After gathering as much information as is possible, and determining what, for you, the ideal resolution to your problem would be, Doctor will offer his diagnosis. He will explain options available to you, what results you can realistically expect, and how long your recovery time will likely be.

Some examples of matters patients may be well advised to seek a second opinion on are:

Hand fracture and infections;
Nerve injury;
Repetitive strain injuries;
Wrist and hand tumors;
Arthritis;
Carpal tunnel syndrome;
Ganglion cysts;
Tendonitis;
Chronic cold hands.

Symptoms of RSI’s can include:

tired hands,
loss of strength,
always feeling cold in your hands, (often regardless of the surroundings)
tingling, and increased sensitivity.
You may have symptoms not listed here, so if you think for any reason you may have an RSI, contact your doctor.

Prevention begins simply; Pay attention to your posture, keep your feet flat on the floor, avoiding pounding on the keyboard stretch your hands regularly, should you feel pain in your hands/wrists, take an anti-inflammatory.

Here are a few questions you can ask to help narrow down the field:
*Check out the various doctors websites. Does their education indicate an ever increasing skill in the specialty?
*Read the testimonials section, no testimonials section? Move along to the next physician. They are, after all, his references. Not there? Move on.
*How much experience does the doctor have with your issue?
*Which of the latest techniques is he using?
*Has the doctor made a name for himself?

After you’ve decided to move forward, make an appointment for a consultation, and meet the Doctor in person.

*Is he attentive to your presentation of what is wrong?
*Does he speak to you in clear, easy to understand language?
*Do you feel comfortable in his presence?

Our website will go over many of the questions you should be asking.

For example, learn more about endoscopic carpal tunnel release, or view an animation of a distal biceps repair procedure. Are you curious about the treatment for tennis elbow or trigger finger? Do you want to learn more about the benefits of arthritis surgery? Find the answers to these questions and more at the YouTube website. You can also see patient testimonials, in which clients discuss their injury, diagnosis and treatment at the institute.

Before meeting with Dr. John T. Knight, director of the institute and a board-certified orthopedic surgeon, please feel free to visit the YouTube channel to see various interviews and news profiles about him.

The HAWI is an official medical services provider for the United States Olympic team, and has offices in Orange County, the San Fernando Valley and Los Angeles.

For more information, visit: http://www.youtube.com/user/handsurgeonla

The way that you hit your elbow also has to do with how hard you need to hit it to fracture it. There are certain angles that are more likely to cause fractures than others. If your arm is bent it might be easier to fracture your elbow than if it is straight when you hit it. This is another factor that could turn out completely different depending on the health and strength of your bones.

If you fracture your elbow you will immediately feel intense pain or numbness. Go to the hospital or to your doctor to ensure that it is treated properly from the beginning. An elbow injury can cause you a lot of problems if it is not dealt with correctly.

Dr. Knight on Set at The Doctors TV

Dr. Knight received his degree in medicine at the Louisiana State University School of Medicine. The institution awarded him the Louisiana Orthopedic Association Outstanding Student Award. Dr. Knight also obtained a fellowship at the Joseph H. Boyes program in Los Angeles, specializing in Hand and Upper Extremity surgical training.

The renowned orthopedic surgeon was instrumental in working with Congress to pass the Aviation Medical Assistance Act in 1998, which equipped all aircraft with lifesaving defibrillators. Dr. Knight was also one of the first southern United States specialists that performed a successful toe-to-thumb transplant surgery. His many other accomplishments include being one of the first U.S. surgeons who implanted an internal computerized system known as the Free Hand System. This state of the art technological procedure returned function to the hand of a quadriplegic patient.

The highly regarded orthopedic surgeons has more than two decades of surgical experience and is one of the country’s leading specialists in minimally invasive surgical procedures. Dr. Knight’s expertise includes endoscopic carpal tunnel release and arthroscopic wrist surgeries. He has successfully performed over 15,000 procedures.

The Hand and Wrist Institute offers diagnosis and treatment for approximately five dozen different conditions that range from animal bites to fractured wrists. Endoscopic procedures performed on an outpatient basis ensure a faster recovery with fewer complications.

Requiring only local anesthesia and a mild sedative, endoscopic carpal tunnel procedures take approximately 10 minutes for completion. After making one ¼-inch (1 cm) incision, Dr. Knight inserts a lighted camera and guide into the hand. This instrument measures the same size in diameter as that of a pencil. Through this same guided camera, the surgeon inserts the instrument used for cutting and releasing the carpal ligament. The incision does not require stitches, but does receive a sterile covered dressing. Patients return to non-strenuous activities after 48 hours and experience complete recovery after one month.

Studies indicate that X-rays and MRIs accurately diagnose injuries up to 60 percent of the time. Arthroscopy not only ensures accurate diagnosis, but also provides simultaneous treatment for removing foreign bodies, ganglion cysts or fracture repairs. The surgeon also commonly uses this treatment method for repairing injured cartilage or ligaments.

The procedure may require general anesthesia, but might also be performed using local anesthetic and a mild sedative. Depending on the diagnosis and treatment required, Dr. Knight makes one small incision for the camera and other small incisions for the required instruments. Following procedure and recovery completion, patients return home with care instructions, possible follow-up appointments and therapy requirements.

Patients from great distances travel to the Hand and Wrist Institute for the expert treatment that Dr. Knight provides. Hawaiian residents may also receive this high standard of care by taking the first step and contacting the office. Dr. Knight offers virtual consults, via phone or Skype, for patients requiring an initial diagnosis or a second opinion. When requiring an appointment, individuals may call the office, or fill out and submit an online patient information form. World-class athletes include Dr. Knight’s long list of satisfied patients. Making a trip to the D.I.S.C. Hand and Wrist Institute ensures patients receive quality treatment and care.

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The physician may also look for lumps or nodules that are visible under the skin and detect for the presence of joints that are warm or tender. The patient may also be asked if they generally feel fatigued or experience frequent periods of joint stiffness.

In addition to the physical examination, the physician will also conduct diagnostic tests that will help in the definitive diagnosis of rheumatoid arthritis. A blood test may be administered to check for antibodies and levels of inflammation that are known indicators of rheumatoid arthritis. X-rays are used to determine if the patient has lost joint cartilage or bone loss. Physicians also schedule x-rays to monitor the progression of the disease and the patient’s condition over time.

The injury is characterized by the tip of the finger bending in, while the rest of the finger is straight. Despite the innocuous nature of how the injury occurs, the severity of the injury can be moderate to severe. Typical treatment of the injury requires splinting of the finger for six to eight weeks, and four weeks if k-wire (steel pins) are used to straighten the finger. This allows the tendon to heal to its normal length. Surgery is required if conservative measures fail.

This malady comes from regularly performing movements that are not done regularly before the baby is born. mommy thumb occurs after repeated scooping, lifting and holding of newborns and infants. It is an overuse injury that many women and men experience. It has only recently been noticed as something that can be serious and have lasting effects on the body.

If your husband is complaining of pain anywhere from his wrist to his thumb he might have a case of mommy thumb. This can be treated by seeing a physician who often recommends similar treatment to carpal tunnel syndrome. A brace can be used to help keep the area from straining or cortisone shots can be used as treatment. If these treatments do not work hand surgery might be necessary for complete healing.

Certain nail infections can become ugly within a few days if they are not treated with antibiotics. In many cases this requires drainage and the removal of the infected tissues in the hand or finger. This is a type of surgery that can usually be performed in an out-patient facility with minimal anesthesia. This type of treatment includes nail infections such as paronychia, felon and deep space infections. Other types of nail infections are not usually treated with surgery after such a short period of time.

It is important to have all infections checked out as quickly as possible to prevent further hand problems. It is usually easier to take antibiotics than to have surgery for a problem, so do not delay in making an appointment as soon as possible.

To read more about ECTR, click here.

Dr. Knight on Set at The Doctors TV

Most injuries of the wrist involve cartilage tears, ligament tears or bone fractures. Sometimes an object must be removed. These objects include cysts, loose or foreign bodies, or the distal ulna (to help severe conditions of arthritis). It can also be used for repetitive stress injuries.

This treatment is minimally invasive, fast and with low recovery time. The surgeon puts the patient’s arm to sleep, stretches the wrist for access, and then uses two or three small incisions to perform all of the work. Usually the surgeon inserts a tiny camera into the wrist as well as miniature surgery tools.

When the process is complete, in most cases the patient will receive a local anesthetic and sent home with a splint on the wrist. Depending on the injury, healing takes place in just a few days or weeks.

While any surgeon can perform advanced wrist arthroscopy, a specialized wrist surgeon is recommended for this procedure.

Many people with hand and wrist injuries suffer for months unnecessarily because their initial diagnosis was incorrect. When the initial diagnosis is incorrect, the treatment path recommended by a doctor may not prove to be effective. While some people do seek out a medical diagnosis initially, others do not live close to a hand and wrist injury specialist. Being able to obtain an accurate diagnosis online is not just beneficial for you if you are in this situation, but it is often essential to ensure your injury heals properly and in the fastest way possible. If you are suffering from a hand and wrist injury today, consider requesting a diagnosis from HAWI today.

The doctor will monitor the fracture with X-rays to assess the healing process. After several weeks, you may be able to start moving the elbow and doing gentle range of motion exercises. Long periods of immobility can cause the elbow joint to become stiff and difficult to move, so working with physical therapy to keep the joint supple while not causing any further damage may be necessary. Adults are more likely than children to develop stiffness in the elbow joint after immobilization. Physical therapists may also employ techniques such as ultrasound to increase blood flow and help the joint heal. Heat and ice can increase comfort.

Wrist Fractures

Wrist fractures are one of the most common injuries in skiers and snowboarders. They are especially common in snowboarders, who use their arms for balance rather than poles. Wrist fractures can be severe, and improper treatment could result in the loss of the use of the hand and a significant impact on all other activities.

Skiers’ Thumb

The injury known as “skiers’ thumb” is actually a tear of the ulnar collateral ligament, a ligament that helps stabilize the thumb. It occurs when skiers don’t release their poles when falling, bending the thumb in an extreme fashion.

Arm and Forearm Fractures

These fractures are also common among skiers and snowboarders. These can be severe, such as compound fractures that may result in nerve damage requiring surgery to properly repair.

Wrist Cartilage and Ligament Tears

Repeated falls or pressure from poles may cause tears in the cartilage and ligaments of the wrist, creating significant pain and difficulty, including weakness.

What is Biceps Tendinitis?

Biceps tendonitis is defined as inflammation of the long head of the biceps tendon that connects the biceps muscle. People who suffer from this condition usually start complaining of pain. Arthritis, instability, and tears in the glenoid labrum often plague people already suffering from biceps tendonitis. Pain can travel the entire upper arm. There is also a snapping sound that some people experience. In many cases, physical therapy, rest and relaxation eventually heals the problem, while surgery is required for some sufferers with a more serious case of this condition.

Possible Causes

Overuse of the biceps tendon from repetitive movements is considered to be one of the leading causes of biceps tendonitis. Sports and work tasks that demand overhead movements of the arm are believed to cause the inflammation. Tennis, baseball, racquetball and swimming are four examples of sports that require the type of overhead motions that contribute to this painful condition.
Another possible cause of biceps tendonitis is through injury. Falling can cause trauma, and this can sometimes cause biceps tendonitis to develop. Any fall that tears the transverse humeral ligament allows the biceps tendon to slide out of the bicipital groove. This action leads to the inflammation of the biceps tendon and the development of the condition biceps tendinitis. Three other injuries are also believed to promote the development of biceps tendonitis. Injuries to the upper body, sustained in almost any manner (sports, repetitive motion, work) can all be associated with biceps tendonitis.

Treatment Options

Non-Surgical Treatment

Many biceps tendonitis sufferers respond to nonsurgical treatment. Resting the arm and discontinuing the activity that causes the problem is often enough to heal the inflammation. To manage the pain, anti-inflammatory medicine like ibuprofen is often recommended.

Physical therapy or occupational therapy is also the answer for some people. Physical therapists are typically charged with the responsibility of relieving pain by reducing the inflammation. By providing joint manipulation and therapy relief from the pain can often be achieved. In addition to easing the pain, therapists consult with patients about the cause of the problem and make recommendations about how to avoid the same injury in the future.

Surgical Treatment

Acromioplasty is a common surgery used to treat the symptoms of bicipital tendonitis. A two-inch incision allows the surgeon the ability to remove a small piece of the acromion that creates more space between the humeral head and the acromion for the purpose of relieving pressure off the tissue in between, where the biceps tendon is located.

Recovery Time

The recovery time can vary depending on the treatment provided. For people undergoing physical therapy as a treatment to reduce and eliminate inflammation, heavy arm activity should be avoided for a period of three to four weeks after therapy ends. Overhead activities should be modified to prevent future problems. A Physical therapist can recommend ways to avoid injury as normal activities are eventually resumed.

For those people who require surgery, physicians recommend gentle exercises immediately following the procedure under the supervision of a physical therapist. At first, ice and electrical stimulation therapy may be recommended to reduce swelling and pain. Massage and other treatments are also used in some cases as other options for easing pain and promoting the healing process.

Why See Dr. Knight for Biceps Tendinitis?

As always, it is prudent to select a physician or surgeon who is recognized as an experienced specialist. Dr. John T. Knight is a renowned Orthopedic Surgeon who has spoken and appeared on Good Morning America, CNN and radio. Dr. Knight’s background and experience has also been featured in major publications. Educated at Louisiana State University School of Medicine, and studying and completing a Hand and Upper Extremity Fellowship from Joseph H. Boyes, Dr. Knight began his career more than twenty years ago.

He is acknowledged as a prominent hand and wrist surgeon who specializes in innovative treatments that include minimally invasive techniques for the hand, wrist, and upper extremities. With twenty years of experience and 15,000 medical procedures to his credit, Dr. Knight offers the top credentials that all patients deserve.

Inflammation of the Biceps Tendon at the Elbow Animation Video

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What Are Overuse Injuries of the Elbow?

Overuse injuries of the elbow occur when tendons, ligaments, or muscles become damaged by repetitive use and without adequate time to heal. Muscles and tendons can adapt to stress and usually become stronger. However, they also need time to rest and rebuild. Overuse injuries of the elbow are common among athletes. Two common overuse injuries are Tennis elbow and Golfer’s elbow. Both of these activities require repetitive use of the arm, wrist and elbow. However, any activity involving the elbow that is repetitive and continued over a period of time can cause an overuse injury.

Lateral epicondylitis, commonly called Tennis elbow, occurs when the tendons on the outer side of the elbow are damaged by repetitive movements of the wrist and forearm. Medial epicondylitis, Golfer’s elbow is similar to Tennis elbow but affects the inner, medial, side of the elbow.

How Are Overuse Injuries of the Elbow Caused?

Repetitive motions of the wrist, fingers and forearm can cause tears in the tendons of the elbow. With continued use and inadequate rest, the tendons do not heal properly and scar tissue can occur. Both the micro-tears and the scar tissue can cause pain and inflammation of the elbow. The condition can become chronic if left untreated. Many individuals believe they should “work through” the pain and discomfort. With overuse injuries, rest and treatment is the best approach.

Treatment Options for Overuse Injuries of the Elbow

Non-Surgical Treatment

Most patients recover successfully without surgery. Many effective non-surgical treatment options exist.
Rest is the first step toward recovery. The affected tendons and muscles need time to heal.
Anti-inflammatory medications, such as Motrin and Aleve, can help reduce pain and swelling.
Steroids injections into the damaged area are often effective at relieving symptoms.
Physical therapy which may include heat, ultrasound, ice, or muscle stimulation, can improve muscle healing.
Ergonomic modifications in the work or activity causing the overuse injury should be considered.
Use of a strap to keep the forearm and elbow immobilized and resting for 2 to 3 weeks.

Surgical Treatment

If pain persists despite non-surgical treatments, orthopedic surgery may be necessary to relieve symptoms. Most surgical procedures for elbow overuse injuries involve removing damaged tissue and reattaching healthy tissue back to bone. The right surgical approach will depend on a range of factors. These include the scope of your injury, your general health, and your personal needs. The most common approach to repair overuse injuries of the elbow is open surgery. This involves making an incision over the elbow. Open surgery is generally performed on an outpatient basis, rarely requiring an overnight stay. An Arthroscopic surgery, using tiny instruments and small incisions, is another, less invasive option to repair overuse injuries of the elbow. Like open surgery, this is a same-day or outpatient procedure. However, recovery is usually quicker with less discomfort with arthroscopic surgery.

How Is Elbow Arthroscopy Done?

Elbow arthroscopy is a minimally invasive procedure and can be performed under general or regional anesthesia. The surgeon inserts an arthroscope, a lighted, tubular device, into a small incision in the side of your joint and uses a probe to examine your elbow. Removing and/or repairing damaged tissue is done through additional portal incisions that are so small, stitches are not usually required.

Recovery Time

Recovery varies for each individual and the extent of the surgery, but is usually anywhere from one week to several months. If the procedure is minor, most patients can return to work and sports within three to six weeks of surgery. However, three to six months is often required for complete recovery.

Why See Dr. Knight for Overuse Injuries of the Elbow

Dr. Knight has over 20 years of experience and has helped thousands of people get relief from overuse injuries. He has performed more than 15,000 procedures and is in the forefront of his profession in advanced arthroscopic procedures and stitchless endoscopic procedures. As a surgeon, Dr. Knight relies on the intricate movement of his wrists and hands to perform his job and understands the importance of relieving pain and recovering full range of motion.

Overuse Injuries of the Elbow Animation Video

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What is Medial Ulnar Collateral Ligament Injury at the Elbow?

Ligaments join bone to bone. The medial ulnar collateral ligament connects to two bones in the arm, the ulna, the large bone of the forearm found on the little finger side of the arm and the humerus, the large bone of the upper arm. The ulnar collateral ligament, a triangular piece of tissue, consists of three parts: the anterior bundle, posterior bundle and transverse ligament, which is thinner than the other two. Ligaments can rupture or tear if you apply excessive force to them.

What causes a medial collateral ligament injury?

Medial ulnar collateral ligament injury at the elbow is a complete or partial tear in the ligament. Medial ulnar collateral ligament tears can interfere with use of the arm as well as causing pain, numbness and tingling and swelling on the inner part of the elbow. If you have this type of tear, you can still use the arm, but you can’t throw as forcefully. Acute strain on the ligament, such as a sudden pulling force can tear or completely rupture a tendon. Repetitive motions such as throwing a ball can also damage the ligament over time. Ballplayers who throw overhand are especially prone to this injury; non-athletes can also sustain this type of tear, although this occurs less frequently.

Treatment options for medial collateral ligament injury

Treatment for medial collateral ligament injury depends on the severity of the tear and the symptoms. Microscopic tears in the ligament will heal within a few weeks with rest, ice to reduce swelling, non-steroidal anti-inflammatory medications to reduce inflammation, pain and swelling and physical therapy to strengthen the weakened tendon. A complete tear will not heal without surgical intervention.

How is medial collateral ligament surgery done?

The surgical treatment for a medial collateral ligament tear is often known as Tommy John surgery, a name that refers to the first athlete who benefited from the surgery in 1974. The surgery is done through a small incision on the inner part or medial side of the elbow joint. In some cases, the surgeon may perform an arthroscopy before doing the surgery to repair the ligament. In this procedure, your doctor inserts several small cameras through small incisions in the elbow joint. Through these incisions, he can look for loose bone fragments or bone spurs and remove them.

For the actual reconstruction procedure, your surgeon will replace the damaged ligament with a tendon from your own body. The tendon may be removed from your arm, knee, foot or hamstring. Using tissue from your body to repair another area of your own body is called an autograft. The muscles inside the elbow and forearm, called the flexor muscles, are split and pulled back, or retracted, to reach the damaged ligament.

After removal of the damaged ligament, the grafted tendon must be attached to the structures in the arm. This can be done using one of several techniques to attach the tendon to the bones. The docking and figure of eight techniques involve drilling holes in the ulna and medial epicondyle, the small bump at the end of the humerus and looping the grafted tendon through the tunnels created by the holes.

Recovery time

Complete medical collateral ligament surgery recovery time can be long, up to 9 to 12 months for complete return of function and ability to use the arm without further injury, especially if you’re a pitcher. In some cases, you may be able to start working with the arm within six months. Your surgeon may immobilize the arm for the first week or so and then begin range of motion exercises working with a physical therapist. Complete recovery occurs in around 85 to 90 percent of cases.

Why see Dr. Knight for medial collateral ligament surgery?

Dr. John Knight is a board certified, Fellowship-trained orthopedic surgeon with more than 20 years of experience in orthopedic surgery. Dr. Knight is well-versed in the latest orthopedic surgical techniques, which feature minimally invasive surgery with the best recovery of function over time. A medial ulnar collateral ligament injury can severely affect your ability to throw, which could impact your livelihood or your enjoyment of amateur sports. Choosing the right surgeon is an essential part of your treatment.

Medial Ulnar Collateral Ligament Injury Animation Videos

Medial Ulnar Collateral Ligament Injury

Medial Ulnar Collateral Ligament Reconstruction (Tommy John Surgery)

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What is a Hyperextension Injury of the Elbow?

A hyperextension injury of the elbow occurs when the elbow has been overextended or straightened too far. It is quite painful and can result in injury to the surrounding ligaments, tendons, and muscles as well. In addition to the pain felt in the instant in which the elbow is overextended, there are some other more subtle symptoms associated with this type of injury:

1) pain in the interior of the elbow,

2) swelling, stiffness, and redness around the injured area,

3) numbness of the elbow, and

4) spasm of the biceps.

Causes of Hyperextension Injuries of the Elbow

Several activities may result in elbow hyperextension. These activities range from everyday movements to those associated with contact sports. For example, a simple misstep may result in a fall that triggers a hyperextension injury to the elbow as the individual tries to steady his or herself and break the fall. Many hyperextension injuries are the result of participating in contact sports such as soccer, rugby, football, or hockey, where blunt force injuries are common. A hard blow to the elbow, forcing it to bend in the opposite direction, can cause a hyperextension injury.

Treatment Options

Non-Surgical Treatment

Immediately following the injury, a cold compress can be applied to the area to treat the associated pain and swelling. An over the counter pain reliever can also be taken for pain. It is best to avoid using the injured arm until it has had time to heal. Additionally, patients might consider using a brace or bandage to help limit mobility and speed up the healing process. Once the injury starts to heal, typically within two weeks of the accident, the patient may be able to start light rehabilitation therapy, using gripping and flexing exercises to help regain strength in the joint and surrounding tissue.

In some cases, however, the pain and swelling associated with a hyperextension injury to the elbow may be so severe that surgical treatment may be necessary to alleviate the problem. In particular, if damage to the ligaments or tendons of the elbow is suspected, it is best to consult a doctor before trying to treat the injury at home.

Surgical Treatment

If a doctor determines that surgical treatment is the best course of action for elbow hyperextension, there are a number of possibilities. Primarily, surgical treatment of hyperextension injuries to the elbow involves repairing any damage to the tendons or ligaments around the elbow. Surgery may involve grafting tissue from other parts of the body to the elbow area, or repairing pinched nerves or obstructed arteries, in the case or a severe injury.

Surgery for Hyperextension Injury of the Elbow

Fortunately, there are now a number of technological advances that permit surgery without much visible scaring and with minimal trauma, considerably shortening a patient’s recovery time. For example, endoscopic procedures permit corrective surgery without the need to fully expose the elbow. The best course of action, however, will be the one decided upon by the patient and doctor based on an in-depth assessment of the injury.

Recovery Time

As with any injury, recovery time following a hyperextension injury to the elbow will depend on the severity of the injury. For mild injuries, recovery may be relatively quick, with just one or two weeks of home care followed by about a month of physical therapy exercises to help rebuild strength in the joint. For more severe cases, particularly those for which surgery is required, recovery will likely take longer. Those recovering from surgery may take advantage of several months of physical therapy in order to make a full recovery.

Dr. Knight’s Expertise as an Orthopedic Surgeon

Dr. Knight’s expertise in treating hand and upper extremity problems as an orthopedic surgeon allow him offer first rate service backed by years of experience. Dr. Knight offers a full range and hand, wrist, arm, and elbow treatments using state-of-the-art technology. Moreover, Dr. Knight has ample experience solving some of the most complicated joint problems using surgical and non-surgical options that permit quick recovery followed by full use of the problem area.

Hyperextension Injury of the Elbow Animation Video

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What are finger joint injuries?

Hands and fingers are used constantly in daily activities, and the risk of injury is high. Fingers are hinge joints – they bend and straighten or open and close just as a hinge does. Each finger has three bone segments, or phalanges, separated by two interphalangeal or IP joints. The joints are connected and supported by muscles, tendons and ligaments. Any of these can become injured. Injuries can run the gamut from simple sprains and strains to fractures, dislocations or crushing injuries. A finger joint injury that is ignored or improperly treated can result in life-long disability and affect the ability to write, type or perform normal daily activities.

How are finger joint injuries caused?

A strain is usually the result of overuse. Any motion that is constantly repeated can cause fatigue and inflammation, resulting in tendonosis. A sprain is a ligament injury and usually results from trauma that stretches and sometimes tears one or more ligaments in the finger. Fractures, dislocations and crushing injuries are all caused by trauma. When you fall it’s natural to put your hands out to try and catch yourself, but you may land on the tip of a finger and jam the joint or bend the finger so far forward or back that the joint is dislocated or one of the phalanges breaks. Something like slamming a car door on your hand can also result in a fracture as well as injury to the soft tissues, tendons and ligaments.

Treatment Options for finger joint injuries

Non Surgical Treatment

There are a number of non-surgical treatment options for finger joint injuries. Some injuries simply need rest. A strain from overuse, for example, will not heal if you continue to do whatever it is that irritates the finger. RICE – rest, ice, compression and elevation – is usually the first option for non-surgical treatment. Rest the affected finger. In some cases a splint may be necessary to immobilize the finger and prevent further injury. Apply ice to decrease swelling and relieve pain. Compression with an elastic bandage can also help decrease swelling, as can keeping the hand elevated. The IP joints become stiff very quickly, so splinting and bracing must be balanced with finger movement to prevent a permanent loss of function.

Surgical Treatment

Surgical treatment options depend on the nature and severity of the injury. A torn ligament, for example, must be repaired to prevent loss of function. A fracture of a finger bone may require the use of pins, wires or screws to stabilize the bone and allow it to heal.

How is finger joint surgery done?

Finger joint surgery is usually done with an open incision or by placing wires through the skin without a cut. An open incision, as the name implies, involves making a cut in the area of the injury to repair the fracture and insert any metal appliances that are necessary. In some cases, a finger joint injury can be repaired by placing pins without making an incision, which is less traumatic to the joint.

Recovery Time

The nature and severity of the injury, as well as the need for surgery, will determine how long it takes to recover from a finger joint injury. Strains and sprains may heal within two or three weeks. A fracture can take six to eight weeks to heal. Open surgery usually takes longer to heal than a closed procedure as there is more surgical trauma; healing from surgery can take up to eight weeks. Physical therapy may also be necessary to regain full function of the injured finger or fingers.

Why See Dr. Knight for finger joint injuries?

Dr. Knight is a board-certified orthopedic surgeon and specialist in the care of the hand who has over 20 years’ experience in both surgical and non-surgical treatment of finger joint injuries. He uses state-of-the-art equipment and facilities to ensure the best possible outcome.

Finger Joint Injuries Animation Videos

Volar Plate Injuries Animation Video

Finger Dislocation Animation Video

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What are children’s elbow injuries?

The elbow joint consists of two bones in the forearm – the radius and ulna – that fit into the ends of the upper arm bone, or humerus, and form a joint similar to a hinge. The elbow is supported and strengthened by tendons, ligaments and muscles. Any of these structures can be injured. Elbow injuries in children include overuse injuries, sprains, strains, dislocations, growth plate fractures and bone fractures.

How are children’s elbow injuries caused?

Overuse injuries occur from excessive repetitive motion of the elbow. Bursitis and tendonosis of the soft tissues, muscles or tendons usually result from overuse. Throwing a baseball too hard or too frequently – 80 or more throws a week – can cause Little League Elbow. Little League Elbow causes pain on the inside of the elbow, because the muscles in the forearm pull on the medial epicondyle, a part of the elbow bone. Strains, or pulled muscles, are caused by over-stretching the muscle in some way. A sprain, or joint injury that pulls or tears ligaments, is usually the result of a fall onto an outstretched arm. Any of the three bones in the arm may be fractured by a fall or by a traumatic blow. A swing from a baseball bat or hockey stick can provide enough force to break a bone in the arm. If the blow lands on or near one of the bone ends, it may injure the area in the bone where growth occurs – the growth plate. An elbow dislocation is a very painful injury that is most likely to result from a bad fall or severe blow that knocks the joint out of position.

Treatment Options for children’s elbow injuries

Non Surgical Treatment

Non-surgical treatments options usually include RICE: rest, ice, compression and elevation. Any activities that stress the elbow – such as pitching a baseball – must be stopped until the injury heals. A child may need a splint or brace to decrease the movement of the elbow so the affected area can be rested. An elastic bandage provides compression to help reduce swelling, while ice also helps with the swelling and relieves pain. Elevation of the elbow will help swelling go down. Physical therapy after the pain goes away can help to strengthen the elbow and prevent future injuries, especially from overuse.

Surgical Treatment

Surgical treatment options depend on the injury. A fracture may need to be surgically repaired, and severe fractures may need metal appliances such as plates or screws to stabilize the broken area until it heals. Tendons or ligaments that have been torn may also need to be surgically repaired.

How is surgery done?

Some elbow surgeries can be done arthroscopically. An arthroscope is an instrument that looks like a long flexible tube; it is attached to a camera and has a light source. The surgeon makes a small incision and inserts the arthroscope into the joint – the camera allows the joint to be seen on a screen in the operating room. The surgeon then uses several small probes or tools to make any repairs. An arthroscopy is less traumatic than open elbow surgery; the incisions are small, blood loss is usually minimal and there is less tissue damage or scarring. In most severe elbow injuries, open surgery is required. Open surgery involves the use of a large incision to allow the elbow joint to be fully exposed.

Recovery Time

Recovery time for simple sprains and strains may be as little as two or three weeks. Recovery from surgery takes longer because there is surgical trauma to the joint as well as the trauma from the original injury. Whether or not surgery is involved, it usually takes about six to eight weeks for a fracture to heal, and may take several months. Even after the fracture is healed, it may take additional time for the arm to become fully functional again.

Why See Dr. Knight for children’s elbow injuries?

Dr. Knight has extensive experience with elbow injuries and specializes in the care of the hand and arm. He is board-certified in orthopedics and uses minimally invasive, state-of-the-art technology to promote faster healing and less pain.

Osteochondritis Dissecans of the Elbow Animation Video

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What is Olecranon Bursitis?

Despite the daunting name, olecranon bursitis is an inflammation of the bursa in the elbow. Bursae are little pouches that act as cushions between muscles and tendons or muscles and bones. Bursa also secrete a lubricating fluid, called the synovial fluid, which helps the muscles slide easily over the bones or other muscles. The olecranon bursa is a flat cushion found in the elbow. It’s positioned between the baggy skin there and the bone known as the olecranon.

How Is It Caused?

Olecranon bursitis can be caused when the elbow suffers a trauma. It can happen if a person inadvertently bangs their elbow against a wall or a piece of furniture. This can cause the bursa to become inflamed. Its lubricating fluid builds up inside it and causes the bursa to swell. Another cause of olecranon bursitis is when pressure is put on the elbow over a long period of time. This can be seen if someone is in the habit of leaning their elbow on a hard surface like a desktop, then propping up their head on their hand. People who have occupations where they have to put weight on their elbows, like plumbers, are also more at risk for developing this type of bursitis.

A person who gets elbow bursitis will notice that there’s a swelling on their elbow that becomes painful. The pain is made worse whenever they try to lean on their elbow or try to move it. Sometimes the swelling isn’t noticed till a while after the injury, as the skin at the back of the elbow is slack and gives the bursa some room to grow.

Treatment Options

Non-Surgical Treatment

After the doctor examines the patient’s elbow and determines that they have elbow bursitis, they might try a non-surgical treatment. This can be needle aspiration, where the fluid is simply sucked out of the bursae with a needle in an outpatient procedure. The removal of the fluid not only eases the patient’s pain and swelling but the doctor can have it examined to see if it’s harboring bacteria. If it is, they might prescribe a course of antibiotics for the patient.

However, if there are no bacteria in the fluid, the doctor might prescribe other sorts of medications like NSAIDs (non-steroidal anti-inflammatory drugs) to reduce the pain and inflammation. They might also advise the patient in better ways to use their elbow so not to aggravate their bursitis, or even prescribe elbow pads to support the elbow while it’s healing.

If these remedies don’t work after about a month or so, the doctor might aspirate the fluid and inject corticosteroids into the affected area. This kind of medication is much stronger than NSAIDs like ibuprofen.

Surgical Treatment

If none of the mentioned treatments work, the doctor might recommend surgery to remove the bursa altogether. This is sometimes an inpatient procedure, which means that the patient will need to spend a night in the hospital, though a bursa that’s not infected might be able to be taken out in an outpatient facility. The patient will still be on a course of antibiotics, either taken orally or through IV. The good news is a healthy bursa will grow back to replaced the inflamed one after a few months.

How Is the Surgery Done?

The surgeon makes an incision in the elbow, removes the inflamed bursa, then sutures the surgical wound.

What’s the Recovery Time?

The patient should make a complete recovery within three or four months after the surgery. The surgical wound should be healed within ten days to two weeks. During the recovery period the patient might have to wear a splint, sling, or pad to protect the elbow. After these protections come off, the elbow should be able to work normally and painlessly.

Why see Dr. Knight for olecranon bursitis?

A patient shouldn’t hesitate to set up a consultation with Dr. John T. Knight if they suspect they might have olecranon bursitis. Dr. Knight is a board certified and fellowship trained orthopedic surgeon who has more than 20 years of experience in treating the hand, wrist and arm. He received his medical degree from the Louisiana State University School of Medicine, then successfully completed a Hand and Upper Extremity Fellowship at the Joseph H. Boyes Program in Los Angeles. To date, Dr. Knight has performed over 15,000 operations.

Olecranon Bursitis Animation Videos

Elbow Bursitis Animation Video

Aspiration of the Olecranon Bursa Animation Video

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What is Triceps Tendonitis?

Your tendons are strong connective tissues that attach muscles to bones. Because your bones can’t move on their own, they require the contraction and extension of muscles to move them. Tendonitis occurs when the connective tissue that attaches the muscle to the bone becomes inflamed, causing it to feel tender and sore.

Your arm contains several muscles, including your triceps, which runs from your deltoids–the muscle over your shoulder joint–to your elbow. Your triceps allow you to straighten your arm and attaches to the back of your elbow with a large tendon. When this tendon becomes inflamed, you feel pain, tenderness, and sometimes heat along the back of your upper arm, near the point of your elbow.

How is Triceps Tendonitis Caused?

Usually triceps tendonitis is caused by overuse of the triceps muscle, the biceps and the elbow. Repetitive bending and straightening can cause the tendon to become inflamed and painful. The most common causes of triceps tendonitis include activities such as hammering and throwing. Sports, such as tennis, racquetball and other games that require repeatedly bending the elbow can trigger triceps tendonitis, sometimes called posterior tennis elbow.

Triceps tendonitis can also be cause by a direct blow to or wrenching injury of the elbow.

Treatment Options for Triceps Tendonitis

Non-Surgical Treatment

Initial treatment for acute triceps tendonitis includes rest, ice, compression and elevation. Commonly called RICE, this protocol can reduce inflammation and relieve swelling in pain in many cases of triceps tendonitis. The tendon responds readily to RICE and further treatment may not be necessary. If you experience pain after an injury or repetitive motion, apply ice to the sore elbow for 15 to 20 minutes, 3 to 4 times a day for the first 24 hours. Do not perform activities that cause pain to the area. You may apply a light compression bandage to help reduce swelling. Try to rest with the area above your heart. Over-the-counter medication, such as ibuprofen or other non-steroidal anti-inflammatory, drug may help relieve pain and hasten healing. Your doctor may recommend stretching exercises that can speed rehabilitation.

If your pain does not respond to at-home treatment or if you have torn or ruptured your triceps tendon, surgery may be necessary to repair the damage.

Surgical Treatment

If you require surgical intervention for injury to your triceps tendon, your doctor will schedule you for a procedure to repair the damage. You will be given a general anesthetic through an IV and your doctor will make an incision to expose the damage area. Your doctor will carefully sew the ruptured tendon back onto the bone at the back of your elbow. Your doctor may require buttons or screws, and in some cases, tendon taken from another part of your body, to help the damaged tendon adhere to the bone. After the surgery, you will rest in the hospital before being allowed to return home. You may require a splint or cast to protect the tendon while it heals.

Recovery Time

If you treat an acute case of triceps tendonitis early, you may be able to resume your normal activities within a few days to weeks. If your triceps tendonitis goes untreated or is caused by a rupture or a tear, recovery may be as long as several months. Early diagnosis and treatment are the key to a shorter recovery period.

Why See Dr. Knight?

Dr. John Knight is a board certified orthopedic surgeon with over 20 years’ experience. He has performed more than 15,000 procedures involving conditions of the hands and arms. In addition to his experience, Dr. Knight has completed extensive training and has served on numerous medical boards. He currently serves as director of the Hand and Wrist Institute at D.I.S.C with experience, skill and compassion, Dr. Knight offers the highest quality treatment, from diagnosis and at-home care of your triceps tendonitis, to pain management, advanced surgical procedures and ultimate rehabilitation.

Triceps Tendonitis Animation Video

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There are a number of questions your doctor may ask you about the pain you are experiencing. They will want to know if you’ve recently had an accident, illness or injury, or if you’ve had surgery in the recent past. Your doctor will also ask you when you first began experiencing the pain and whether or not it is occasional or continuous.

When you visit your doctor, bring a list of all of the symptoms you’ve been experiencing. Include the severity and location of your pain, along with any stiffness or sensitivity. You may be curious about the cause of your symptoms, if your condition is temporary or chronic, and if there are any alternative treatments available, these are all questions you can ask your doctor at your appointment.

So just when should you make an appointment with your doctor if you think you’re suffering from complex regional pain syndrome? If you are experiencing constant, severe pain that affects a limb and makes moving or touching it unbearable, you should see a doctor to determine the cause.