Navigation Links
Got Pain?
Date:2/26/2009

New, less invasive treatments alleviate hand and wrist discomfort

LAS VEGAS, Feb. 26 /PRNewswire-USNewswire/ -- Tying a shoe, typing an email, opening a jar, texting on a Blackberry. The mobility of our fingers and wrists can often be taken for granted. That is until the throbbing pain begins, and interferes with simple, everyday tasks. According to new research presented at the 2009 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS) (http://www.aaos.org/), there are new alternatives other than surgery for hand and wrist pain.

"Outside of the brain, the hand is the most versatile part of the body," stated A. Lee Osterman, M.D. and professor of orthopedic and hand surgery at Thomas Jefferson University Hospital. "When the 27 bones, cartilage, joints, tendons and nerves in the hand do not work as they should, deformity, motion loss and disability become a painful reality for many people."

According to the latest numbers available, in 2006:

  • More than 3 million people visited their physician due to wrist pain and more than 7 million for hand and finger pain.

Common hand and finger problems can include arthritis in the base of the thumb, Dupuytren's Disease (a thickening of tissues causing the fingers to curl toward the palm) and nerve pain, explains Dr. Osterman. But new treatments, like arthroscopy, collagenase injections, nerve wraps, desensitization techniques, therapeutic techniques and neuroleptic medications -- both oral and injectable -- (examples include Vitamin C and Botulinum injections) have aided a hand surgeon's ability to combat these problems and get patients back to full function.

Arthritis of the Base of the Thumb and Finger (http://orthoinfo.aaos.org/topic.cfm?topic=A00210)

  • The second most common joint in the hand to develop arthritis. More common in women over 40.
  • Past injuries to the joint, such as a fracture or sprain, increase likelihood of arthritis.
  • Previous treatment options included: surgical and non-surgical care, splinting and/or pain medication.

"Arthroscopic treatment is a viable, newer option for people with thumb and finger arthritis," said Scott P. Steinmann, M.D., professor of orthopaedics at Mayo Clinic in Rochester, Minnesota. His recent study in the Journal of Hand Surgery showed that 94 percent of patients undergoing arthroscopic debridement procedures were partially or completely satisfied.

Dupuytren's Disease (http://orthoinfo.aaos.org/topic.cfm?topic=A00008)

  • Often starts with lumps in the palm. Firm cords begin to develop underneath the skin, stretching from the palm to the finger. Gradually, the cords cause the fingers to bend into the palm.
  • Dupuytren's contracture is more common in men over the age of 40.
  • Previous treatment included observation and surgery.

According to a recent study by Lawrence C. Hurst, M.D., professor and chairman, Department of Orthopaedics, SUNY at Stony Brook School of Medicine, "injection therapy, such as Clostridial collagenase (a substance intended to reduce the collagen buildup in the palm and disrupt the contracted cord) has now shown promising results for patients with Dupuytren's contracture."

Nerve pain (http://orthoinfo.aaos.org/topic.cfm?topic=A00016)

  • Nerves in the hand can be damaged by pressure, stretching or cutting.
  • Injury to the nerves can stop the transmission of signals to and from the brain and be painful when touched. Abnormal muscle function and injury can produce hand pain such complex regional pain syndrome (CRPS 1), or formally known as reflex sympathetic dystrophy (RSD) (http://orthoinfo.aaos.org/topic.cfm?topic=A00021).
  • Previous treatments included surgery and therapy.

L. Andrew Koman, M.D., professor and chair of the Department of Orthopaedic Surgery at Wake Forest University School of Medicine and president of the American Society for Surgery of the Hand (ASSH) is successfully using another type of injection therapy, Botulinum Toxins on patients with nerve pain. The results of this type of less invasive procedure are very favorable. Additionally, Koman said, "nerve pain may be diminished by environmental changes and newer biological materials."

Dr. Osterman concluded that "injuries, arthritis and aging affect hand mobility and these newer alternatives offer a bright outlook for patients."

Note: This topic will be the focus of a Media Briefing entitled: "Handling the Hand: New Treatments in Hand and Wrist Pain" on Thursday, February 26, in the Sands Expo Center, Venetian Hotel, Level One, Room 904 at 10:45 AM. Panelists include: Moderator: A. Lee Osterman, M.D.; L. Andrew Koman, M.D.; Scott P. Steinmann, M.D. and Lawrence Hurst, M.D.

www.orthoinfo.org

American Society for Surgery of the Hand (http://www.assh.org/)

About AAOS

(http://www6.aaos.org/news/Pemr/releases/release_boiler.cfm?category=40&releasenum=735)

    For more information, contact:
    Lauren L Pearson
    O (847) 384-4031
    C (224) 374-8610
    lpearson@aaos.org

    Catherine Dolf
    O (847) 384-4034
    C (847) 894-9112
    dolf@aaos.org



'/>"/>
SOURCE American Academy of Orthopaedic Surgeons
Copyright©2009 PR Newswire.
All rights reserved

Related medicine technology :

1. Knee Pain? An Exclusive Study Engineers Cartilage to Match Patients Own Tissue
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/12/2016)...   National Community Pharmacists Association (NCPA) CEO ... following statement today in response to the detailed "preferred ... for Medicare & Medicaid Services (CMS) and conducted in ... others: patient advocacy organizations and members ... full CMS analysis. Our initial reaction is that more ...
(Date:2/12/2016)... Feb. 12, 2016 /PRNewswire/ - Demers Ambulances announces its first delivery ... Okaloosa County Emergency Medical Services (EMS) ... and one LT2 van. Quality Emergency Vehicles in ... for the sale.  This is the latest in Demers, ongoing ... Vice President at Demers. --> Benoit LaFortune , ...
(Date:2/12/2016)... , Feb. 12, 2016  Memorial Hermann Health System ... Dwight Howard to bring a one-of-a-kind experience to ... Using cutting-edge technologies such as 360-degree video and Google ... virtually, then literally – giving the patients and their ... it was all caught on video . ...
Breaking Medicine Technology:
(Date:2/13/2016)... ... February 13, 2016 , ... ... Society (INS) states that vein visualization technology should be used to ensure patient ... around the world, the INS Standards mandate the use of vein visualization technology ...
(Date:2/13/2016)... (PRWEB) , ... February 13, 2016 , ... ... Tech Outlook’s top Clinical Data Management Solution Providers list for its expertise in ... functional and domain expertise to serve the technology needs of global clients. DDi ...
(Date:2/12/2016)... ... February 12, 2016 , ... ... Siemens Foundation-PATH Ingenuity Fellowships—to develop the advanced skills needed to introduce and ... U.S. universities who will draw from Siemens’ deep knowledge of product development ...
(Date:2/12/2016)... ... ... Each year, the American Physical Therapy Association (APTA) offers a Combined Sections Meeting. ... Almost 10,000 physical therapists across the country are expected to attend this annual convention ... field and network with their colleagues. As in years past, HydroWorx is proud ...
(Date:2/12/2016)... ... February 12, 2016 , ... The ThedaCare Center for Healthcare ... Hospital on April 5-7. The series is a multi-day, multi-workshop event designed to ... cover a broad range of topics, including coaching skills, the scientific method of ...
Breaking Medicine News(10 mins):