Lincoln Hand Doctor

Trigger finger in Lincoln

Lincoln hand doctor

Lincoln hand doctor

If you are looking for the best Lincoln hand doctor to treat your trigger finger, Dr. Dolf Ichtertz of the Nebraska Hand & Shoulder Institute, PC is the number one choice. Dr. Dolf R. Ichtertz is a Board Certified Orthopedist and hand surgeon with vast experience and expertise in treating trigger finger or any other 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, prompt diagnosis, and thoroughness.

A trigger finger is a painful condition that affects the tendons in the fingers or thumb. It causes one or more fingers to snap or lock when the hands are opened or closed. A trigger finger is difficult to straighten out. While the causes of trigger finger are unknown, it is thought that inflammation causes the tendon and tendon sheath to swell, resulting in the condition. Once your condition is diagnosed by our Lincoln hand doctor, trigger finger treatments may include stretching the fingers, putting ice on the affected fingers, getting a splint, and anti-inflammation medications. Oral medications that help fight inflammation include naproxen, ibuprofen and diclofenac. For the fastest and most effective treatment, local cortisone injections are administered into the tendon sheath around the affected tendon or thumb to reduce inflammation. In very serious cases where none of the above treatments work, surgery may be necessary.

Our leading Lincoln hand doctor places an emphasis on creating a partnership with his patients to effectively treat your trigger finger or any other orthopedic conditions you may have. Dr. Ichtertz recognizes that informed, proactive patients make better health care choices, are more secure in their decisions, and recover faster. When you come in to the office, you are greeted warmly by a welcoming, experienced staff who are skilled and knowledgeable. We understand how difficult it is to live with the annoyance and discomfort of trigger fingers and work diligently to make you feel better.

1919 S 40th St, Suite 333
Lincoln, NE 68506
(402) 327-1301

Grand Island Orthopedic Services

Orthopedist in Grand Island

Grand Island orthopedic services

Grand Island orthopedic services

If you are looking for premier Grand Island orthopedic services to treat an injury, come and see the best. Dr. Dolf R. Ichtertz at the Nebraska Hand & Shoulder Institute, PC will work with you to determine the cause of your injury and the best treatment option. He 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. 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, who provides exceptional Grand Island orthopedic services has been practicing orthopedics and hand surgery with emphasis on peripheral nerve entrapment of the hands and feet and rotator cuff problems of the shoulder since 1987. His 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 orthopedic 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 endoscopic-assisted cubital tunnel procedure.

Dr. Ichtertz, your expert in Grand Island orthopedic services, is among the few specialists and even fewer orthopedists/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.

716 N Alpha St
Grand Island, NE 68803
(308) 646-0350

Grand Island Arthritis

Arthritis in Grand Island

Grand Island arthritis

Grand Island arthritis

Are you achy all over? Are your movements stiff and often painful? 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 treating your Grand Island arthritis and other 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.

There are numerous types of arthritis, but 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 Grand Island arthritis and assist you with improved joint function, increased muscle strength, and 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.

Whatever your orthopedic needs are, if you need Grand Island arthritis treatment and want an orthopedic surgeon with craftsmanship and tremendous skills, and a friendly, caring staff, look no further. Dr. Ichtertz is board certified and here to help you resume an active lifestyle as quickly and completely as possible. Don’t wait any longer. Give us a call and set up an appointment.

716 N Alpha St
Grand Island, NE 68803
(308) 646-0350

Lincoln Orthopedics

Tennis elbow in Lincoln

Lincoln orthopedics

Lincoln orthopedics

The repetitive motion of hitting a tennis ball can cause an inflammation at the elbow regardless of your athletic skill. As a matter of fact, any repetitive motion at the elbow can have this effect. And if you want to address this condition and resolve it, you need to go to a skilled orthopedist who has a lot of experience treating tennis elbow and other orthopedic injuries. The Nebraska Hand & Shoulder Institute, P.C., lead by the leading board certified orthopedist Dr. Dolf R. Ichtertz, wants to keep you pain free and active. This compassionate practice emphasizes proper diagnosis and treatment of compressed nerves resulting in discomfort and/or limitation of activity. If your elbow pain warrants surgery, Lincoln orthopedics employs minimally invasive surgical techniques, such as arthroscopy and other percutaneous methods, which minimize discomfort and accelerate recovery.

Tennis elbow, also called lateral epicondylitis, is brought on by sports or recreational activities, work-related tasks, home projects, and repetitive stress. Tennis elbow is an overuse and muscle strain injury. The cause of tennis elbow is repeated contraction of the forearm muscles that you use to straighten and bend your arm and wrist. The repeated motions and stress to the tissue may result in a series of tiny tears in the tendons that attach the forearm muscles to the bony prominence at the outside of your elbow. At this Lincoln orthopedics office, we are very experienced and have enjoyed tremendous success in treating tennis elbow.

After a thorough examination at Lincoln orthopedics, the treatment for your tennis elbow will be discussed. Tennis elbow often gets better on its own. But if over-the-counter pain medications and other self-care measures aren’t helping, Dr. Ichtertz may suggest physical therapy. Severe cases of tennis elbow may require surgery. If your symptoms are related to tennis (which is where this condition got its name), your doctor may suggest that experts evaluate your tennis technique or the movements involved with your job tasks to determine the best steps to reduce stress on your injured tissue. In addition, a physical therapist can teach you exercises to gradually stretch and strengthen your muscles, especially the muscles of your forearm. Eccentric exercises, which involve lowering your wrist very slowly after raising it, are particularly helpful. For treatment of your tennis elbow or any other orthopedic conditions, Nebraska Hand & Shoulder Institute is the smart choice.

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

Grand Island Knee Surgery

Knee surgery in Grand Island

Grand Island Knee Surgery

Grand Island Knee Surgery

Do you feel pain when you walk up and down stairs? Can you “hear” your knee when you bend it? If so, you need to see the experts at Nebraska Hand and Shoulder Institute, PC for an effective treatment. The Nebraska Hand & Shoulder Institute, P.C., lead by Dr. Dolf R. Ichtertz, wants to keep you pain free and active. This compassionate practice emphasizes proper diagnosis and treatment of compressed nerves resulting in discomfort and/or limitation of activity. If your knee pain warrants surgery, Grand Island knee surgery employs minimally invasive surgical techniques, such as arthroscopy and other percutaneous methods, which minimize discomfort and accelerate recovery.

While your knee pain may be caused by several factors, those injuries that fare best with Grand Island knee surgery are torn ligaments, menisci, or knee replacements. Dr. Ichtertz employs a minimally invasive knee replacement whenever possible for his patients whose knee arthritis requires surgery. This approach involves very little disruption of the tissues and ligaments within and around the knee by replacing only the worn, weight-bearing surfaces on the inner side of the knee. Called a partial knee replacement, this knee surgery enjoys great patient acceptance because the incision is relatively smaller and more comfortable than traditional knee replacement. However, when the arthritis or normal wear-and-tear involve the whole knee, a traditional knee replacement is the best answer. Beside technical expertise in performing knee replacement surgery, Dr. Ichtertz doctor brings his knee patients the benefits of his enormous experience with pain control and rehabilitation.

The personalized care for your knee injury starts with a thorough examination of your knee joint to determine the cause of your discomfort. Once a diagnosis has been made, we always offer non-invasive approaches, such as physical therapy, before recommending Grand Island knee surgery. Our highly skilled team of physical therapists will work with you one-to-one to create a personalized rehabilitation program. Our goals are to relieve your pain and get you fully functioning as soon as possible. Give us a call today to set up an appointment and take the first step to treat your knee pain.

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

Lincoln Aarthritis Treatment

Arthritis in Lincoln

It’s normal to feel a little stiff first thing in the morning. But after a few stretches and steps, the stiffness should subside. Unless it doesn’t. If the stiffness and rigidity continue all day, it’s time you saw a doctor about your possible arthritis . Dr. Dolf R. Ichtertz of the Nebraska Hand & Shoulder Institute, PC treats all his patients as if the were a member of his family. His Lincoln arthritis treatment will restore optimal flexibility, ease the pain of inflamed joints, and promote improved function. Much of his treatment is to prevent the condition from worsening, so the sooner the sooner you come in, the sooner he can start treating you.

Your Lincoln arthritis treatment will depend upon the type of arthritis you have and the severity of the disease. There are numerous types of arthritis, but 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. Dr. Ichtertz’s care will help with improved joint function, increased muscle strength, and 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 a lot of 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.

Whatever your orthopedic needs are, if you need Lincoln arthritis treatment and want an orthopedic surgeon with craftsmanship and tremendous skills, and a friendly, caring staff, look no further. Nebraska Hand & Shoulder Institute, PC wants to help you resume an active lifestyle as quickly and completely as possible. Don’t wait any longer. Give us a call and set up an appointment.

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

Orthopedic Office in Lincoln

Rotator Cuff Tears in Lincoln

Orthopedic Office in Lincoln

Orthopedic Office in Lincoln

Is your shoulder painful when you lift your arm? If so, you need to see the experts at Nebraska Hand and Shoulder Institute, PC, the top rated orthopedic office in Lincoln, for an effective treatment of your shoulder pain. The mission of Nebraska Hand & Shoulder Institute, P.C., is 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 pain management. This compassionate 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 offer convenience.

Dr. Ichtertz of the orthopedic office in Lincoln will carefully examine your shoulder to determine the cause of your pain. 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. A rotator cuff tear can happen as a result of a single traumatic event or can develop gradually over time. 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.

Treatment for rotator cuffs tears at the orthopedic office in Lincoln can be non-surgical or surgical, depending on the severity of the injury. Dr. Ichtertz will assess your injury and work with you to come up with the right treatment plan. Many rotator cuff tears can be treated non-surgically. Anti-inflammatory medication, steroid injections, and physical therapy may all be of benefit in treating symptoms of a cuff tear. The goals of treatment are to relieve pain and restore strength to the involved shoulder. Even though a tear cannot heal without surgery, satisfactory function can often be achieved without surgery. If, however, you are active and use your arm for overhead work or sports, or if non-surgical strategies did not offer improvement, then surgery is most often recommended because the tear will not heal without treatment.

Nebraska Hand & Shoulder Institute, PC
1919 S 40th St, Suite 333
Lincoln, NE 68506
(402) 835-4030

Orthopedics in Grand Island

Shoulder Surgery in Grand Island

Orthopedics in Grand Island

Orthopedics in Grand Island

Is it painful getting dressed or reaching for the high shelf is difficult? Then 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 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, PC
716 N. Alpha Street
Grand Island, NE 68803
(308) 398-4263

Computer-navigated Compared With Conventional Knee Arthroplasty

“The clinical outcome of computer-navigated compared with conventional knee arthroplasty in the same patients:  A prospective, randomized, double-blind, long-term study, ” by Young-Hoo Kim, Jain G-Won Park, and Jun-Shik Kim, Journal of Bone & Joint Surgery American, 2017; 99; 99-96.

 The hype in the orthopaedic industry for the past decade has been the possibility of finding a surgical technique via computer guidance as a cutting jig.  So far no surgeon using this technique has been able to show benefit, yet there is added cost and hassle.  This is another such study from the Republic of Korea analyzing 324 knees of 162 consecutive patients.  In each person one knee replacement was done using the traditional method and jigs while on the other near computer navigation was used.  It is a nicely done study (prospective, randomized, double-blind) with excellent long-term follow up.  The only effect that they could find of computer navigation was some notching of the bone on the anterior femur which would have no clinical significance- another expensive set of technology thrust in front of us at added cost with no added benefit.  Go figure!

The most important orthopaedic advances in the past 35 years

1)      Introduction of arthroscope in diagnosis and treatment of joint disorders

2)      Endoscopic carpal tunnel release

3)      Wound vacuum use with open wounds and infection

4)      Widespread use of plates and screws and rods in putting broken bones back together (open reduction and internal fixation)

5)      Improved medications in the form of non-steroidal anti-inflammatory medications, improvement in antibiotics that will allow surgery to be performed as an outpatient

6)      Widespread use of vascularized muscle flaps cover exposed and/or infected bone. 

7)      Reverse total shoulder replacement for massive, non-repairable rotator cuff tears

8)      Limb lengthening with Ilizarov technique