Procedures
Carpal Tunnel Syndrome
Carpal tunnel syndrome is a common condition involving numbness, pain, tingling and instability in the wrist, hand and fingers. It occurs when pressure is put on a nerve in the wrist called the median nerve, which controls motor function in the wrist and hand. This pressure, called impingement, is most often caused by bone spurs, rheumatoid arthritis, repetitive use or injury.
Carpal tunnel syndrome can be diagnosed with tests such as an electromyogram or a nerve conduction study. It can often be effectively treated with nonsurgical therapies such as wrist splints, anti-inflammatory drugs or corticosteroids. In cases where pain and numbness persist, surgery (usually endoscopic surgery) may be necessary to relieve pressure on the nerve.
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Trigger Finger
Trigger finger is a condition that involves one of the fingers becoming stuck in a bent position and then rapidly straightened like the trigger of a gun. This condition is caused by a narrowing of the sheath that surrounds the tendons in the finger, and is common in people who perform repetitive gripping actions. It is also more common in women and people with diabetes. Trigger finger causes stiffness, pain and may eventually lead to an inability to completely straighten the finger.
Mild cases of trigger finger can often be treated through conservative home methods such as rest, finger exercises and avoiding repetitive movements. More severe cases may need anti-inflammatory medication, steroids or surgery. Dr. Rombough will help you decide which treatment is best for you depending on your individual case.
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Bunion Surgery
A bunion is a common condition that involves an abnormal, bony bump at the base of the big toe, causing the joint to swell outward and become painful. The big toe may also turn inward toward the second toe as a result of the enlarged joint, which can then lead to difficulty walking, ingrown toenails and corns and calluses.
Bunions can form when there is an improper balance of forces exerted on the joints of the food, causing instability in the joint of the big toe. This often occurs as a result of shoes that do not fit properly, abnormal walking habits or an inherited foot type. Bunions can also be caused by injury, birth defects arthritis or certain neuromuscular disorders.
Although bunions are not usually a serious condition, they can be painful and embarrassing. If left untreated, they will usually grow larger and more painful over time. It is important to seek medical attention and discuss treatment options with your doctor.
Bunion treatment depends on the severity of the condition, although early treatment is considered most effective. Mild bunions may be relieved of pain simply by changing shoes, applying ice or taping your foot into a normal position. Medication, orthotics and physical therapy may also be recommended by your doctor. Surgical treatment, usually reserved for more severe cases, can improve pain, inflammation, deformities and stiffness.
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