Hand and Wrist Surgery in Orange County

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Hand surgery, wrist surgery, congenital hand surgery, pediatric hand surgery, syndactyly, duplicate digits, rheumatoid hand reconstruction, tendon transfers, joint replacement and joint fusion, hand fractures, tendon reconstruction, nerve reconstruction in Anaheim, Orange, Tustin, Irvine, Newport Beach, Long Beach and Orange County

What is syndactyly?
Syndactyly is the medical term for webbed or conjoined fingers or toes. Syndactyly is the most common malformation of the limbs. As a board certified plastic and hand surgeon, Dr. Ng provides treatment for babies and children affected by congenital hand differences, including syndactyly, duplicate digits, and amniotic band syndrome.

What is a tendon transfer surgery in Orange County?
Tendon transfer surgery is a type of hand surgery that is performed in order to improve lost hand or wrist function. A functioning tendon is shifted from its original attachment to a new one to restore the action that has been lost. The exact type of procedure depends on each patient's individual characteristics and needs. Book your consultation with Dr. Ng to learn about your options.

What is trigger finger in Orange County?
Trigger finger is a painful condition that makes your fingers or thumb catch when you bend them. It can affect any finger, or more than one. You might hear it called stenosing tenosynovitis, which means that it is due to inflammation or swelling. When it affects your thumb, it is called trigger thumb. This condition occurs more often in diabetics, but it can happen to anyone with swelling. There are many possible treatments, including a simple steroid injection in the office, or minor outpatient day surgery.

What is a carpal tunnel syndrome in Orange County?
Caral tunnel syndrome is a common condition that causes pain, numbness, and tingling in the hand and arm. The condition occurs when one of the major nerves to the hand, called the median nerve, is squeezed or compressed as it travels through the tightest part of the wrist, which is called the carpal tunnel. There are various treatments possible, including simply night splinting, a steroid injection in the office, or minor outpatient day surgery. Sometimes, Dr. Ng may suggest a nerve study to check your nerves, depending on your symptoms.

What is DeQuervain's tenosynovitis in Orange County?
DeQuervain's is a painful condition that affects the tendons in your wrist. It occurs when the 2 tendons around the base of your thumb near the back of your wrist become swollen. The swelling causes the tendon sheath on top to get inflamed. This puts pressure on nearby nerves, causing pain and numbness, and it irritates the tendon. Treatment options can include splinting, physical therapy, a steroid injection in the office, or minor outpatient day surgery.

What is Dupuytren's contracture in Orange County?
Dupuytren's contracture is a benign, progressive condition in which there is thickening of the fascia of the palm and fingers, creating cords and nodules. These draw the fingers and thumb toward the hand. It usually runs in families, and has often been reported in patients of Northern European descent. Dr. Ng offers many different treatment options, ranging from nonsurgical collagenase injection to surgical excision and release of the cords and nodules of the hand.

What is hand arthritis in Orange County?
Osteoarthritis of the hand occurs with time when wear and tear occurs in the small joints of the hand, or less commonly after remote trauma to the hand. With repeated use of a joint, the cartilage wears down, leading to bone rubbing on bone in the joint, which is painful. The most common joint for this to occur in is the base of the thumb. While there is no cure of osteoarthritis, there are many different nonsurgical and surgical treatments available to help with symptoms or to slow progression of arthritis.

Rheumatoid arthritis is an autoimmune inflammatory condition that involves the hands. With time, this can lead to nodules and subluxation of joints. It is best for this condition to be treated primarily by a rheumatologist. Dr. Ng provides surgical treatment of rheumatoid hand conditions. Surgeries are aimed at improving the function and appearance of the hand, and may excision of rheumatoid nodules, removal of inflamed synovial tissue, joint replacements, tendon transfers, and joint fusions.

What is a nerve transfer in Orange County?
After a traumatic injury to a nerve, the function that the nerve originally provided is lost. If your injury happened within the past year, the muscle that the nerve supplied will not yet have atrophied. In such cases, Dr. Ng may consider a surgical procedure in which she moves a nerve that provides a less critical function or an otherwise expendable nerve and reconnects it to the injured nerve. This may help with healing or restore hand function.

What is cubital tunnel syndrome in Orange County?
Cubital tunnel syndrome is compression of the ulnar nerve at the elbow, or near the "funny bone". Irritation of this nerve can cause weakness of the hand, difficulty with pinch, and numbness and tingling of the hand, especially of the ring and small fingers. This often happens when you lean on your elbows a lot. Dr. Ng can discuss treatment options with you, which range from nonsurgical conservative management such as splinting or surgery.

How long does it take a nerve to heal?
Dr. Ng often tells her patients that nerves "grow back" at about 1 millimeter per day, or 1 inch per month. Dr. Ng can evaluate your nerve regeneration through follow up visits and by tapping on your hand or forearm to see where nerve healing has progressed to. Often, hand therapy is an important part of healthy nerve healing and desensitization.

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