Hand Surgery

The Hand Center

The Hand Center of Northern Arizona

The surgeons at Plastic Surgeons of Northern Arizona are all hand surgery specialists who treat a variety of hand problems, from those caused by overuse such as Carpal Tunnel to age-related issues such as Trigger Finger, Dupuytren’s Contracture and arthritis.  Their goal with all of their hand surgeries is to restore full function and mobility, and improve appearance so that the patient can return to his or her normal activities without pain. Hand procedures can be done at Northern Arizona SurgiCenter, our fully licensed and AAAHC-accredited ambulatory surgery center, located in the lower level of the Plastic Surgeons of Northern Arizona building in Flagstaff. To learn more about any hand or wrist procedure at Plastic Surgeons of Northern Arizona, contact us today at  (928) 774-2300 or (800) 962-1390 to schedule a complimentary consultation at any of our eight northern Arizona locations.

HAND PROCEDURES


CARPAL TUNNEL

Carpal tunnel syndrome occurs when the median nerve in the wrist becomes pinched due to inflammation, causing pain, numbness, and tingling in the palm, thumb, index finger, middle finger, or thumb side of the ring finger. Some patients also complain of weakness in the grip. Carpal tunnel syndrome is the result of repetitive use of the hands and wrists due to an activity such as typing, assembly line work, or certain sports. The symptoms of carpal tunnel syndrome can often be treated non-surgically by changing the way you do these activities, by wearing a splint, and by taking anti-inflammatory medications. If, however, these techniques don’t work to alleviate your pain and numbness, surgery may be necessary. At Plastic Surgeons of Northern Arizona, our highly skilled surgeons offer Endoscopic Carpal Tunnel Surgery because only a very small incision is required, resulting in much faster recovery time. During the surgery, the transverse carpal ligament is cut, releasing the pressure on the median nerve and alleviating your symptoms. Endoscopic Carpal Tunnel Surgery is performed at Northern Arizona SurgiCenter, our privately owned, fully licensed, certified, and AAAHC-accredited ambulatory surgery center located in the lower level of the Plastic Surgeons of Northern Arizona building in Flagstaff. Recovery time depends on your commitment to rehabilitative physical therapy, but most patients are back to work in 2-3 weeks. To learn more about endoscopic carpal tunnel surgery at Plastic Surgeons of Northern Arizona, contact us today at (928) 774-2300 or (800) 962-1390 to schedule a Carpal Tunnel Surgery surgery consultation at any of our eight Northern Arizona locations.

TRIGGER FINGER RELEASE

Trigger finger occurs when thick nodules or lumps develop on the flexor tendon in the finger causing it to get stuck in the tendon sheath tunnel as you try to straighten your finger. At first, you may feel a pop as the tendon moves through the tight area, and the finger may suddenly shoot out straight. Over time, as the swelling increases, there will be a pain, and perhaps an inability to straighten your finger without help. There is no known cause for trigger finger although it is more common in women, those between forty and sixty years old, anyone suffering from diabetes or rheumatoid arthritis, those who participate in activities that strain the hand, and people with carpal tunnel syndrome, and de Quervain’s stenosing tenosynovitis. There are non-surgical treatment options for trigger finger such as steroid injections, anti-inflammatory medications, and rest, but for anyone whose finger has become stuck in a bent position, trigger finger surgery is the best option. At Plastic Surgeons of Northern Arizona (PSNA), our highly skilled surgeons will make a small incision in the palm, and cut the tendon sheath tunnel. As the sheath heals, it will be looser so that the tendon has more room to move thus relieving your symptoms. Trigger Finger surgery is performed at Northern Arizona SurgiCenter, our privately owned, fully licensed, certified, and AAAHC-accredited ambulatory surgery center located in the lower level of the Plastic Surgeons of Northern Arizona building in Flagstaff. Most people are able to move their fingers immediately after surgery, and full recovery may be expected within a few weeks although it may take up to six months for all the swelling and stiffness to go away. To learn more about Trigger Finger surgery at Plastic Surgeons of Northern Arizona, contact us today at (928) 774-2300 or (800) 962-1390 to schedule a consultation at any of our eight northern Arizona locations.

All Forms of Hand Arthritis

NEED THIS CONTENT.

CHRONIC HAND & FINGER PAIN

NEED THIS CONTENT.

DUPUYTREN’S CONTRACTURE

Dupuytren’s contracture is a thickening and tightening of the fibrous tissue under the skin of the palm, and finger. Though painless and quite common(President Reagan suffered from the disease), it does cause the fingers to curl up which may eventually affect your ability to grip objects or put your hands in your pockets. There is no known cause for Dupuytren’s contracture although it is more common in people of Northern European descent, and increases in frequency with age. Symptoms develop gradually and usually involve the formation of nodules or lumps that thicken with time, forming tough bands of skin under the palm. As the disease migrates to the fingers, patients find that they can no longer extend their fingers. There are a number of non-surgical options for treating Dupuytren’s contracture such as steroid injections, splints, and Xiaflex, an enzyme injection that is the only FDA approved non-surgical treatment option on the market, and which is now offered at Plastic Surgeons of Northern Arizona. Ideal for patients who’ve already formed a tough band or cord, Xiaflex treatment is simple and effective. Basically, our surgeons will inject Xiaflex directly into the cord, and the next day, if necessary, they will extend your finger to break the cord. All that’s needed after that is a follow-up visit. Many patients, however, reach a point where their hand function is so limited that they seek surgery. At Plastic Surgeons of Northern Arizona, our highly skilled hand surgeons believe that surgery is the best option for treating Dupuytren’s contracture if the patient is unable to place his/her hand flat on a smooth surface. Surgery involves dividing and removing the thick bands in order to restore finger movement. Dupuytren’s contracture surgery is performed at Northern Arizona SurgiCenter, our privately owned, fully licensed, certified, and AAAHC-accredited ambulatory surgery center located in the lower level of the Plastic Surgeons of Northern Arizona building in Flagstaff. Following this surgery, you can expect some swelling, and you may require physical therapy but, in general, recovery time is minimal. To learn more about Dupuytren’s contracture surgery at Plastic Surgeons of Northern Arizona, contact us today at (928) 774-2300 or (800) 962-1390 to schedule a consultation at any of our eight northern Arizona locations.

HAND & FINGER INJURIES

NEED THIS CONTENT.


“I’ve seen Dr. Quigley THREE times, because well, I’m accident prone… twice for my hand, once required surgery! I’m a dental hygienist so having FULL mobility/ function of my hand was imperative so I needed the best AND Dr. Quigley is the best!!! Hand is healed and I’m back to work. I was also in…

“Dr. Patrick Cole is one of the best surgeons we have had the unfortunate need for. He did a great job on my husband’s Dupuytren’s Contracture and he made himself available by phone for our concerns even when on his way into the operating room. He has a great “bedside” manner that makes you feel…