Lincoln Arthritis

Diagnosing and treating arthritis in Lincoln

Lincoln arthritis

Lincoln arthritis

Dr. Dolf Ichtertz’s goal is to help people feel youthful and productive by preventing and eliminating painful or debilitating musculoskeletal conditions such as arthritis. At the Nebraska Hand & Shoulder Institute, PC, Dr. Ichtertz has been innovative in developing better techniques for clinical diagnosis and treatment protocols. He holds the national record when compared to English medical literature for getting patients to return to work most promptly, keeping them on the job and maintaining the best outcome. Isn’t this the doctor you want in your corner? If you need treatment for Lincoln arthritis, Dr. Ichtertz is the doctor to see.

Two of the most prevalent types of arthritis we treat are osteoarthritis and rheumatoid arthritis. The common arthritis symptoms of pain and stiffness are usually caused by degenerative joint arthritis (osteoarthritis) while rheumatoid arthritis is a progressive disease with symptoms of tender, stiff, and swollen joints. RA often starts in smaller joints, like fingers, and gradually progresses to larger joint structures. Patients suffering from arthritis can benefit from many aspects of arthritis management. Our experts will treat your Lincoln arthritis pain and assist you with improved joint function, increased muscle strength, and an improved fitness level. Osteoarthritis (OA) is the most common chronic condition of the joints, affecting approximately 27 million Americans. It is a condition we have vast experience treating. OA can affect any joint, but it occurs most often in knees, hips, lower back and neck, small joints of the fingers and the bases of the thumb and big toe. In healthy joints, a firm, rubbery material called cartilage covers the end of each bone. This cartilage allows the joint to smoothly glide during movement and acts as a cushion between the bones. In OA, the cartilage breaks down, causing pain, swelling and problems moving the joint. As OA worsens over time, bones may break down and develop growths called bone spurs.

Treatments for Lincoln arthritis vary based upon the type of arthritis you have and the severity of the condition. A thorough medical history complete with appropriate imaging will provide the information we need to develop a treatment plan. Non-surgical options may work, such as non-steroid anti-inflammation medications and physical therapy. In cases where the joint has sufficiently eroded, joint replacement has been a successful option. Minimally invasive surgical techniques (arthroscopy and other percutaneous methods) are emphasized in solving hand, elbow and shoulder and knee problems thus minimizing discomfort and accelerating recovery. Call us for an appointment today.

1919 S 40th St, Suite 333
Lincoln, NE 68506
(402) 835-4030

Grand Island Shoulder Pain Management

Shoulder pain treatments in Grand Island

Grand Island shoulder pain management

Grand Island shoulder pain management

When getting dressed or reaching for something causes shoulder pain, it’s time to get that shoulder looked at. The Nebraska Hand & Shoulder Institute, P.C., wants to keep you pain free and active. Dr. Dolf R. Ichtertz is a Board Certified Orthopedist and hand surgeon with vast experience and expertise in Grand Island shoulder pain management. This dynamic practice emphasizes proper diagnosis and treatment of compressed nerves resulting in discomfort and/or limitation of activity. Minimally invasive surgical techniques, such as arthroscopy and other percutaneous methods, are emphasized in solving hand, elbow, shoulder, and knee problems thus minimizing discomfort and accelerating recovery. Using this approach involves thorough patient education which includes custom illustrated brochures, videos, and their website. This educational outreach has consistently resulted in an extremely high rate of patient satisfaction. On site x-ray and state-of-the-art electrodiagnostic equipment and Pressure Specified Sensory Device offers convenience and thoroughness.

The most common reasons for shoulder pain are rotator cuff tears, biceps tendon irritation, nerve impingement, or degenerative arthritis. The rotator cuff is a group of tendons and four muscles that connect the upper arm bone, the humerus, to the shoulder blade. Their function is to stabilize the shoulder by keeping it within the socket and help to lift and rotate the arm. When a rotator cuff tear occurs, there can be a lot of pain and/or limited motion. Grand Island shoulder pain management will initially determine the cause of your discomfort in order to provide the best treatment options. In the case of a torn rotator cuff, one or more of the rotator cuff tendons are no longer fully attached to the head of the humerus. Most rotator cuff tears fall into the category of degenerative tears. These are a result of overuse and repeated rotator cuff injury due to straining or irritating the tendons. While degenerative changes to the rotator cuff occurs naturally with age, some occupations and hobbies that involve repetitive stress put one at greater risk for rotator cuff tears.

Arthroscopic repair for rotator cuff injuries and tears is one approach to Grand Island shoulder pain management. A small incision, about the size of a grain of rice, is made and a scope with a camera on the end is passed into your shoulder joint. The doctor is able to move the scope around the joint as images are relayed to a large screen. This accessibility helps avoid larger incisions and trauma within the joint. Surgical tools also use the same access site and repair the damage. Recovery is faster than traditional, open surgery, the scar is much smaller, and post-operative discomfort is minimal. Non-surgical treatments for other shoulder problems may include steroid injections or anti-inflammatory medications. So if you have shoulder pain and need a skilled surgeon to discuss your treatment options, call today for an appointment.

716 N. Alpha Street
Grand Island, NE 68803
(308) 398-4263

Lincoln Orthopaedist

Orthopaedic Services in Lincoln

Lincoln Orthopaedist

Lincoln Orthopaedist

When you have been injured and are looking for a Lincoln orthopaedist who wants to keep you pain free and active, come see Dr. Dolf R. Ichtertz at the Nebraska Hand & Shoulder Institute, PC. He is a Board Certified Orthopaedist and hand surgeon with vast experience and expertise in treating your orthopaedic problems. The practice emphasis is on diagnosis and treatment of compressed nerves resulting in discomfort and/or limitation of activity. Minimally invasive surgical techniques, such as arthroscopy and other percutaneous methods, are emphasized in solving hand, elbow, shoulder, and knee problems thus minimizing discomfort and accelerating recovery. Treatment is founded on scientific principles and applied as the doctor would want for himself or his family. Using this approach involves thorough patient education including custom illustrated brochures, videos, and this website. This educational outreach has consistently resulted in an extremely high rate of patient satisfaction. On site x-ray and state-of-the-art electrodiagnostic equipment and Pressure Specified Sensory Device allows on the spot convenience and thoroughness.

Dr. Ichtertz has been practicing orthopaedics and hand surgery with emphasis on peripheral nerve entrapment of the hands and feet and rotator cuff problems of the shoulder since 1987. Dr. Ichtertz is American Board of Orthopaedic Surgery (ABOS) certified in orthopaedics and has earned his Certificate of Added Qualifications in Surgery of the Hand (CAQ Hand). This is now known as the Special Certificate in Surgery of the Hand. This Lincoln orthopaedist’s goal is to help people feel youthful and productive by preventing and eliminating painful or debilitating musculoskeletal conditions. Dr. Ichtertz has been innovative in developing better techniques for clinical diagnosis and treatment protocols. He holds the national record when compared to English medical literature for getting patients to return to work most promptly, keeping them on the job and maintaining the best outcome. He is among the few orthopaedic surgeons who conducts ongoing outcome studies. For an outcome study there is careful scrutiny applied to each patient after they reach maximum healing. This ensures optimal results and continued improvement in the diagnosis and treatment. He was also among the first to adopt endoscopic carpal tunnel release and for the past three years he has also been offering an endoscopically-assisted cubital tunnel procedure.

Dr. Ichtertz, your expert Lincoln orthopaedist, is among the few specialists and even fewer orthopaedists/hand surgeons to understand and be able to interpret a nerve conduction study and EMG. This understanding is necessary for the proper diagnosis and treatment of entrapment neuropathy such as carpal and cubital tunnel syndrome, the most common neuropathies. He is surrounded by a highly qualified, carefully screened team of professionals.

Nebraska Hand & Shoulder Institute, PC
716 N. Alpha Street
Grand Island, NE 68803
(308) 398-4263

Grand Island Orthopedics

Carpal tunnel in Grand Island

Grand Island orthopedics

Grand Island orthopedics

Does opening a jar cause hand pain? Is your hand numb and weak? You might have carpal tunnel syndrome (CTS) and need a skilled Grand Island orthopedics office to help you. At the Nebraska Hand & Shoulder Institute, PC., Dr. Dolf R. Ichtertz is a Board Certified Orthopaedist and hand surgeon with vast experience and expertise in treating your orthopaedic problems. The practice emphasis is on diagnosis and treatment of compressed nerves resulting in discomfort and/or limitation of activity. Minimally invasive surgical techniques, such as arthroscopy and other percutaneous methods, are emphasized in solving hand, elbow, shoulder, and knee problems thus minimizing discomfort and accelerating recovery. Treatment is founded on scientific principles and applied as the doctor would want for himself or his family. Using this approach involves thorough patient education including custom illustrated brochures, videos, and this website. This educational outreach has consistently resulted in an extremely high rate of patient satisfaction. On site x-ray and state-of-the-art electrodiagnostic equipment and Pressure Specified Sensory Device allows on the spot convenience and thoroughness.

When you have hand pain, even the simplest of tasks can be difficult. The Grand Island orthopedics provides supreme care. Carpal tunnel syndrome results in numbness, tingling, weakness, and other problems in your hand due to pressure on the median nerve in your wrist. This nerve, along with several tendons, runs from your forearm to your hand through a small space in your wrist called the carpal tunnel. This nerve is responsible for movement and sensations in your thumb and first three fingers but not your little finger. Pressure on the median nerve causes CTS. This pressure can come from swelling or anything that makes the carpal tunnel smaller. For instance, certain diseases may contribute to the swelling such as hypothyroidism, rheumatoid arthritis, or diabetes. Repetitive movements, especially in flexion, may create swelling. Another possible cause of CTS is pregnancy due to the increased fluid in the extremities, hormonal influences, and postural considerations.

The Grand Island orthopedics‘ treatment may initially include a number of non-surgical remedies such as physical therapy, stretching exercises of the wrist, hand, and fingers, wearing a brace to immobilize the joint, and corticosteroid injections to reduce the inflammation. If these techniques are not sufficient enough to resolve the problem, Dr. Ichtertz may suggest surgery. We work closely with our patients to determine which treatment options are the most appropriate for your condition and life style. It is important to us that our patients take an active role in their health care. Teamwork and commitment to high quality care and results are important to us. So if you are experiencing hand discomfort and pain, take the first step towards healing by making an appointment with us today.

716 N. Alpha Street
Grand Island, NE 68803
(308) 398-4263

Orthopedics in Grand Island

Shoulder Surgery in Grand Island

Orthopedics in Grand Island

Orthopedics in Grand Island

When getting dressed becomes painful because of a shoulder injury, or reaching for the high shelf is difficult, it’s time to get that shoulder looked at. The Nebraska Hand & Shoulder Institute, P.C., the orthopedics office in Grand Island, wants to keep you pain free and active. Dr. Dolf R. Ichtertz is a Board Certified Orthopedist and hand surgeon with vast experience and expertise in treating your orthopedic problems. The practice emphasis is on diagnosis and treatment of compressed nerves resulting in discomfort and/or limitation of activity. Minimally invasive surgical techniques, such as arthroscopy and other percutaneous methods, are emphasized in solving hand, elbow, shoulder, and knee problems thus minimizing discomfort and accelerating recovery. Using this approach involves thorough patient education which includes custom illustrated brochures, videos, and their website. This educational outreach has consistently resulted in an extremely high rate of patient satisfaction. On site x-ray and state-of-the-art electrodiagnostic equipment and Pressure Specified Sensory Device offers convenience and thoroughness.

The most common reasons for shoulder pain are rotator cuff tears, biceps tendon irritation, or degenerative arthritis. The rotator cuff is a group of tendons and four muscles that connect the upper arm bone, the humerus, to the shoulder blade. Their function is to stabilize the shoulder by keeping it within the socket and help to lift and rotate the arm. When a rotator cuff tear occurs, there can be a lot of pain and/or limited motion. Damage to the rotator cuff is a common source of pain and disability in adults. A thorough examination by this talented orthopedist in Grand Island will determine the cause of your discomfort. In the case of a torn rotator cuff, one or more of the rotator cuff tendons are no longer fully attached to the head of the humerus. A rotator cuff tear can happen as a result of a single traumatic event or can develop gradually as a due to repeated micro-traumas. An acute tear occurs abruptly as the result of a fall, lifting a heavy object with a jerking motion, or along with other injuries sustained in an accident such as a broken collarbone and dislocated shoulder and are typically accompanied by immediate and intense pain. Most rotator cuff tears fall into the category of degenerative tears. These are a result of overuse and repeated rotator cuff injury due to straining or irritating the tendons. While degenerative changes to the rotator cuff occurs naturally with age, some occupations and hobbies that involve repetitive stress put one at greater risk for rotator cuff tears.

Arthroscopic repair for rotator cuff injuries and tears is a specialty of the orthopedics office in Grand Island. A small incision, about the size of a grain of rice, is made and a scope with a camera on the end is passed into your shoulder joint. The doctor is able to move the scope around the joint as images are relayed to a large screen. This accessibility helps avoid larger incisions and trauma within the joint. Surgical tools also use the same access site and repair the damage. Recovery is faster than traditional, open surgery, the scar is much smaller, and post-operative discomfort is minimal. So if you have shoulder pain and need a skilled surgeon, call today for an appointment.

Nebraska Hand & Shoulder Institute, P.C.
716 N. Alpha Street
Grand Island, NE 68803
(308) 398-4263

Orthopedics in Grand Island

Shoulder surgery in Grand Island

Orthopedics in Grand Island

Orthopedics in Grand Island

When getting dressed becomes painful because of a shoulder injury, or reaching for the high shelf is difficult, it’s time to get that shoulder looked at. The Nebraska Hand & Shoulder Institute, P.C., the orthopedics in Grand Island, wants to keep you pain free and active. Dr. Dolf R. Ichtertz is a Board Certified Orthopedist and hand surgeon with vast experience and expertise in treating your orthopedic problems. The practice emphasis is on diagnosis and treatment of compressed nerves resulting in discomfort and/or limitation of activity. Minimally invasive surgical techniques, such as arthroscopy and other percutaneous methods, are emphasized in solving hand, elbow, shoulder, and knee problems thus minimizing discomfort and accelerating recovery. Using this approach involves thorough patient education which includes custom illustrated brochures, videos, and their website. This educational outreach has consistently resulted in an extremely high rate of patient satisfaction. On site x-ray and state-of-the-art electrodiagnostic equipment and Pressure Specified Sensory Device offers convenience and thoroughness.

The most common reasons for shoulder pain are rotator cuff tears, biceps tendon irritation, or degenerative arthritis. The rotator cuff is a group of tendons and four muscles that connect the upper arm bone, the humerus, to the shoulder blade. Their function is to stabilize the shoulder by keeping it within the socket and help to lift and rotate the arm. When a rotator cuff tear occurs, there can be a lot of pain and/or limited motion. Damage to the rotator cuff is a common source of pain and disability in adults. A thorough examination by this talented orthopedics in Grand Island will determine the cause of your discomfort. In the case of a torn rotator cuff, one or more of the rotator cuff tendons are no longer fully attached to the head of the humerus. A rotator cuff tear can happen as a result of a single traumatic event or can develop gradually as a due to repeated micro-traumas. An acute tear occurs abruptly as the result of a fall, lifting a heavy object with a jerking motion, or along with other injuries sustained in an accident such as a broken collarbone and dislocated shoulder and are typically accompanied by immediate and intense pain. Most rotator cuff tears fall into the category of degenerative tears. These are a result of overuse and repeated rotator cuff injury due to straining or irritating the tendons. While degenerative changes to the rotator cuff occurs naturally with age, some occupations and hobbies that involve repetitive stress put one at greater risk for rotator cuff tears.

Arthroscopic repair for rotator cuff injuries and tears is a specialty of the orthopedics in Grand Island. A small incision, about the size of a grain of rice, is made and a scope with a camera on the end is passed into your shoulder joint. The doctor is able to move the scope around the joint as images are relayed to a large screen. This accessibility helps avoid larger incisions and trauma within the joint. Surgical tools also use the same access site and repair the damage. Recovery is faster than traditional, open surgery, the scar is much smaller, and post-operative discomfort is minimal. So if you have shoulder pain and need a skilled surgeon, call today for an appointment.

716 N. Alpha Street
Grand Island, NE 68803
(308) 398-4263

Grand Island Orthopaedist

Orthopaedic services in Grand Island

Grand Island orthopaedist

Grand Island orthopaedist

When you are looking for a Grand Island orthopaedist who wants to keep you pain free and active, come see Dr. Dolf R. Ichtertz at the Nebraska Hand & Shoulder Institute, PC. He is a Board Certified Orthopaedist and hand surgeon with vast experience and expertise in treating your orthopaedic problems. The practice emphasis is on diagnosis and treatment of compressed nerves resulting in discomfort and/or limitation of activity. Minimally invasive surgical techniques, such as arthroscopy and other percutaneous methods, are emphasized in solving hand, elbow, shoulder, and knee problems thus minimizing discomfort and accelerating recovery. Treatment is founded on scientific principles and applied as the doctor would want for himself or his family. Using this approach involves thorough patient education including custom illustrated brochures, videos, and this website. This educational outreach has consistently resulted in an extremely high rate of patient satisfaction. On site x-ray and state-of-the-art electrodiagnostic equipment and Pressure Specified Sensory Device allows on the spot convenience and thoroughness.

Dr. Ichtertz has been practicing orthopaedics and hand surgery with emphasis on peripheral nerve entrapment of the hands and feet and rotator cuff problems of the shoulder since 1987. Dr. Ichtertz is American Board of Orthopaedic Surgery (ABOS) certified in orthopaedics and has earned his Certificate of Added Qualifications in Surgery of the Hand (CAQ Hand). This is now known as the Special Certificate in Surgery of the Hand. This Grand Island orthopaedist’s goal is to help people feel youthful and productive by preventing and eliminating painful or debilitating musculoskeletal conditions. Dr. Ichtertz has been innovative in developing better techniques for clinical diagnosis and treatment protocols. He holds the national record when compared to English medical literature for getting patients to return to work most promptly, keeping them on the job and maintaining the best outcome. He is among the few (less than 1 in 4 groups and even less in solo practice) orthopaedic surgeons who conducts ongoing outcome studies. For an outcome study there is careful scrutiny applied to each patient after they reach maximum healing. This ensures optimal results and continued improvement in the diagnosis and treatment. He was also among the first to adopt endoscopic carpal tunnel release and for the past three years he has also been offering an endoscopically-assisted cubital tunnel procedure.

Dr. Ichtertz, your Grand Island orthopaedist, is among the few specialists and even fewer orthopaedists/hand surgeons to understand and be able to interpret a nerve conduction study and EMG. This understanding is necessary in the proper diagnosis and treatment of entrapment neuropathy such as carpal and cubital tunnel syndrome, the most common neuropathies. He is surrounded by a highly qualified, carefully screened team of professionals. A graphic artist, three medical billers, an undergraduate biochemist, nerve conduction study technicians, a licensed practical nurse and an x-ray technician are staffed at Nebraska Hand & Shoulder Institute.

716 N. Alpha Street
Grand Island, NE 68803
(308) 398-4263

Grand Island Carpal Tunnel

Diagnosing and treating carpal tunnel in Grand Island

Grand Island carpal tunnel

Grand Island carpal tunnel

When you are looking for a specialist in Grand Island carpal tunnel to treat your carpal tunnel who wants to keep you pain free and active, come see Dr. Dolf R. Ichtertz at the Nebraska Hand & Shoulder Institute, PC. He is a Board Certified Orthopaedist and hand surgeon with vast experience and expertise in treating your orthopaedic problems. The practice emphasis is on diagnosis and treatment of compressed nerves resulting in discomfort and/or limitation of activity. Minimally invasive surgical techniques, such as arthroscopy and other percutaneous methods, are emphasized in solving hand, elbow, shoulder, and knee problems thus minimizing discomfort and accelerating recovery. Treatment is founded on scientific principles and applied as the doctor would want for himself or his family. Using this approach involves thorough patient education including custom illustrated brochures, videos, and this website. This educational outreach has consistently resulted in an extremely high rate of patient satisfaction. On site x-ray and state-of-the-art electrodiagnostic equipment and Pressure Specified Sensory Device allows on the spot convenience and thoroughness.

When you have hand pain, even the simplest of tasks can be difficult. For carpal tunnel syndrome in Grand Island, our hand doctor provides supreme care. Carpal tunnel syndrome (CTS) results in numbness, tingling, weakness, and other problems in your hand due to pressure on the median nerve in your wrist. This nerve, along with several tendons, runs from your forearm to your hand through a small space in your wrist called the carpal tunnel. This nerve is responsible for movement and sensations in your thumb and first three fingers but not your little finger. Pressure on the median nerve causes CTS. This pressure can come from swelling or anything that makes the carpal tunnel smaller. For instance, certain diseases may contribute to the swelling such as hypothyroidism, rheumatoid arthritis, or diabetes. Repetitive movements, especially in flexion, may create swelling. Another possible cause of CTS is pregnancy due to the increased fluid in the extremities, hormonal influences, and postural considerations.

Grand Island carpal tunnel syndrome treatment may initially include a number of non-surgical remedies such as physical therapy, stretching exercises of the wrist, hand, and fingers, wearing a brace to immobilize the joint, and corticosteroid injections to reduce the inflammation. If these techniques are not sufficient enough to resolve the problem, Dr. Ichtertz may suggest surgery. We work closely with our patients to determine which treatment options are the most appropriate for your condition and life style. It is important to us that our patients take an active role in their health care. Teamwork and commitment to high quality care and results are important to us. So if you are experiencing hand discomfort and pain, take the first step towards healing by making an appointment with us today.

716 N. Alpha Street
Grand Island, NE 68803
(308) 398-4263

Orthopaedist in Grand Island

Welcome to Nebraska Hand & Shoulder Institute, P.C.

My staff and I at the Nebraska Hand & Shoulder Institute, P.C. believe that prevention and elimination of painful or debilitating conditions of the upper and lower extremities can consistently be achieved. Our success is made by a strong effort at patient education via frequently updated brochures, video and verbal instruction, and ongoing clinical outcomes research. We bring these services to you for sports injury, fracture, nerve entrapment and arthritis at four convenient locations across Nebraska.

Efforts by my staff and I in improving outcomes have led to offering a host of the least invasive, minimally uncomfortable treatment options. These are rarely offered elsewhere for problems such as carpal tunnel syndrome (endoscopic carpal tunnel release), tennis elbow (percutaneous elbow tenotomy), trigger finger (percutaneous A-1 pulley release), Dupuytren’s contracture (percutaneous fascial band release), wrist arthritis and painful wrist instability (percutaneous wrist denervation) along with a variety of arthroscopic procedures for the shoulder, knee, and wrist.

In fact, Dr. Ichtertz was among the first involved in arthroscopic meniscal repair (1984), arthroscopic wrist surgery (1986) and has been doing arthroscopic shoulder surgery since 1985. You have come to the right site. Dr. Ichtertz has broad-based experience with the most modern techniques for common and unusual problems of the upper and lower extremities. We have the only pressure-specified sensory device in the state of Nebraska to help in the diagnosis and treatment of tarsal tunnel syndrome, particularly in diabetics. Total joint replacement for arthritis of the major joints of the body is also offered.

About The Doctor

Dr. Ichtertz’s family originated in Blue Hill, Nebraska and ultimately ended up in Illinois. Dr. Ichtertz spent his childhood through college age in southern California and attended the University of Southern California (USC), graduating with a Bachelor’s Degree in Biological Science. He then attended Baylor College of Medicine (BCM) the anchor for the Texas Medical Center – the largest medical center in the world. According to US News and World Report, BCM has been among the nation’s top 20 medical schools since 1994.

Dr. Ichtertz has been practicing orthopaedics and hand surgery with emphasis on peripheral nerve entrapment of the hands and feet and rotator cuff problems of the shoulder since 1987. Dr. Ichtertz is American Board of Orthopaedic Surgery (ABOS) certified in orthopaedics and has earned his Certificate of Added Qualifications in Surgery of the Hand (CAQ Hand). This is now known as the Special Certificate in Surgery of the Hand.

Dr. Ichtertz is among the few specialists and even fewer orthopaedists/hand surgeons to understand and be able to interpret nerve conduction study and EMG. This understanding is necessary in the proper diagnosis and treatment of entrapment neuropathy such as carpal and cubital tunnel syndrome, the most common neuropathies.

Grand Island Office

716 N Alpha St.
Grand Island, NE 68803