Hand Surgery in Eagle

What Are Common Hand Disorders That Require Surgery?

Dr. Cole can accurately assess and effectively treat hand conditions due to his advanced medical training and the availability of real-time diagnostic imaging technology within his practice. His sophisticated methods and specialized knowledge allows him to address a range of symptoms such as discomfort, numbness, deformity, or restricted mobility; this can be done through a selection of non-invasive or operative treatments – depending on the individual patient’s needs. Dr. Cole consistently says: “Every job is a custom job if I do my job correctly.”

These are the most common hand disorders that often require treatment:

“No-Stitch” Carpal Tunnel Surgery: Carpal tunnel syndrome is a debilitating condition that occurs when the median nerve, which runs through the carpal tunnel in the wrist, becomes compressed due to increased pressure. This can be caused by repetitive motion of the hands and wrists or an injury to the area. Common symptoms associated with carpal tunnel syndrome include numbness and tingling in the fingers, wrist, and forearm, weakness in grip strength, pain in the affected area, swelling, and sometimes a loss of feeling in parts of the hand.

Dr. Cole’s cutting-edge “no-stitch” carpal tunnel surgery is a minimally invasive, permanent procedure that relieves carpal tunnel syndrome without needing external stitches. This endoscopic procedure involves making an incredibly small access port of only 3 millimeters at the wrist, resulting in significantly less pain experienced after surgery when compared to traditional methods, with minimal scarring. Furthermore, this surgery typically leads to quick recovery to regular activity levels. Dr. Cole takes extra care in customizing each procedure to suit the patient’s needs to ensure successful outcomes following treatment.

Trigger Finger: Trigger Finger is a condition that affects the tendons in the fingers and can cause clicking, locking, or painful sensations. It occurs when the tendon controlling the finger becomes inflamed and swollen, preventing it from gliding smoothly through its sheath. Symptoms of this condition include pain, discomfort, and difficulty straightening out the affected finger without assistance. Trigger Finger can lead to permanent stiffness and reduced range of motion if left untreated. This disorder is common in all age groups but is more prevalent among older adults and those who do manual labor involving repetitive movements.

In many cases, treatment for Trigger Finger does not require surgery, instead relying on alternative methods such as medications and physical therapy to resolve symptoms. Dr. Cole at Boise Plastic Surgery Boise Hand Center can perform more advanced treatments in the Procedure Area, eliminating the expense and pressure associated with utilizing an Operating Room. This allows patients to benefit from a cost-effective and stress-free experience while receiving specialized care from a highly experienced medical professional.

Hand Arthritis: Hand arthritis is a condition that primarily affects individuals over the age of 45. It manifests most frequently in the base of the thumb, wrist, and joints of the fingers, although other areas may also be affected. Osteoarthritis, rheumatoid arthritis, and psoriatic arthritis are all common types of hand arthritis that can affect people differently, depending on the individual. Treatment for this condition often involves non-invasive strategies such as wearing splints or braces, taking medication prescribed by a doctor, having steroid injections, and making lifestyle changes to help reduce symptoms. In more advanced cases of hand arthritis, however, patients may require surgery to achieve desired outcomes and relieve discomfort and immobility caused by their condition.

Dupuytren’s Contracture: Dupuytren contracture is a condition that affects the hands and fingers, causing them to bend towards the palm involuntarily. This happens due to the formation of thick fibrous tissue bands, known as cords, beneath the skin of the finger or palm. Over time, these cords tighten and pull the digits into a bent position, making them unable to straighten out again fully without causing serious pain. The disorder primarily affects people over fifty years old and is more likely to occur in men than women; however, it can affect anyone regardless of age or gender. 

Treatment options for this condition include injections of collagenase enzyme or surgical procedures in more severe cases. If left untreated, Dupuytren contracture can cause progressive deformity of the hand and further limitation in range of motion. Additionally, it may lead to challenges with performing daily activities such as grasping objects or buttoning up clothing.

How long until I can go back to work after hand surgery?

In some cases, the restrictions listed above may make it difficult for a patient to return to work; however, with proper rest and care, many patients can do so within 1-2 weeks after their surgery. Ultimately, patients should consult Dr. Cole for individualized recommendations tailored to their situation and recovery timeline.

Is hand surgery recovery painful?

Hand surgery recovery can be painful, depending on the type of procedure performed. Generally, minimally invasive procedures such as carpal tunnel release result in less pain than more complex reconstructive surgeries, like tendon repairs or joint replacements. During surgery, Dr. Cole will often perform a nerve block to reduce post-operative pain and prescribe appropriate medications to facilitate a comfortable recovery. Dr. Cole always says: “We have a big job – we need to get you home, get you comfortable and keep you that way so we can get started on the right healing pathway.” 

Swelling, bruising, and tenderness are common immediately following hand surgery but can be managed with regular icing and elevation of the affected area. In some cases, fluid accumulation may occur after surgery, which requires close monitoring and possible treatment to avoid complications. If patients experience severe pain or notice any abnormal swelling or bulging near their incision site after surgery, they should seek medical advice from their doctor as soon as possible.

Can I drive after hand surgery?

It is typically recommended that you wait to drive until you are off of post-op narcotics and have regained enough strength and coordination in your hands to have full control over the car. Depending on the procedure, this could be as soon as a few days or up to several weeks. However, patients can discuss this with Dr. Cole before attempting to drive.

How do you sleep after hand surgery?

Generally, avoiding sleeping directly on the operated hand is best as this can cause extra swelling or pain. It would help if you tried to position your arm comfortably when lying down to avoid adding stress to the incision area. If necessary, use a pillow or cushion for additional support.

Do I need physical therapy after hand surgery?

Physical therapy can help regain mobility, range of motion, and strength in your hands following a surgical procedure, which can help reduce pain and stiffness associated with your recovery process. Ultimately, physical therapy depends on the patient’s goals, though it can help them reach optimal results quicker.

Hand Surgeon in Eagle

Dr. Cole is a highly esteemed and award-winning hand surgeon who has achieved much recognition throughout Eagle and Idaho for his expertise in plastic and orthopedic hand surgery. He has been voted Most Outstanding Plastic and Orthopedic Hand Surgeon from 2015 to 2022 and was awarded “Top Doctor in both Idaho and Boise” for his specialty. 

These awards are a testament to Dr. Cole’s commitment to excellence in hand surgery. Moreover, he is an honored member of the American Society for Surgery of the Hand with distinction as an Order of the Complus Manus Member. His extensive experience includes publishing over 200 surgical articles, over 20 surgical textbook chapters, and surgical training videos. With such exemplary credentials, it is no wonder that Dr. Cole is considered Eagle’s best hand surgeon by many patients and medical professionals alike!

Contact Boise Plastic Surgery & Boise Hand Center to schedule your hand surgery consultation.