Head & Neck
If you're dealing with neck pain, you know how frustrating it can be. Fortunately, you can try these simple strategies for managing neck pain.
This is a common neck injury. It happens when your neck jerks back and forth quickly and violently. Your spine bends past its normal range of motion. This can injure the vertebrae of your cervical spine. It can damage the supporting ligaments and muscles in your neck.
Our shoulders are the most movable joints in the body. They give our arms great range of motion. They allow us to lift and control heavy loads. Shoulder pain is a problem many of us feel at some time in our lives. Let's learn about shoulder pain, and what you can do about it.
This surgery repairs a severe separation injury of the AC joint in your shoulder. This is where your clavicle meets your scapula. With a severe separation injury, the ligaments that connect these bones are torn. The clavicle shifts out of position.
This minimally-invasive surgery is used to relieve pain and loss of shoulder stability for patients with loose shoulder. A radiofrequency (RF) probe is inserted into the shoulder to stimulate the tissue capsule that surrounds the shoulder joint. This causes the tissue to contract, tightening the shoulder joint.
This minimally-invasive surgery is used to help relieve pain and loss of mobility in the shoulder from adhesive capsulitis (frozen shoulder). A radiofrequency (RF) probe is inserted into the shoulder. The probe uses RF waves to cut the tissue capsule that surrounds the shoulder joint, allowing the shoulder to move more freely.
Tendons are strong bands of tissue that connect muscle to bone. With this injury, one of the tendons anchoring your biceps muscle is torn. It may be torn partially or completely. Because the biceps is attached with two separate tendons, you may find that you can still use your biceps muscle even if one tendon is completely torn.
This is a problem with a tendon in your shoulder. Most often, it's the "long head of biceps" tendon. It travels from the front of your upper arm to the top of your shoulder socket. With this condition, the tendon becomes painfully inflamed or irritated.
This surgery repairs a biceps tendon in your shoulder. It fixes a tendon that is partially torn, or completely torn, from the bone.
This is a swelling of a fluid-filled sac called the "subacromial bursa." It's in the shoulder, between a bony protrusion called the "acromion" and the rotator cuff. You have similar sacs near other large joints throughout your body. They act as cushions between your bones and your soft tissue. Normally they have a small amount of fluid inside them. But sometimes they can swell. We call that "bursitis."
This painful condition occurs when calcium deposits form in tendons of the rotator cuff. These tendons and surrounding tissues in the shoulder become inflamed. Reactive calcification often develops in young people, but it can affect people of all ages.
During this minimally-invasive procedure, the surgeon removes the end of the clavicle at the acromioclavicular joint in the shoulder. Removing this portion of bone will decompress the joint. It will help relieve the pain and loss of motion caused by arthritis or impingement. This procedure is performed with a small camera, called an arthroscope, and miniature instruments.
This is a shoulder injury. It's a break of the bony bump on the outer side of the humerus. That's the bone of your upper arm. The greater tuberosity is the place where three muscles of the rotator cuff attach. So a fracture here hurts your shoulder's stability and movement.
This procedure uses a small, metal, cap-like implant to cover damaged or missing articular cartilage in the shoulder joint. Articular cartilage covers the joint surfaces of bones, allowing them to glide smoothly against each other. In the shoulder, arthritis or an injury may result in loss or damage of the cartilage on the round humeral head, causing pain and limited motion. Resurfacing this damaged area can help relieve pain and improve motion.
During this procedure, a mixture of anesthesia and anti-inflammatory medication is injected into the space between the head of the humerus and the glenoid. This injection can be used to treat a variety of painful conditions, including osteoarthritis, rheumatoid arthritis and adhesive capsulitis. The physician may choose an injection site on the front, side or rear of the shoulder.
This outpatient injection procedure relieves pain in the shoulder and arm caused by arthritis, injury or disorder.
Some of the muscles in your shoulder have opposing roles. When you move your arm, certain muscles contract while their opposing muscles relax. But when a muscle becomes much stronger than its opposing muscle, your shoulder can become unstable. You may have trouble moving it normally. We call this a "muscle imbalance."
This surgical procedure repairs a break in the proximal end of the humerus. ORIF stands for Open Reduction Internal Fixation. During this procedure, an incision will be made and a metal plate will be attached to the humerus to hold the bone in place while it heals.
This condition is a fracture of the head of the humerus - the "ball" of the shoulder's ball-and-socket.
The rotator cuff is a group of muscles and tendons in each shoulder. It holds your upper arm bone in your shoulder socket. It keeps your arm stable while allowing it to lift and rotate. Too much stress on the rotator cuff can cause a tear. This can be a painful injury.
This is a painful pinching of soft tissues in your shoulder. It happens when these tissues rub and press against a part of your shoulder blade called the "acromion." This can irritate your rotator cuff tendons, and also a soft sac called the "subacromial bursa."
This is a looseness of the shoulder joint. With it, your arm slides around too much in the socket. It may slip out of the socket easily. Instability can happen because the ligaments that hold your shoulder together aren't tight enough. Or, the cartilage around your shoulder socket may be damaged.
This surgery replaces the damaged or diseased part of the humerus head (also known as the ball) with a metal implant.
This is an injury of the acromioclavicular joint (commonly called the "AC" joint). This is the joint where the clavicle meets the scapula. A shoulder separation is a stretching or a tearing of the ligaments that support these bones. This allows the bones to move out of position.
This is a problem that involves the scapula. That's the bone we call the "shoulder blade." With this condition, you have a shoulder blade that catches when you lift or move your arm. You may find this only slightly irritating, or it may be very painful.
This outpatient injection procedure relieves pain in the shoulder caused by bursitis, or inflammation of the bursa. A bursa is a small, fluid-filled sac that reduces friction between bone and muscles or tendons. Bursae are found near joints throughout the body.
This surgery treats subacromial impingement. That's a pain you feel when you raise your arm. It happens when tendons in your shoulder press and rub against a part of your shoulder blade called the "acromion." This surgery is commonly done with the help of a special camera called an "arthroscope."
This non-operative, outpatient procedure is designed to provide relief for patients with pain in the shoulder from conditions such as osteoarthritis, rheumatoid arthritis and adhesive capsulitis. The technique allows the physician to inject an inflammation-reducing steroid with maximum accuracy.
This condition, also called "ulnar nerve entrapment," happens to the ulnar nerve in your elbow. This nerve travels along the inner side of your elbow and down to your hand. It's the nerve that makes the jolt you feel when you bump your "funny bone." With this condition, your ulnar nerve is compressed, stretched or irritated.
This is a swelling of a fluid-filled sac in the back of your elbow. This sac is called the "olecranon bursa." You have similar sacs near other large joints throughout your body. They act as cushions between your bones and your soft tissues. Normally they have a small amount of fluid inside them. But sometimes they can swell. That is called "bursitis."
This is an injury of a growth plate on the elbow's inner side. Growth plates are places where new bone tissue forms. They are found near the ends of the long bones of growing children. But growth plates are weaker than the surrounding bone. That makes them easier to injure.
This outpatient procedure, performed under general or regional anesthesia, removes the medial epicondyle (the bony bump on the inner side of the elbow) to alleviate compression of the ulnar nerve. Medial epicondylectomy is used to treat cubital tunnel syndrome.
This is a disorder that most often affects young athletes. It happens when part of a bone in the elbow loses its blood supply. It weakens, and so does the cartilage that covers it. Bone and cartilage may break off and drift around in the elbow. That can cause the joint to catch and lock up.
If you are an athlete, or if you work with your arms and hands, your elbows may be at risk for an overuse injury. This is an injury caused by repetitive motions. This type of injury can be a problem for people who play sports such as tennis or baseball. Children also have a higher risk, because their bones are still growing.
This condition involves the radial nerve in your elbow. The radial nerve passes down your arm to your hand. Its branches travel into your thumb, forefinger and middle finger. With this condition, your radial nerve is compressed, stretched or irritated.
This surgery treats radial tunnel syndrome. That's a compression of the radial nerve. During this surgery, the nerve is given more room.
Throwing overhand again and again puts a lot of stress on your elbow. It can lead to injury. Young athletes, in particular, are at risk. Some play sports all year without learning how to throw properly. And, their bones are still growing. Let's look at how the elbow can be damaged.
Like other joints, the elbow is held together by strong bands of tissue called "ligaments." On the elbow's inner side is the ulnar collateral ligament complex. We call it the "UCL." It's made of three bands that connect the humerus (the upper arm bone) to the lower arm's ulna. The UCL is the elbow ligament most often injured by baseball pitchers and by other athletes who play throwing sports.
Pain, numbness and tingling in your hand may be from carpal tunnel syndrome. It happens when the area around the main nerve to your hand is too tight. The nerve is called the median nerve. And the small space in your wrist where it passes is called the carpal tunnel.
We can treat the pain of carpel tunnel syndrome by taking pressure off the median nerve. That's a nerve that travels through your wrist.
Colles fracture is a break of one or both of the forearm bones (called the radius and ulna) that occurs just above the wrist. Although this type of injury can be caused by any strong force, Colles is most often associated with trying to break a forward fall.
This condition is a break of the radius bone at the wrist. The radius is the larger of the two bones that connect the wrist to the elbow. The other bone is called the ulna. The radius supports the majority of forces at the wrist joint with its large joint surface. A fracture of the distal end of the radius - the end nearest the wrist -is one of the most common types of fractures. It may be part of a complex injury that involves other tissues, nerves and bones of the wrist.
This procedure is performed to relieve pressure on the median nerve, alleviating the pain of carpal tunnel syndrome and restoring normal sensation to the hand and fingers. The endoscopic technique, performed on an outpatient basis, creates less pain and scarring than traditional open surgery and allows for a quicker recovery.
This surgery is performed to relieve pressure on the median nerve, alleviating numbness and tingling in the fingers. The endoscopic carpal tunnel technique is performed on an outpatient basis. The endoscopic approach creates less pain and scarring than traditional open surgery, allowing for a quicker recovery.
A ganglion cyst is a fluid-filled sac that forms as a herniation from a joint capsule or tendon sheath. The sac is attached to the joint or tendon sheath by a "stalk" that allows fluid to move into the pouch from the joint or sheath. The stalk functions as a valve and often limits fluid drainage out of the cyst, allowing the cyst to increase - but not decrease - in size. In some cases the stalk functions as a two-way valve, allowing fluid to travel in both directions. This can enable the cyst to increase and decrease in size based on activities.
A scaphoid fracture, one of the most common types of wrist fractures, is a break in the scaphoid bone. The scaphoid, one of the most important bones in the wrist, has a limited blood supply. An improperly treated scaphoid fracture can result in significant wrist pain, arthritis, and loss of motion.
This minimally invasive outpatient procedure allows the surgeon to evaluate and treat injuries and disorders of the ligaments, cartilage, and bones of the wrist. The surgeon uses a small camera, called an arthroscope, and tiny instruments which are inserted through small incisions in the wrist.
Your hand is a complex and unique part of your body, composed of delicate tissues and an intricate network of bones, muscles, vessels, and nerves. The ability to generate great force for activities like rock climbing while also providing the fine dexterity to play a musical instrument make the hand an amazing balance of power and finesse. Hand problems can affect anyone young or old, and can significantly impact a patient's function and quality of life. Hand surgeons are physicians who specialize in the treatment of these problems.
This procedure, performed under regional or local anesthesia, replaces a diseased or damaged finger joint with an implant made of silicone rubber or hard metal, ceramic or pyrocarbon. This technique can be used to replace the middle joint of the finger (called the PIP joint) or the joint at the base of the finger (called the MCP joint).
This condition is a degeneration of cartilage in the joints at the base of the thumb, collectively called the basal joint. The main component of the basal joint is the thumb carpometacarpal (CMC), joint. This joint, which allows the thumb to pivot and swivel, can wear out even early in life.
A boxer's fracture is a break of the metacarpal of the little finger. The metacarpals are the long bones in the hand that connect the fingers to the wrist. A boxer's fracture refers to a break at the end of the bone nearest the knuckle, which is called the metacarpal neck.
This outpatient procedure relieves the symptoms of De Quervain's tenosynovitis by releasing the tendon sheath that wraps around the tendons at the base of the thumb. This relieves pressure and friction on the tendons, allowing them to glide freely.
A mucous cyst is a small, fluid-filled sac that forms on the back of the finger near the base of the fingernail. It is a form of ganglion cyst that erupts from the capsule of the joint at the end of the finger, called the DIP joint. The cyst is attached to the joint capsule by a "stalk" that allows fluid to move into the cyst from the joint. Mucous cysts most commonly affect the index finger of the dominant hand.
This condition is a thickening of the fascia on the palm of the hand. The fascia is a connective tissue located just beneath the skin of the palm and fingers. This thickened fascia can form lumps or nodules under the skin, or long thick cords of tissue that extend from the palm to the fingers. Often, this thickened tissue contracts. This causes one or more fingers to curl toward the palm. This is called a flexion contracture.
The purpose of this procedure is to drain the pus and relieve the pressure and pain that results from an abscess in the pad of the fingertip, called a felon. Although commonly performed on an outpatient basis, severe infections may require hospitalization and antibiotics.
If you've fractured a finger, you've broken one or more of the finger bones we call "phalanges." Each individual bone is called a "phalanx." You've got three in each finger, and two in each thumb. They are supported by a network of soft tissues that can also be damaged during a fracture.
This outpatient procedure is used to resolve the pain of a severely arthritic joint of the finger by permanently stopping finger movement. This is most commonly used for the joint nearest the fingertip, called the DIP joint, although any joint in the finger can be fused.
Our fingers are often in harm's way, and our fingertips are prone to injury. A fingertip injury can involve skin, soft tissue, nerves and bone. It can involve the nail and the nailbed. These injuries can be serious, painful, and slow to heal. If you've injured your fingertip, you can take a few simple steps to minimize problems.
The flexor tendons of the hand are responsible for flexion of the fingers and thumb toward the palm. These long structures are connected to the flexor muscles in the forearm. An injury to one of these tendons can cause pain and inability to flex the finger or thumb and grasp with the hand. Common flexor tendon injuries include lacerations, ruptures and inflammation.
This condition is a fracture, or break, of one or more of the metacarpal bones of the hand. The fracture may be nondisplaced, in which the bones remain aligned, or displaced, in which the fractured ends shift out of alignment. Without proper treatment, the bones may not heal correctly. This can result in improper alignment of the fingers, leading to poor hand function.
This minimally-invasive, non-surgical office procedure is used to help straighten fingers that have become bent by Dupuytren's contracture. A small needle is used to cut the contracted cords that cause the contracture and prevent the finger from fully extending.
This surgical procedure is performed to treat fingers that have become flexed because of Dupuytren's contracture. In this procedure, the thickened and contracted part of the fascia - the layer of tissue just beneath the skin - is removed. There are many variations of this surgery based on the severity of the condition.
Raynaud's phenomenon is an exaggerated form of vasoconstriction - the body's natural response to cold and stress. It results from a spasm of the small arteries that supply blood to the fingers. This spasm temporarily decreases blood flow, resulting in cold, painful, and discolored fingers.
This condition, also called skier's thumb, is an acute sprain or tear of the ulnar collateral ligament (UCL) on the ulnar side of the metacarpal-phalangeal (MCP) joint of the thumb. A related condition, called gamekeeper's thumb, is a chronic injury that develops over time from repeated stretching of the UCL.
This condition is a result of tendon imbalance in the finger or thumb. In the finger, it causes a characteristic deformity in which the middle finger joint (called the PIP joint) hyperextends, and the fingertip joint (called the DIP joint) bends downward. When viewed from the side, the finger looks like the outstretched neck of a swan.
This condition is a degenerative or traumatic tear of one or more parts of the triangular fibrocartilage complex (TFCC), which stabilizes the ulna. The TFCC is composed of a group of ligaments that form connections between the radius, ulna and the carpal bones of the hand. At the center of these ligaments lies the most commonly injured structure, the triangular fibrocartilage disc, which is connected between the radius and the base of the ulnar styloid.
During this minimally-invasive procedure, the surgeon opens a narrowed tendon pulley at the base of a finger or thumb affected by trigger digit. Opening the pulley prevents the nodule from catching, allowing the the affected digit to flex and extend normally with no triggering or pain.
This common condition, also known as stenosing tenosynovitis, is a narrowing of a portion of the tendon sheath in the finger or thumb that interferes with normal finger movement. This condition most commonly affects the ring finger, but can affect any digit. It is more common in middle-aged women, but anyone can be affected, even newborns.
This outpatient procedure is designed to reduce or relieve the pain of trigger points. These small, tender knots can form in muscles or in the fascia (the soft, stretchy connective tissue that surrounds muscles and organs). The trigger point injection procedure takes only a few minutes to complete.
This condition is a stretching or tearing of the volar plate, which can allow the finger to hyperextend and can interfere with normal hand function. The volar plate is a strong ligamentous structure on the underside of the finger at the point where the proximal and middle phalanx bones meet, called the proximal interphalangeal joint (or PIP joint). The volar plate keeps the finger from bending backwards at the PIP joint, and, together with the collateral ligaments, stabilizes the PIP joint from displacement.