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Tennis Elbow: Sometimes Doing Nothing is Better

Google tennis elbow or lateral epicondylitis, and you will find a thousand different treatment options for this condition. This proliferation of remedies tells us two things: lateral epicondylitis is a very common condition, and perhaps we don’t know how best to treat it! Believe it or not–doing nothing truly seems to work better than doing … Continued

Treatment Options for Thumb Arthritis

Thumb arthritis is degeneration of the joint at the base of the thumb metacarpal. It usually is the trapezium/metacarpal joint (TMC) but can be the joint below as well. This is where the thumb meets the wrist. It is much more common in women and can be related to loose ligaments. When bracing and steroid … Continued

Aponeurotomy or Surgery for Dupuytren’s Contracture

Many times, patients are told that they do not require surgery. A painless bump or a ‘cord’ does not need intervention if it does not cause a contracture. Indications for intervention are a contracture of the metacarpophalangeal joint (knuckle) of 40° or any contracture of the proximal interphalangeal joint (the first joint of the finger). … Continued

Carpal Tunnel Release Procedures

Open vs. Endoscopic CTS An endoscopic carpal tunnel release is a surgical procedure that requires your surgeon to use an endoscope to visualize the median nerve and release the transverse carpal ligament. Unfortunately, there is no proven benefit from undergoing an endoscopic carpal tunnel release versus a mini-open carpal tunnel release. The only proven treatment … Continued

Treating TFCC Tears

The triangular fibrocartilaginous complex (TFCC) is a structure on the small finger side of the wrist. It is the main stabilizer to the wrist in rotation (pronation and supination). It also cushions and supports the small bones of the wrist, especially when gripping. An injury to the TFCC can cause chronic wrist pain. Treatment options … Continued

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