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Hand Issues

Comprehensive Care for Hand Conditions in New Orleans

Expert Treatment for Hand Injuries and Disorders

At the New Orleans Center for Aesthetics and Plastic Surgery, we provide expert care for a wide range of hand conditions that can affect comfort, mobility, and quality of life. From common concerns like carpal tunnel syndrome, trigger finger, and De Quervain’s disease to ganglion cysts, Dupuytren’s contracture, and traumatic injuries, our team offers advanced surgical and non-surgical solutions. With a focus on restoring function and reducing pain, we are committed to helping you regain strength, mobility, and confidence in your hands.

Carpal Tunnel Release

Carpal tunnel release is a surgical procedure that treats carpal tunnel syndrome, a condition that causes pain, numbness, tingling, and in severe cases, even loss of function of the hand and fingers. Carpal tunnel syndrome is caused by external compression of the median nerve as it passes through the tunnel at the wrist, also known as the carpal tunnel.

In carpal tunnel release surgery, Dr. Hendrick releases the carpal ligament, thereby allowing more space for the median nerve and tendons to pass through the carpal tunnel. The procedure relieves symptoms and improves function. Read more about carpal tunnel release →

Trigger Finger

Trigger finger, also known as stenosing tenovaginitis, is a painful, yet benign, condition that affects the flexor tendons in the hand. The most common complaint is the finger(s) become stuck in the flexed position requiring manual straightening that is often accompanied by pain and a popping sensation. This condition, which is most commonly seen in women and patients with diabetes, is a result of flexor tendon sheath narrowing (stenosing) around the flexor tendons.

Most cases of trigger finger are treated non-surgically with rest, NSAIDs, and often by steroid injection. However, there are more severe cases that fail non-operative management that require a surgical release of the stenosed flexor tendon sheath. During your office visit, Dr. Hendrick will perform a thorough exam, hear your concerns, and help you decide which treatment plan is best for you.

De Quervain's Disease

De Quervain’s disease is a benign condition affecting the extensor tendons of the thumb at the wrist, which causes tenderness, swelling, and sometimes pain over the base of the thumb, making daily activities very difficult. This condition is most often treated with an injection of corticosteroid medications. In a small subset of patients, the condition returns or fails to respond to non-operative management, requiring surgical release of the extensor tendon sheath at the wrist. Dr. Hendrick is very familiar with the management of this disease and will guide you through your treatment to help relieve your pain.

Ganglions

Ganglions are benign fluid-filled cysts that can occur at any joint, but most commonly appear in the small joints of the wrist and fingers. These cysts are caused by a small leakage of fluid that escapes from the adjacent joint. Ganglions often occur spontaneously and frequently present as a non-painful, small and raised area that may come and go. However, over time, they tend to enlarge and can become more bothersome, unattractive, and painful. Ganglion cysts are typically diagnosed on exam, but additional imaging studies, such as ultrasound or MRI, might be helpful to confirm the clinical diagnosis.

Ganglia may resolve on their own with a period of watchful waiting; however, those that continue to enlarge or become painful and bothersome can be treated with aspiration or surgical excision. Dr. Hendrick will discuss your condition in depth to help guide you to the best treatment plan.

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Dupuytren's Contracture

Dupuytren’s contracture or disease is an inherited condition that involves proliferation of the connective tissue within the palm resulting in a progressive, fixed flexion contracture of the hand. The ring and small fingers are the most commonly affected fingers. The disease progression is very slow and will often initially present as firm nodules within the palm and slowly progress into thick palmar cords. These cords will often continue into the fingers leading to flexion contractures that can continue until the hand becomes difficult to use. Treatment options vary depending on the severity of the condition. If you are suffering from this condition, Dr. Hendrick will discuss the various treatment options with you and help you choose the best treatment plan for your disease.

Hand Trauma

The importance of our hands is often taken for granted, and oftentimes, an unfortunate injury that causes temporary or even permanent loss of use of one or both hands forces us to realize just how vital they are. Our hands are one of the most intricate parts of our body, thus injuries must be treated promptly and with great care, since small disruptions in form can affect function. Therefore, it is important to have a proper evaluation by a surgeon who has completed training in a hand surgery fellowship. Dr. Hendrick has undergone plastic and microsurgery training with additional fellowship training in surgery of the Hand at the Baylor College of Medicine in Houston, TX. His experience in the high-volume hospitals of the Texas Medical Center as a hand fellow have afforded him a high level of skill and ability to deal with complex issues regarding the upper extremity. From this training, Dr. Hendrick is comfortable treating traumatic injuries of the hand including:

  • Simple and complex lacerations
  • Fractures
  • Tendon and ligament injuries
  • Nerve injuries
  • Arterial injuries
  • Burns
  • Crush Injury
  • Replantation

Confidence Starts Here

Call us today at (504) 533-8848 to schedule your hand issues consultation. Let Dr. Hendrick help you improve your quality of life.