The hand is one of the most intricate and unique areas of the human body. It is made up of bones, joints, ligaments, tendons, muscles, nerves, skin, and blood vessels, all working in perfect harmony. Our hands offer us the ability to work, drive, sip a cold drink, hold the hands of our loved ones, and even to pet our dogs and cats.
The interplay between all the internal structures of the hand is a delicate and refined dance. Even a small injury or a relatively harmless disease can affect any or all of these structures and can cascade to other structures and often impair the use of the hand completely.
In addition to her specialty training in plastic surgery, Dr. Goldberg has extensive training in the treatment of hand problems and conditions. She can diagnose and treat problems related to the vast delicate structures in the hand, wrist, and forearm.
Dr. Goldberg commonly treats many hand problems including tennis elbow, pain and injuries of the hand and wrist, rheumatoid arthritis hand deformities, nerve and tendon injuries, and brachial plexus injuries.
Dr. Goldberg specializes in several common conditions with which she has extensive expertise and training.
Carpal Tunnel Syndrome (CTS)
Carpal Tunnel Syndrome (CTS) is a pinched nerve in the wrist often characterized by symptoms such as pain, numbness and tingling in the arm, wrist, hand, and fingers. CTS can have a number of causes, but is commonly thought to be due to pressure on the carpal tunnel containing the median nerve, applied for extended periods of time. Pressure can lead to swelling, fluid retention, and inflammation of the tendons and other internal structures. CTS can be treated with splinting, steroid injections and surgical decompression of the median nerve. Dr. Goldberg will advise her patients to the best options for their specific situation.
Hand and wrist fractures are the result of an excess of force is applied to a bone. A fracture may be simple or complex. The bones may remain in place or fragment and become displaced enough to require the surgeon to manually move them back to where they need to be. Some breaks may involve forces strong enough to cause the bone to break the skin. Dr. Goldberg will be able to offer a number of treatments like splints, open reduction surgery, and bone bank and synthetic grafts, depending on the exact location and the specific bones involved.
Trigger finger is a condition in which the tendons in the hands develop swellings that cause resistance when the fingers are opened and closed that may exhibit as a popping or as a catch. The cause of trigger finger is often unknown. Trigger finger can be treated either by steroid injections that can reduce inflammation and allow the tendon to move freely or through a surgical procedure that releases the tendon at the base of the finger.
Ganglion cysts are a fluid filled lump commonly occurring near joints and tendons. The reason for these cysts is largely unknown, although they may be related to mechanical changes due to irritation and inflammation to joints and tendons. Ganglion cysts can affect people of any age, and while they sometimes correct themselves naturally, they often do not and need surgical intervention to ease pain and prevent spread. Ganglion cysts can at times be treated through aspiration but may require surgical resection to remove in other patience. While surgical resection can be more costly and time consuming it offers the benefit of high success and lower recurrence rates.