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Hand & Wrist
The hand and wrist are highly specialised structures that play a vital role in daily function, strength, and fine movement. Because they are formed by a complex arrangement of bones, joints, tendons, ligaments, and nerves, they may be affected by a wide range of injuries and orthopaedic conditions. These problems can result in pain, swelling, stiffness, weakness, or difficulty using the hand normally. The aim of orthopaedic treatment is to diagnose the problem accurately and help restore comfort, mobility, and function.
Here below, some of common conditions that Mr Ayoub can treats;
Carpal Tunnel Syndrome
Carpal tunnel syndrome is a common condition caused by pressure on the median nerve at the wrist. This nerve passes through a narrow tunnel in the wrist called the carpal tunnel. When it becomes compressed, it can lead to unpleasant symptoms in the hand and fingers.The most common symptoms are tingling, numbness, and pain in the hand, often affecting the thumb, index finger, middle finger, and part of the ring finger. Symptoms are often worse at night and may disturb sleep. Some patients also notice weakness, loss of grip, or clumsiness of the hand. On examination, there may be signs of reduced strength and, in more advanced cases, wasting of the muscles at the base of the thumb. Learn more…
Cubital Tunnel Syndrome
This is a condition brought by increased pressure on the ulnar nerve at the elbow. This compression is caused by a number of tough tissue bands as it passes above, through and behind the elbow joint. The ulnar nerve passes across, behind a bump on the inner side of the elbow. This bump is called the medial epicondyle. The "funny bone" is actually the corner of the nerve as makes the bend around the elbow. Hitting the elbow at this spot tickles the nerve and gives a brief feeling of a shock or tingling.
The patient usually complains of tingling, “pins and needles” and sometime pain in the little and ring fingers. The symptoms are usually felt when there is pressure on the nerve, such as sitting with the elbow on an arm rest, with repetitive elbow bending and when the elbow is held in a bent position for a period of time, such as when holding the phone, or while sleeping. This may cause a night sleep disturbance. Later symptoms of weakness and wasting of the muscles of the hand may develop. Learn more…
Dupuytren’s Disease of the Hand and Fingers
What is Dupuytren’s Disease?
Dupuytren’s disease is a common condition affecting the hand and fingers. It develops in the tissue beneath the skin of the palm, where thickening can gradually form. Over time, this thickened tissue may turn into a tight band, which can begin to pull one or more fingers into a bent position.
The condition is usually slow and progressive. It may affect a single finger or several fingers, and it can occur in one hand or both hands. In the early stages, it may cause very little trouble, but as it progresses it can interfere with normal hand function and everyday activities.
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Lumps and Bumps
Lumps and bumps around the hand and wrist are common and can develop for a number of reasons. Many are harmless and are often caused by cysts, particularly ganglion cysts, which are fluid-filled swellings arising from a joint or tendon sheath. Other possible causes include tendon sheath cysts, mucous cysts near the finger joints, fatty lumps such as lipomas, or bony prominence related to arthritis. Some lumps are painless, while others may cause discomfort, stiffness, weakness, tingling, or concern because of their appearance. A proper assessment is important to confirm the diagnosis and decide whether any treatment is needed. Learn more…
Pain around the base of the thumb
Pain around the base of the thumb or on the thumb side of the wrist is common and can happen for a number of reasons. The two most common causes are De Quervain tenosynovitis and wear-and-tear arthritis at the base joint of the thumb. Although these conditions can cause similar symptoms, they affect different structures and may require different treatment.
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Trigger Finger / Thumb
Trigger finger is a common condition affecting the hand, in which a finger or thumb catches, clicks, or locks as it bends and straightens. It happens when the flexor tendon and its sheath at the base of the finger become irritated or thickened, so the tendon no longer glides smoothly. In many people there is no single clear cause, although repetitive gripping, diabetes, rheumatoid arthritis, and increasing age can all make it more likely. It may affect one finger or thumb, several digits, or sometimes both hands.
Typical symptoms include pain and tenderness in the palm near the base of the affected finger, a clicking or snapping sensation, morning stiffness, and sometimes a small lump or nodule. As the condition progresses, the finger may begin to catch more often or lock in a bent position, sometimes needing the other hand to straighten it. This can interfere with everyday hand function such as gripping, writing, typing, buttoning clothes, holding tools, or turning a key. Learn more...
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