Sunday 29 September 2013

Golf Grips And Finger Strain

I have spent some time studying golf grips and the baseball grip is the most kind on your fingers even though it is not the most popular grip.  The interlock places quite a lot of strain on the dominant little finger joint (PIP joint).  My advice (in terms of hands, not golfing handicap) is try the baseball grip.  If you have golfing related mild finger pain you can try finger rehabilitation at the bottom of this page.

Wednesday 25 September 2013

Ulnar nerve entrapment

The ulnar nerve can be pinched in the neck, elbow or wrist.  This diagram shows ulnar nerve entrapment at the elbow.  This area is known as the cubital tunnel and in cubital tunnel syndrome the patient usually experiences pain, tingling and and numbness in the little and ring fingers. Please read our patient's account here also reproduced here...

Monday 23 September 2013

Trigger Finger / Thumb

In trigger finger and thumb the guiders (flexor tendons) are dysfunctional and give rise to locking and / or pain in the finger and thumb.  Despite the diagram showing an index finger, this is uncommon.  Also please note that the digit locks in flexion ie. bent rather than straight.

Ring, middle and thumb are the commonly triggering digits.  In the early stages a cortisone injection may work, or sometimes the condition will settle spontaneously.  Exercise may also help.  In resistant cases wide awake trigger digit surgery may be a good option.

Monday 16 September 2013

Wide Awake Carpal Tunnel Decompression In London

In Carpal Tunnel Decompression we release the transverse carpal ligament shown in green here; at OSWA we steadfastly perform this using true wide awake hand surgery (no tourniquet) and in only one management stop (OSWA)

Saturday 14 September 2013

Wide Awake Hand Surgery

Wide Awake Hand Surgery (WAHS) is hand surgery performed purely under local anaesthesia with no tourniquet, no sedation, no general anaesthesia and no regional anaesthesia.  WAHS can enable patient-centricity and accelerated rehabilitation.  It is very suitable for conditions such as carpal tunnel syndrome, cubital tunnel syndrome, ulnar tunnel syndrome, ganglia, mucoid cysts, De Quervain's tenosynovitis, Tennis Elbow and not least Dupuytren's contracture.