Hand surgery
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Hand surgery

Medical conditions and injuries to your hand can impair your ability to perform even the simplest of everyday tasks. Reconstructive surgery with Dr. Marshall can improve or restore lost function from injuries such as fractures, lacerations, damaged nerves or tendons, and amputations. He is also an expert at treating these conditions of the hand:

Carpal tunnel release.

If you frequently have numbness or tingling in your hands, especially your thumb and first three fingers, you may have a condition called carpal tunnel syndrome. This condition can eventually cause sharp, piercing pain that extends up your arm.

These symptoms happen when the median nerve in your wrist become compressed. This nerve, along with the tendons that help move your hand, pass through the carpal tunnel – a space inside your wrist that is bounded by bones and a tough band of connective tissue called a ligament. It’s a narrow space, and if the tendons become swollen they can press on the nerve. The result is carpal tunnel syndrome.

For some people with mild symptoms, treatments like wearing a brace or splint or having steroid injections can help. But long-term pressure can permanently damage the median nerve in your wrist. If you have had symptoms for six months or more, your best option may be carpal tunnel release surgery.

Dr. Marshall will first evaluate your condition to make sure surgery is your best choice. He will also explain each step of the surgery and recovery. Your surgery will follow this process:

  • You will have a local anesthetic to numb your wrist area. You may also have an IV medication to help you relax and be comfortable during the procedure.
  • An incision is made at the base of you palm, usually in one of the natural creases of your hand. This exposes the ligament that encloses the carpal tunnel.
  • A cut is made in the ligament, allowing a space to open up and give the tendons and median nerve more room.
  • Leaving the gap in the ligament open, the skin is closed with stitches. Under the skin, a scar will eventually grow across the newly opened area.
  • Your wrist and hand are bandaged to protect the incision as it heals.

Carpal tunnel release is outpatient surgery, and you’ll go home the same day. While you will probably have some pain from the surgery, you’re also likely to notice relief from your carpal tunnel syndrome symptoms. For many people, nighttime pain, tingling and numbness are the first to resolve. Other symptoms should start improving soon after. Depending on your job, you may return to work between a few days and several months after surgery.

Trigger finger.

You may have this condition if your finger hurts or catches during movement, or if you can’t straighten it. This happens because the tendon is irritated or thickened, making it difficult to slide inside its sheath. To relieve these symptoms, Dr. Marshall will make a small incision in your palm and cut the tendon sheath. After the sheath heals, the tendon has more room to move.

Dupuytren’s contracture.

With this condition, small, painless nodules form under the skin of your palm. Over time, they can make it difficult to straighten nearby fingers. Dr. Marshall may recommend an injection to relieve Dupuytren’s contracture symptoms. Surgery to release the contracture can also restore normal movement.

Ganglions.

These common cysts form near joints or tendons of the hand or wrist. It can be treated with a surgery that removes the ganglion along with part of the nearby joint capsule or tendon sheath.

Masses.

Abnormal lumps or bumps, sometimes called “tumors,” can occur on your hand. They are rarely cancerous. However, masses such as warts and moles, can be unsightly and irritating. Some masses should be biopsied to make sure they are benign. Dr. Marshall can remove masses from your hand with a simple, outpatient surgery done with local anesthesia.

Visit our Animated Video Library to view 3d animations on our various procedures.

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Those with a password can view real patient before and after photos.  If you’d like to gain access to this area, please contact our office at 406-327-3895.