“We know how painful living with these hand conditions can be. We’re here to return your hand to form and function, with pain-free movement.”

– dr. janet yueh

The hand and wrist, the fingers, thumbs and palms are made up of a complex arrangement of bones, tendons, ligaments and nerves. These delicate structures must interact precisely with one another and with the muscles, blood vessels and other body tissues of the hand to help us live our lives.

Hand surgery effectively repairs certain common bone irregularities or connective tissue problems that cause the hands to falter. When arthritis, tendonitis, carpal tunnel problems and other hand conditions begin interfering with daily life, the hand microsurgery specialists at Cohen/Winters offer surgical options to repair hand and wrist ailments.

The hand and wrist, the fingers, thumbs and palms are made up of a complex arrangement of bones, tendons, ligaments and nerves. These delicate structures must interact precisely with one another and with the muscles, blood vessels and other body tissues of the hand to help us live our lives.

Hand surgery effectively repairs certain common bone irregularities or connective tissue problems that cause the hands to falter. When arthritis, tendonitis, carpal tunnel problems and other hand conditions begin interfering with daily life, the hand microsurgery specialists at Cohen/Winters offer surgical options to repair hand and wrist ailments.

“We know how painful living with these hand conditions can be. We’re here to return your hand to form and function, with pain-free movement.”

– dr. janet yueh

Carpal Tunnel Syndrome

Carpal tunnel syndrome causes tingling, weakness, cramping and pain radiating from the palm of the hand through the wrist and into the forearm. This is the path of the median nerve and problems occur when this nerve becomes compressed passing through the wrist canal.

Compression often results when tendons, also running through the carpal tunnel, become inflamed. This leads to crowding, irritation and pressure on the nerve, which sends out pain signals in response.

Compression is more likely in people with genetically smaller wrists and/or a wrist injury and swelling. Other causes include: use of heavy vibrating tools; fluid retention due to the hormonal changes of pregnancy or menopause, a tumor or some combination of causes.

The talented New Jersey plastic surgeons at Cohen/Winters use straightforward, outpatient procedures to widen the tunnel and alleviate symptoms, often permanently.

Basal Joint Arthritis

Trigger Finger

Trigger finger (or trigger thumb) is tendon problem causing finger or thumb stiffness, pain and also jerky movements of one or more fingers. This occurs when finger tendons develop nodules (bumps or swollen areas), which “catch” when sliding though the tendon’s protective sheath.

The tendon “sticks” or “catches” on a pulley which holds the tendon sheath in position. When the tendon gets “unstuck” it slides through pulley and sheath abruptly, causing the finger or thumb to straighten out suddenly.

Middle aged and older adults get trigger finger most often, but children can also be affected. Individuals with rheumatoid arthritis or diabetes are more vulnerable. In some cases, the trigger finger gets locked into the curled position. Trigger finger causes pain and makes carrying items or picking them up difficult or impossible.

Tendonitis (Tendinitis)

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