Patrick J. McDaid, M.D.
ORTHOPAEDIC SURGEON
Patrick J. McDaid, M.D.
ORTHOPAEDIC HAND SURGEON
HAND CONDITIONS
No matter the problem affecting the hand, wrist, forearm or elbow, Dr. McDaid is able to
provide a comprehensive evaluation and customized treatment plan for a wide range of
conditions, including:
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Carpal Tunnel Syndrome
Carpal tunnel syndrome is essentially a pinched nerve in the wrist. There is a space in the wrist called the carpal tunnel where the median nerve and nine tendons pass from the forearm into the hand. Carpal tunnel syndrome happens when swelling in this tunnel puts pressure on the nerve.
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Fractures of the hand and wrist (adult and pediatric)
A hand fracture is a break in one of the bones in the hand. This includes the small bones of the fingers (phalanges) and the long bones within the palm (metacarpals). Depending on the type and location of the fracture, this may include wearing a cast, splint or buddy straps for a period of time. For more serious fractures or for fractures that do not line up properly, however, surgery may be required to realign the broken pieces of bone.
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Arthritis of the hand and wrist
Rheumatoid arthritis is a chronic disease that can affect many parts of your body.
It causes the joint lining (synovium) to swell, which causes pain and stiffness in the joint. Rheumatoid arthritis most often starts in the small joints of the hands and feet. It usually
affects the same joints on both sides of the body.
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Tennis Elbow (Epicondylitis)
Lateral epicondylitis, commonly known as “tennis elbow,” is a painful condition involving the tendons that attach to the bone on the outside (lateral) part of the elbow. Tendons transmit a muscle’s force to the bone. The muscle involved in this condition, the extensor carpi radialis brevis, helps to straighten and stabilize the wrist.
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Ganglion Cysts
Very common lumps within the hand and wrist that occur adjacent to joints or tendons. The most common locations are the top of the wrist, the palm side of the wrist, the base of the finger on the palm side, and the top of the end joint of the finger.The ganglion cyst often resembles a water balloon on a stalk, and is filled with clear fluid or gel.
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Trigger Finger
Stenosing tenosynovitis is a condition commonly known as “trigger finger.” It is sometimes also called “trigger thumb.” The tendons that bend the fingers glide easily with the help of pulleys. These pulleys hold the tendons close to the bone. This is similar to how a line is held on a fishing rod. Trigger finger occurs when the pulley becomes too thick, so the tendon cannot glide easily through it.
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Dupuytrens Disease
Dupuytren’s contracture is an abnormal thickening of the tissue just beneath the skin. This thickening occurs in the palm and can extend into the fingers. Firm pits, bumps and cords (thick lines) can develop and cause the fingers to bend into the palm. This condition may also be known as Dupuytren’s Disease. Occasionally, the disease will cause thickening on top of the knuckles or cause lumps and cords on the soles of the feet (plantar fibromatosis).
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Cubital tunnel syndrome
Cubital Tunnel Syndrome is a condition that involves pressure or stretching of the ulnar nerve (also known as the “funny bone” nerve), which can cause numbness or tingling in the ring and small fingers, pain in the forearm, and/or weakness in the hand. The ulnar nerve runs in a groove on the inner side of the elbow.
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Peripheral nerve compression
Nerves are the body’s “telephone wiring” system that carries messages between the brain and the rest of the body. Some nerves carry messages from the brain to muscles to make the body move. Other nerves carry messages about pain, pressure, or temperature from the body to the brain. Many small fibers are bundled inside each nerve to carry the messages. There is an outer layer that insulates and protects the nerves. Sometimes, nerves can be damaged.
As well as these other common hand conditions and treatments:
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Hand, wrist or elbow pain
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Joint stiffness and pain
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Numbness
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Casting
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Surgery
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Injections
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Hand Therapy
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Wrist and hand trauma
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Hand lacerations
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Wrist and hand sprains
Information derived from the American Society for Surgery of the Hand