Opioid Use Among Hand Surgery Patients

August 16, 2019

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…

Cryoneurolysis to Treat the Pain and Symptoms of Knee Osteoarthritis: A Multi-Center, Randomized, Double-Blind, Sham-Controlled Trial

July 22, 2019

By R. Radnovich, MD, et al.  Osteoarthritis & Cartilage, Vol. 25, (2017): 47-1256.  This over-verbose, prospective study involved 180 patients with degenerative arthritis of the knee taken off NSAIDs and supplements, etc. for pain.  Fifty-nine of them were in the sham group, i.e. controls, plus each person had their opposite…

Nerve Conduction Study vs. Ultrasonography in Electrodiagnostic Evaluation of Carpal Tunnel Syndrome

July 16, 2019

The ultrasound marketers are really pushing the possible use of ultrasound in diagnosis of nerve entrapment.  Nerve conduction study, however, has the advantage of many years of use in having established itself as a very useful tool in the objective evaluation of nerve entrapment.  Ultrasound on the other hand is…

Denervation as a Means of Solving Base of Thumb Arthritis

November 5, 2018

Patients who are intolerant of or do not respond to NSAID for the treatment of basilar thumb arthritis suffer pain and weakness of pinch, thus loss of function. Reconstruction of the basilar thumb joint ties up the hand for about a month and then it takes awhile to get all…

The Negative Effect of Carpal Tunnel Syndrome on Sleep Quality

October 23, 2018

Not much has been written specifically about evaluating sleep in patients with carpal tunnel syndrome but it is clearly a big problem.  It seems like about 7 out of 10 people seek treatment for carpal tunnel syndrome specifically because pain or numbness in their hands is keeping them awake at…