Category Archives: General

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Three Ways To Show Your Hands Some Love This Valentine’s Day

Skip the expensive chocolates and weekend getaways this Valentine’s Day! Whether you’re single or happily enjoying life with a romantic partner, your hands deserve some pampering and love this Valentine’s Day. Between the winter weather and the wear and tear of an active lifestyle, your hands are most prone to injuries requiring tendon and ligament repair during the winter months. While these injuries cannot always be prevented, there are a number of delightfully luxurious ways to combine showing your hands some love with improving the overall health of your hands and wrists. Here are our top tips for hand care this Valentine’s Day.

 

Top Three Ways To Pamper Your Hands6249394_l

  1. Hand Massages: More than a simple luxury, this gift to your hands offers a number of proven health benefits that include increased range of motion in your hands and wrists, improved circulation through fingers and hands, and reduction of trigger points that can cause painful injuries and chronic pain. Additionally, hand massages have been proven to be an effective, natural pain relief treatment option.
  2. Healthy Manicures: Your nails are comprised of living skin cells. These skin cells need just as much care as the rest of your hands. A healthy manicure can provide an hour of relaxation and a host of health benefits. These benefits include increased circulation in the fingers, more effective distribution of body heat during the winter months and healthier skin that is less prone to cracking and lacerations.
  3. Upgraded Handwear: Whether you’re an avid golfer or are simply spending a large portion of your day driving, the wear and tear of these activities can result in chronic pain and injuries in your hands. This is the year to gift yourself with top tier gloves to protect and cushion your hands during these activities.

 

Whether you’re currently suffering from chronic hand pain, are looking to pamper yourself while protecting your hand health, or are looking for the perfect Valentine’s Day gift for a loved one who is recovering from ligament and tendon repair surgery, massages, manicures, and upgraded handwear show you care. Call New Jersey Hand and Wrist specialists today to learn more about overall hand health or to request an appointment to discuss a painful condition.


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Hand Health For Musicians: What Pianists, Violinists, and Other Musicians Should Know

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As musicians, our hands are our livelihoods. They are the vehicles through which we are able to create and express ourselves. When pain or injury interferes with their functioning, our craft and emotional well-being suffers. Due to the repetitive nature of playing instruments such as the piano and violin, musicians are at an increased risk for the following hand injuries.

● Carpal Tunnel Syndrome7957188_l
● Tendonitis
● Bursitis
● Thoracic Outlet Syndrome
● Cubital Tunnel Syndrome
● And more…

While finding and working closely with a reputable hand and wrist specialist is highly recommended — particularly for professional musicians — there are a number of steps you can take on your own to ensure healthy, musical hands. Our specialists have compiled a list of the three best steps you can take on a daily basis to improve your overall hand health.

Tips For Hand Health: What Musicians Need To Know
1. Perfecting Technique: Poor technique is the fastest route to hand injuries for musicians. Why is technique so important? Proper technique allows musicians to reduce the amount of force required to perform, keeps joints safely in their middle range of motion during practices and performances, and utilizes larger muscles groups that prevent fixed or tense positioning. All of this leads to a decrease in the chances of a hand injury.
2. Take Five: Taking regular and scheduled breaks to stretch and warm up during practices gives your muscles and joints relief from the repetitive motions of practice and performance. Furthermore, the constant repetitive motions prevent your joints and muscles from releasing the metabolic waste products that, over time, cause trauma to your hands.
3. Pace Yourself: When is the most common time for hand injuries in musicians? Immediately following a competition or recital, music camp, or at the end of their participation in a music group. Why? Lack of pacing. During each of these time periods, musicians are going full force all the time. They are “cramming” for their concert, endlessly practicing during camp, or performing non-stop with their musical groups. Therefore, their joints and muscles are being overworked and overstressed, and these musicians often suffer serious injuries. Avoid this pitfall by pacing yourself. Resist the urge to go non-stop. Give your hands a rest day.

Following the above advice can keep your hands in mint condition through performance after performance. Anyone suffering from recurring pain or a reduction in available range of motion should consult and hand and wrist specialist for a proper diagnosis. Request an appointment with us today if you are worried about your hand health.


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Cold Hands: What Causes Them and When To Seek Treatment

Are your hands always cold, even indoors where the heat is blasting and everyone around you is shedding layers? It turns out that this is more common than most people believe and sometimes requires medical attention. Our Hand and Wrist specialists have compiled an easy to understand overview of the causes of cold hands and some signs for knowing when to request an appointment for a consultation with one of our team of medical professionals. Read on to learn why your hands are always frigid and to be sure you shouldn’t be looked at by our staff.

 

Causes of Cold Hands:

 

The causes of persistently cold hands – even in warm environments – can range from circulation issues to blood vessel damage. By far, the most common cause of constantly cold hands (and feet) is circulatory issues. Less frequently, blood vessel damage or conditions such as frostbite are to blame. But, on a less serious level, cold hands can be the result of anemia, diabetes, some medications, atherosclerosis, Buerger’s disease, and hypothyroidism. If the coldness in your hands persists or gets in the way of day to day functioning, consult a specialist to diagnose the cause and treat it appropriately.

 

When to Seek Medical Attention:

 

If you have recently been exposed to extreme cold, visit an emergency room immediately to rule out frostbite. If you have white patches or scabs on your hands, you should also visit the emergency6414185_l room immediately. You should visit our site to request an appointment with a specialist if you have previously been diagnosed with circulatory problems, diabetes, or other conditions that might inhibit the flow of blood to your hands. Lastly, if the pain persists or interferes with day-to-day functioning, consult a doctor.

 

Call us today, or visit our website, to speak with a NJ hand and wrist specialist about the specifics regarding your hands. Our team can diagnose your condition and treat you if necessary.

 


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Hand Care for Winter Sports

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Winter sports enthusiasts look forward to dropping temperatures as the snowy season approaches. Whether you are hitting the slopes or the rink, it is important to be aware of the potential risks various winter sports pose and how to prevent an injury. The following are common injuries associated with popular winter sports.10649303_l

 

  • While the design of the snowboard, which locks the feet and legs in position, makes an injury to the lower body less likely than in other winter sports, snowboarders often experience hand and wrist injuries. Most frequently, as a result of using the hands to break a fall, snowboarding can cause a fracture of the forearm or wrist.
  • In the event of a fall, many skiers keep their poles in hand while putting their arms out to catch themselves. The pressure of the pole on the hand, in addition to the impact of the fall itself, can cause a condition known as “skier’s thumb,” which is a tear or strain in the ligament of the thumb.
  • Ice Skating. While ice skating, falling with an outstretched arm can often lead to wrist fractures and other injuries.

 

Take the following measures to avoid suffering a hand and wrist injury while participating in your favorite winter sport.

 

  • Dress Warmly. Falls often occur because the fingertips and other extremities become stiff and you are unable to maneuver effectively.
  • Gear Up. Wrist guards are highly effective in preventing common winter sports injuries.
  • Give Your Equipment a Check Up. At the beginning of the season, take your winter sports equipment to a sporting goods store to ensure that everything is functional.
  • Fall Properly. Know and practice the safest falling techniques for your sport:
    • When snowboarding, keep your arms to the sides of your body as you fall to spread the impact of the crash.
    • When skiing, be sure to throw the poles out of your hands as you are falling to avoid skier’s thumb.
    • While ice skating, if you feel that you are about to fall, squat down and reach your arms out in front of you. This position is known as a “dip.”

 

If you have already suffered a winter sports-related hand or wrist injury or are unsure whether a previous injury precludes you from partaking in winter sports this year, request an appointment with a specialist at New Jersey Hand & Wrist.


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Motorcycles and Throttle Hand Pain: Why It Happens, and How to Prevent and Treat

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It’s officially fall, and, as any avid motorcyclist can tell you, the perfect season for a long weekend cruise out in the countryside to spot the changing leaves. But a fun weekend can turn into an excruciating–and dangerous–experience if you’re suffering the severe, shooting pain, numbness, or tingling many bikers experience in their throttle hand. Read on to learn more about the conditions that may be causing the pain–and some tips for avoiding it!

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What Happens

Usually, the pain is the result of grasping the throttle at a certain angle for an extended amount of time; your muscles cramp, compressing the nerves, which in turn causes pain and tingling. You may also have developed carpal tunnel syndrome or a form of tendonitis, so if this pain has become a recurring issue each time you ride, see a specialist. If your are already suffering from any hand or wrist conditions, deformities, or other issues, they may not improve without physical therapy, surgery or other medical intervention.

Prevention

There are several ways to prevent the pain and numbness associated with long rides.

Gloves: Always wear gloves with appropriate padding. Replace older gloves, which may have worn down or overly-compressed padding.

Throttle Rests and Assists: Throttle rests can help relieve some of the pressure on your wrist. They’re simple, inexpensive supportive devices that attach to the throttle–many are under $20. Throttle assists make it so that you don’t need to grip the throttle as tightly.

Grips: Consider replacing the grips on your bike with more comfortable versions–there are plenty designed specifically for this issue for under $50. Some even come with features like heating–terrific if you prefer the agility of thinner or fingerless gloves.

Warm Up, Cool Down, and Pull Over: Stretch and massage your fingers before and after going on rides, and at regular (try for hourly, minimum) intervals while you’re out.

Treatment

Non-invasive treatments include physical therapy, therapeutic massage, and, of course, rest–try to take a break from motorcycling for at least three days to give your hands and wrists a chance to heal.

Are you suffering from pain, numbness, or other symptoms in your throttle hand? Request an appointment with our specialists to find the treatment course that gets you back in weekend-warrior shape.


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When Crossing Fingers Isn’t Enough: Signs It’s Time to See A Doctor

From paper cuts to door disasters, we really put our fingers through the wringer going about our day-to-day lives. Given how much we use our hands, it’s not uncommon to accrue finger injuries. Although many of these injuries are not serious, some can result in permanent deformity, loss of function, or more serious consequences if left untreated. What’s more, certain aches and pains may be a symptom of a more serious problem. Use these tips to assess your injuries, and decide whether it’s time to visit the doctor.

Schedule An Appointment for as soon as possible

Chances are, your hands are vital to everyday, well, everything. They’re highly visible, so chances are, worsening or new symptoms probably won’t sneak up on you. They may, however, become something you’re learning to deal with–which can be dangerous if they’re actually a sign of an injury or condition with the potential to cause lasting harm. Keep an eye out for these signs, and if you spot them, schedule an appointment with a medical professional as soon as possible–i.e, within the next week or day depending on the condition. Some of these, if especially pronounced or occurring suddenly, merit an emergency room visit ASAP (especially infections–don’t mess around with those). Better safe than sorry!

  • If there is severe pain, chronic pain (lasting more than several days), or sharp pain associated with a particular motion
  • If there is numbness (loss of sensation) in part of finger
  • If the finger is pale or bluish in color
  • Redness, swelling, pus, and other signs of infection persisting despite careful cleansing and treatment–if you haven’t had a tetanus shot, this is especially high-priority
  • Subtle and gradual deformity of the finger or hand
  • Persistent stiffness in fingers or hand

Head to the Emergency Room–Right Now

These may be signs that something is seriously wrong, and needs to be treated immediately.

  • Heavy, uncontrollable bleeding
  • Exposed bones or tendons
  • Any laceration deeper than the top layer of skin
  • Sudden loss of sensation in large area of hand
  • Large area of missing or amputated tissue
  • Foreign objects in a wound that you are unable to remove
  • Severe and worsening signs of infection, including redness, swelling, pus, and discoloration at site and/or fever
  • Sudden and obvious deformity of finger or hand
  • Inability to move fingers or hand

Concerned about an injury to your hands or wrists that definitely isn’t an emergency, but is worrisome or painful? Request an appointment, or log on during business hours to use the chat.


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Common Finger Injuries

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Finger injuries range from skin deep to bone breaks, and everything in between. Understanding the nature of your injury will help you better communicate with physicians and assess the severity of the situation.

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Avulsion

An avulsion refers to an injury where part of the skin or soft tissue is torn away. This kind of injury is often the result of bites.

Amputation

In an amputation, tissue is completely lost or removed from the finger–like an avulsion, but completely detached and usually sliced off instead of torn.

Breaks and Fractures

Each finger has three bones; the proximal, middle and distal phalanx; the thumb has only proximal and distal phalanges. Usually, fractures or breaks in these areas are accompanied by tenderness and swelling caused by damage to the surrounding tissues. Breaks and fractures can be caused by jamming or crushing fingers. Athletes who use their hands, such as basketball or volleyball players, and especially susceptible.

Burns

Burns can be caused by chemical exposure, UV rays, and heat. They are classified according to severity.

  • First degree burns, such as (most) sunburns, are characterized by inflammation, swelling, and redness.
  • Deeper second degree burns are also accompanied by blisters.
  • Third degree burns, the deepest and most severe of burns, go deep enough to effectively kill an area of skin and may look white. Ironically, because nerves in the area are dead, these injuries are often painless.

Dislocation

Dislocations are injuries which cause bones to move out of normal alignment with joints. It’s very common for dislocation to damage the surrounding ligaments, which may be torn or stretched, resulting in pain and injury even after the bone and joint have been successfully realigned.

Fingernail Injuries

Nail injuries are very common, and generally not serious–however, it’s important to watch these injuries for infections, ingrowth, and, in cases where nails are broken by trauma, for damage to the tissue and bones in the finger.

  • Infections: Infections may be caused by nail biting or ingrowth.
    • A paronychia is an infection in the area when the nail meets the finger.
  • Subungal hematoma: This describes a condition where blood collects under the nail (like a blood blister). In sever cases, it may need to be drained.

Laceration

A laceration is simply a cut through soft tissue. It can be a shallow cut through the flesh, to a cut through blood vessels, through nerves, or tendons.

Ligament Injuries

Ligament is the tissue that connects bones. Stretched or otherwise damaged ligaments leave joints and bones unstable.

  • Skier’s thumb: Also known as gamekeeper’s thumb, the injury is the result of a tear in the ligament between your thumb and palm (think a skier falling, palm outstretched, onto their ski pole)
  • Swan neck deformity: This deformity occurs after the ligament on the palm side of the finger is torn and left to heal untreated, resulting in “swan neck” look to the finger, which will bend in a curve.

Tendon Injuries

Tendons connect muscle to bone, and lie relatively close the the surface of the finger. Because of this, they may easily be damaged by cuts.

  • Mallet finger: Mallet finger describes an injury when the tendon that extends your finger straight is torn from the bone in the end of the finger, resulting in an inability to completely straighten that finger.
  • Boutonniere deformity: When the tendon over the backside of the finger is torn between the bone in the middle of the finger and the bone closest, the result is boutonniere deformity: an inability to straighten that middle joint.

Nerve Injuries

Four nerves provide sensation to the fingers, two of which run along each side of each finger. Damage to these nerves can cause numbness or tingling.

Think you may have a serious finger injury, or worried that an old injury healed incorrectly? Request an appointment with our specialists.


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Hand and Wrist Health For Gamers

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If you hear gamer and think teen boy, think again. The demographics of gamers are rapidly diversifying, with more and more people in all age groups and both genders getting in on the action. Whether using mobile devices, laptops, or consoles, gamers are at risk for developing hand and wrist injuries, especially those caused by repetitive motion. Here, some tips to keep you and the gamers you love safe–whether they’re your kids or grandparents!

Ergonomics, ergonomics, ergonomics

Ergonomics are crucial to all gamers, but especially for computer gamers, who are more likely to be locked in one position between their desk and chair. Here are the basics:

Monitor(s) or Screens: Should be at eye level so that you do not need to lean forward to view.

Feet: Should be firmly on the floor.

Chair: Should offer firm neck and back support.

Why do these things matter to your hands and wrists? Because if one part of your body is off balance, chances are, the rest of your body will try to correct the issue by doing something not-quite-natural–like bending the wrist at an uncomfortable and unnatural angle. Even little things like that can add up when gaming for hours on end.

Focus on the Thumb

Mobile and console gamers tend to use their thumbs disproportionately–putting this dexterous digit at heightened risk for injury. Focus on daily stretches specific to the thumb, using a solid surface or your other hand to gently stretch the thumb in the opposite directions it moves while gaming. Livestrong offers an excellent roundup of thumb specific stretches here.

Use Gaming Time to Get Fit

Fitness is just all-around good for you. Instead of just vegging out while you play, try sitting on an exercise ball, or keeping a mini-stationary bike at your feet to use. It won’t replace the cardio you should get each week, but it’s a small step to make gaming a little healthier overall.

Take Breaks

One break every hour–minimum. Set an alarm if you need to. Pause, log out, whatever you need to do and take 5-10 minutes to stretch your hands and wrists. Here are some great ones to start with.

Hand or wrist pain getting in the way of your gaming? Request an appointment with our experts today!


Playing the piano, writing a memoir, painting a landscape, cooking that perfect souffle — a full life is hands-on. Our team knows that you don’t need to be a surgeon for your hands to be invaluable. That’s why they’ve devoted their professional careers to treating conditions affecting the hands and upper extremities, including wrists and elbows. If you are struggling with pain or reduced mobility, please contact us today to request an appointment.