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Small Joint Denervation

In years gone by, joint fusion- bonding bones together to eliminate painful motion- was the only way to treat advanced arthritis.  In the late 1960s, joint replacement as we know it today became a reasonable option.  Based on extensive anatomic research, denervation, or removal of nerves going to the responsible…

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Carpal Tunnel Release Outcome in Worker’s Compensation Patients

Jung, et al., in Hand 2018, Vol. 13, pages 137-142, published a meta-analysis (comparison of data in the literature) on private, i.e. non-work-related, and worker’s compensation-treated patients with carpal tunnel syndrome.  They found that worker’s compensation patients took almost five weeks longer to return to work and were 16% less…

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Opioid Use Among Hand Surgery Patients

There has recently been a load of attention given to opioid use and abuse in the United States.  There is evidence that most patients are being given a lot more medication than they have required to treat potential postoperative pain.  In a large study reported in the Journal of Hand…

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So you think platelet-rich plasma (PRP) will help your arthritis

Fly-by-night marketing attempts even occur in medical field! For the past 20 years there has been a plethora of questionable studies suggesting that possibly hyaluronic acid originally derived from rooster comb could benefit arthritic joints (sold as Synvisc, Hyalgan and Euflexxa, etc.). Careful research discloses that actually, it is a…

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Raynaud’s Syndrome

Is it related to carpal tunnel syndrome? Can the treatment of carpal tunnel syndrome eliminate Raynaud’s? These are both good questions. They have been addressed by a few clinicians over the years with progressively better reviews. Raynaud’s phenomenon, constriction of the blood vessels in the hands, can be painful resulting…

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