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

Knee Pain Lincoln

Knee Pain Treatments in Lincoln

Knee Pain Lincoln

Knee Pain Lincoln

Do you feel pain when you walk up and down stairs? If so, you need to see the experts at Nebraska Hand and Shoulder Institute, PC for an effective treatment of your knee pain in Lincoln. 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 and thoroughness.

There are many causes of knee pain in Lincoln and your pain treatment is based upon the source of the discomfort. It could be caused by a tear in the ligaments or meniscus. In addition, knee osteoarthritis is a common cause of knee pain. It is a painful disease of the knee joint, in which both the bone and the elastic part of the joint called cartilage may break down. Nearly 16-20 million Americans have osteoarthritis with people over age 65 making up half that number. There are many risk factors and causes of knee OA. Aging is a contributing factor and so is excess weight and infections or diseases that affect knee joints. The symptoms of knee OA include knee pain while walking or running. You may also notice stiffness, especially early in the morning, swelling of the joint, and weakness. You may even hear a grinding sound when you bend your knee. Tests of the blood and fluid around the knees may be done to look for signs of inflammation. X-rays are used to show how far the disease has progressed.

The personalized treatment for your knee pain in Lincoln 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 surgical options. 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.

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

Orthopedic Services in Grand Island

Orthopedist in Grand Island

Orthopedic Services in Grand Island

Orthopedic Services in Grand Island

If you are looking for premier orthopedic services in Grand Island, Nebraska 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 orthopedic services in Grand Island, Nebraska, 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 endoscopically-assisted cubital tunnel procedure.

Dr. Ichtertz, your expert in orthopedic services in Grand Island, Nebraska, 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.

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

Newest is not always best in orthopaedics and pain management

Some treatments are withdrawn or pushed aside.  Some diagnoses lack support or acceptance and fall out of favor.  In orthopaedics, four glaring examples stand out:

1) Thermal capsulorrhaphy

2) Arthroscopic knee arthritis debridement (clean out)

3) Shoulder labral repair

4) Radiofrequency facet lesioning

5) Laser

Radiofrequency heat probes were promoted to shrink lax joint capsules predominantly in the shoulder to eliminate pain believed to be coming from shoulder instability.  Conceivably this joint, which is akin to a saucer with a ball pivoting on it surrounded by powerful rotator cuff muscles, would benefit and is somewhat akin to tightening the waist of your slacks after a diet.  In fact, any pain relief gained was probably achieved via nerve cell death by cautery.  Many people who are subjected to this unwise, poorly conceived procedure ended up with worse problems- complete loss of joint capsule, persistence of pain and arthritis, etc.

Removal or repair of a torn meniscus, the firm, elastic cushions in each knee, results in pain relief in those in whom it is torn- usually after age 35.  Many people over the age of 40, however, have degenerative arthritis in their knees.  In fact, over a million total knee joint replacements are now done in the United States per year for arthritis.  Some surgeons not savvy enough failed to note the lack of lasting pain relief in arthritic knee cases unless there was also a torn meniscus. Simply cleaning out or “debridement” of knees with degenerative wear does not significantly benefit most patients.  When the soreness from the surgery would wear out upon resumption of normal activity, pain, swelling and stiffness from the arthritis is again experienced.

Shoulder labral repair seems to be another fad. The glenoid labrum is a retaining band usually circumferentially around the glenoid or the “socket” of the shoulder which is only rarely significantly torn or pulled loose.  The diagnosis of a torn glenoid labrum was first made with introduction of arthroscopy of the shoulder in the 1980s.  In the early 2000s, however, it has been mis-diagnosed frequently with treatment offered in the form of insertion of anchors arthroscopically to secure the lax tissue.  However, even the “experts” can’t agree on what is and is not torn[1].  Notably, however, only about 60% of the people carefully monitored after alleged labral repair seem to benefit from it. Many are made worse, so much so that because of postoperative stiffness it is recommended against in those that are over 40 years old- the most likely to have one.  It has been well-established since the early 1970s that the overwhelming majority of adult shoulder pain results from a condition known as impingement.  Unless a person undergoes an impingement procedure at the same time of undergoing their alleged labral repair for what is probably not even torn, he is unlikely to benefit.  Open or arthroscopic acromioplasty with or without outer collarbone removal, i.e. lateral clavicle resection, yields about a 90% good or excellent result.  This is with ignoring a labrum.  Stephen Weber, MD, has been crying about this for a number of years now[2].

Radiofrequency lesioning of nerves (RFLG) is a procedure made possible via careful and anatomic dissections by Swiss and German anatomists years ago.  Radionics manufactured the electrode device allowing cautery of selected nerves along the spine.  and is used predominantly in the spine.  It makes sense that if we can eliminate the messenger of pain to the brain from an area of inflammation or decay that patients will quit complaining of pain and improve his function.  In fact, there is only a very small percentage of people who meet the criteria with which to benefit from this procedure.  The problem with the RFLG probes is that they are widely distributed to anyone with an MD wishing to offer the care.  Herein lies the issue.  The technique is applied via a needletip cautery probe usually under x-ray control down to the area of discomfort.  In order for RFLG to work the needle needs to come into direct or nearly contact with the nerve ending in question.  The technique is most applicable to small facet joints in the back of the swine.  However, the majority of people who have spine decay exhibit it both anteriorly, i.e. in the front of the spine in the disks, and posteriorly in the facet joints, so RFLG is only able to treat those portions of the back or the spine.  To benefit, it must be established if a given patient has a majority of their discomfort coming from the posterior part of the spine rather than the front part.  The simple test for this is to see whether they hurt mostly or exclusively when leaning backwards rather than when they lean forward.   A person if hurting when they lean forward is not a candidate for this procedure.  This includes the majority of people with acute and chronic low back pain.  When applied to a patient who meets the criteria, the success rate is high but the case load is small.  When applied indiscriminately as is being done by pain management doctors, there is a very high failure rate.  These same doctors allege that the nerve endings are just growing back- I don’t think that is the case.  The technique is just being applied to the wrong people.  One would have to do an awful lot of extremely damaging dissection research on animals to confirm the nerve endings that are regenerated.

Laser has pretty much run its course so far.  It has been a technology craving for appreciation outside of industrial use.  A laser is just a hot knife in surgery.  It has found a place predominantly in eye surgery because the laser beam, a form of light, can go through the lens to different portions of the eye without using a knife if can be directly very carefully.  It has limited use in otolaryngology for trimming lesions of the vocal cords.  There is very little room to work and direct vision can be achieved.  Elsewhere it really has no great value.  Companies try and come up with devices to make money and promote a procedure with which to use their equipment.  There is just very little use for a “hot knife”.  This is a very expensive gimmick to draw people in.  Patients think they are getting the newest and greatest and unfortunately it increases the cost considerably without added benefit.

The worst-case scenario is use of a laser for arthroscopic arthritic knee debridement- I’ve seen it done in S.F.!

In general, a doctor should not strive to be the first to offer poorly conceived treatment lacking from foundation on research.


[1] Franceschi, Francesco, Guiseppe Longo, Umile, Ruzzini, Laura, Rizzello, Giacomo, Maffulli, Nicola and Denaro, Vincenzo. “No advantages in repairing a type II superior labrum anterior and posterior (SLAP) lesion when associated with rotator cuff repair in patients over age 50. A randomized controlled trial.” The Am Journ Sp Med, Vol. 36, No. 2, pg 247+.

Leahy, Maureen. “When SLAP repairs fail.” JAAOS article examines challenges surrounding diagnosis and management. AAOS Now, September 2014.

Gobezie, Reuben, Zurakowski, David, Lavery, Kyle, Millett, Peter J., Cole, Brian J., and Warner, Jon P. “Analysis of interobserver and intraobserver availability in the diagnosis and treatment of SLAP tears using the Synder Classification.” Am Jour Sp Med, Vol. 36, No. 7, pg. 1373+.

Weber, Stephen C. “Surgical management of the failed SLAP repair.” Sports Med Arthr Rev, Vol. 18, No. 3, September 2010.

Katz, Laurie, Hsu, Stephanie, Miller, Suzanne L., Richmond, John C., Khetia, Eric, Kohli, Navjot, and Curtis, Alan S. “Poor outcomes after SLAP repair:  Descriptive analysis and prognosis.” Arth: Journal of Arth & Related Surg, Vol. 25, No. 8 (August), 2009: pp 849-855.

[2] Weber, MD, Payvandi, DO, Soheil, and Martin, MD, David F. “A worrisome trend in SLAP repair.” AAOS Now, August 2010.

68506 Carpal Tunnel Syndrome

Carpal Tunnel Syndrome in 68506

68506 Carpal Tunnel Syndrome

68506 Carpal Tunnel Syndrome

Does opening a jar cause hand pain? Is your hand numb and weak? You might have carpal tunnel syndrome (CTS) and need a skilled 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 and 68506 carpal tunnel syndrome. This unique practice emphasizes 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. At NHSI, we provide exceptional, personalized care for your 68506 carpal tunnel syndrome. 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 68506 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.

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