Carpal Tunnel Syndrome is a condition brought on by increased pressure or a pinched nerve at the wrist.  Symptoms may include numbness, tingling, and pain in the arm, hand and fingers.

Ganglion Cysts are very common masses (lumps) that sometimes grow in the hand or wrist.  They usually come from nearby joints or tendon sheaths.  There is no specific cause and these cysts can be painful.

Treatment may be as simple as watching for any changes.  However, if the cyst is painful, limits activity, or its appearance is unacceptable, other treatments may be recommended.  These include removing fluid from the cyst with a needle, immobilizing the hand or wrist with a splint, and if necessary surgery to remove the cyst.

DeQuervain's Tendonitis is a condition brought on by irritation or swelling of the tendons found along the thumb side of the wrist.  The irritation causes the compartment (lining) around the tendon to swell, changing the shape of the compartment; this makes it difficult for the tendons to move as they should.  The swelling can cause pain and tenderness. 

The goal is to relieve the pain caused by the irritation and swelling.  Resting the thumb and wrist by wearing a splint may be recommended.  Anti-inflammatory medication taken by mouth or injection may help reduce the swelling and relieve the pain.  If improvement does not occur, surgery is generally done.  The surgery opens the compartment (covering) to make more room for the irritated tendons.

Dr. Ames performs surgery under most types of anesthesia:  local anesthesia, intravenous sedation ("twilight"), general anesthesia and regional anesthesia (nerve blocks).  The method of anesthesia used is based on the patient and surgeon's preference.   

The length of time for recuperation after hand surgery varies depending on the procedure.  Most patients will require assistance for the day or so and then will be able to care for themselves.  We will discuss with you in detail your postoperative care and recovery instructions.  The techniques offered today allow patients to return to work fairly soon following surgery.

Depending on the procedure performed determines when a patient may resume physical exercise.  All patients are encouraged to start a slow walking routine and hold off on anything more strenuous until after consulting with Dr. Ames.