons.  Calcium hydroxylapatite (one brand name is Radiesse) has now been approved for use in the hands.  When placed by a board certified plastic surgeon, this product can safely recreate the appearance of a youthful hand.  Over time, the calcium hydroxylapatite will stimulate the production of collagen, a naturally occurring protein which provides strength and elasticity to the tissues.  The benefits of a filler for the hands is seen immediately.  Injection takes only a few minutes out of your day, and will last for about one year.

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Trigger Finger

Trigger finger happens when the tendons that bend the fingers to the palm become thickened. Dr. Sadowski will help you select from multiple treatments for this problem, some of which do not require surgery.

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Dupuytren’s Disease causes the tissues under the skin of the palm and fingers to thicken and shorten. Xiaflex is an injectable medication which can break up the thickened tissues, allowing better hand and finger mobility without surgery.

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