BADIA HAND TO SHOULDER CENTER
Complete Care of Hand, Wrist, Elbow & Shoulder
World class orthopedic surgeon specializing in all hand, wrist, elbow & shoulder issues including Thumb CMC (basal joint) arthritis, Tennis & golfers elbow, Wrist pain, Carpal tunnel syndrome, and Rotator cuff tears.
Now accepting patients in New York City.
TRANSFORMING ORTHOPEDIC CARE: ONE STOP SHOP
Dr. Alejandro Badia is a renowned hand and upper extremity orthopedic surgeon, and is now expanding his treatment and surgical services to patients in New York City and the tri-state area.
Known for his expertise in treating conditions of the hand, wrist, arm, elbow, and shoulder, Dr. Badia brings his exceptional skills and innovative approaches to NYC, offering patients top-tier care and advanced surgical options.
With a strong commitment to patient-centered care, Dr. Badia and his highly skilled, multilingual team prioritize your unique orthopedic needs. We also serve international patients via Telemedicine.
Long before the pandemic our team has been communicating with new and follow up patients through HIPAA compliant portals. We collaborate with a network of colleagues and therapists worldwide to provide you with comprehensive care.
Alejandro Badia, MD
Upper Extremity Specialist
Dr. Alejandro Badia: Complete Care of Hand, Wrist, Elbow & Shoulder. Now Seeing Patients in New York City.
Alejandro Badia, M.D, F.A.C.S., hand and upper limb orthopedic surgeon (Hand, Wrist, Elbow, and Shoulder), is the founder of the state of the art Badia Hand to Shoulder Center in the heart of Miami, Florida.
New York City patients can now benefit from Dr. Badia's extensive experience and innovative techniques for hand and shoulder conditions.
Where does it hurt?
Dr. Badia is a world renowned specialist in treatment of the following areas of the body. Click to learn more:
Shoulder pain can significantly impact daily activities and limit the range of motion in the upper body. There are several common orthopedic conditions that can cause shoulder pain and discomfort. One prevalent condition is rotator cuff tendinitis, characterized by inflammation of the tendons that surround the shoulder joint. This can lead to pain, weakness, and limited shoulder mobility.
There are several common orthopedic conditions that can cause finger pain and discomfort. One prevalent condition is trigger finger, characterized by the inflammation of the tendons in the fingers, causing finger stiffness, clicking or locking sensations, and pain during movement. Another common condition is osteoarthritis of the finger joints, which leads to joint pain, swelling, and limited finger mobility. Additionally, conditions like tendonitis, fractures, and ligament injuries can contribute to finger pain.
There are several orthopedic conditions that can cause thumb pain and discomfort. One common condition is basal joint arthritis, which affects the joint at the base of the thumb and can lead to pain, stiffness, and difficulty gripping objects. Another condition is De Quervain's tenosynovitis, where the tendons on the thumb side of the wrist become inflamed, causing pain and swelling in the thumb and wrist during activities that involve gripping or twisting motions. Thumb sprains, fractures, and ligament injuries can also occur due to trauma or overuse, resulting in localized pain and instability. Our expert diagnosis and personalized treatments are aimed at relieving thumb pain, restoring function, and enhancing your quality of life.
Hand osteoarthritis, which causes joint pain, stiffness, and swelling, particularly in the fingers and thumb. Additionally, fractures, tendon injuries, and ligament sprains can cause acute hand pain and limit hand function. With our specialized knowledge and advanced treatments, we strive to diagnose and effectively treat these orthopedic conditions, helping patients regain hand functionality and alleviate pain for an improved quality of life.
There are various orthopedic conditions that can contribute to wrist pain and discomfort. One common condition is carpal tunnel syndrome, caused by compression of the median nerve in the wrist, leading to pain, numbness, and tingling in the hand and fingers. Another condition is wrist arthritis, which causes joint pain, stiffness, and swelling, affecting the range of motion. Wrist sprains and fractures are also prevalent, resulting from trauma or falls, causing pain, swelling, and instability. Additionally, tendonitis and ganglion cysts can contribute to wrist pain. With our expertise in orthopedic care, we strive to diagnose and treat these wrist conditions effectively, providing personalized treatment plans to alleviate pain, restore function, and improve your quality of life.
There are several common orthopedic conditions that can cause elbow pain and discomfort. One prevalent condition is tennis elbow, also known as lateral epicondylitis, which occurs due to overuse and repetitive motion, leading to pain on the outside of the elbow. Another common condition is golfer's elbow, or medial epicondylitis, which causes pain on the inside of the elbow and is also related to repetitive arm motions.Explore Our Google Reviews
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Blog Posts are Below:
Wrist Injury: Is Your Wrist Sprained or Broken?
Anatomy of the Wrist
The wrist is a complex joint that allows for both front-to-back and side-to-side movement. It comprises the ends of two long arm bones, eight small, oval-shaped wrist bones, and the bases of each of the five fingers. With so many bones converging in one place, the wrist is particularly vulnerable to injury.Common Causes of Wrist Injuries
Wrist injuries can range from severe trauma, such as car or sports accidents, to more common incidents like tripping and falling. Our wrists aren’t designed to absorb the impact of catching ourselves during a fall.Differentiating Between Sprains and Fractures
A wrist sprain occurs when the ligaments supporting the wrist stretch beyond their limits and tear. A fracture means one or more wrist bones have broken. Both injuries can cause severe pain, but contrary to popular belief, sprains don’t always hurt less than fractures. Symptoms for both can include:- Pain, especially when moving the wrist
- Swelling in the wrist or hand
- Difficulty picking up objects
- Limited range of motion
- Bruising
When to Seek Medical Attention
If you suspect a fracture or if a sprain’s pain isn’t quickly improving, it’s essential to see a doctor with expertise in wrist problems for a proper diagnosis. Imaging tests such as X-rays, MRI, or CT scans can help determine whether you’ve sprained or fractured your wrist.Treatment for Wrist Sprains
For a sprained wrist, home treatment may include:- Resting the joint for at least 48 hours
- Applying ice several times a day for 20 minutes at a time
- Compressing the joint with an elastic bandage
- Elevating the wrist above heart level
Treatment for Wrist Fractures
A broken wrist may need to be immobilized in a splint or cast for several weeks to align the bone ends. Severe fractures might require surgery and the implantation of hardware such as pins, rods, or screws to hold the bones in place while they heal.
Recovery and Rehabilitation
Whether sprained or fractured, most patients recover fully after immobilizing the injured joint and restoring movement through exercise and rehabilitation. It’s crucial to treat wrist injuries promptly to avoid lasting pain or other issues.Injured Your Wrist? Consult with Dr. Alejandro Badia in NYC
Alejandro Badia, MD, FACS, is an internationally renowned hand and upper-limb surgeon and founder of Badia Hand to Shoulder Center and OrthoNOW®, a network of walk-in orthopedic centers. Dr. Badia is the author of Healthcare from the Trenches. Injured your wrist? Schedule an appointment with Dr. Badia today for expert care in NYC. Dr. Alejandro Badia MD, FACSGramercy Surgery Center
380 2nd Avenue
New York, NY 10010
(929) 605-HAND (4263)
Expert Analysis: Implant Advances for Treating Arthritic Thumb
A new small-joint prosthesis that better preserves the anatomy and movement of an arthritic thumb is receiving widespread approval from physicians. Miami-based hand and upper-limb orthopedic surgeon Dr. Alejandro Badia is utilizing the BioPro® Modular Thumb Implant as a highly effective treatment alternative.
Despite this progress, scientists continue to search for even newer therapeutic technologies and advancements in biomaterials to address painful osteoarthritis of the thumb’s basal joint. “As the population ages and remains active, more effective treatments will be essential for managing this debilitating condition,” says Dr. Badia, an expert in hand, wrist, and upper limb disorders.
Advancements in the Treating of an Arthritic Thumb
The Challenge of Perfecting Treatment
A 2017 article in Orthopedic Research and Reviews notes that “treatment of thumb basal joint arthritis has yet to be perfected” and aims to provide pain relief while preserving thumb range of motion and strength. Dr. Badia agrees, highlighting that implant advancements like the BioPro® offer important “steps in the right direction” for replacing the arthritic basal joint.
The Prevalence of Basal Joint Osteoarthritis
Osteoarthritis of the basal (carpometacarpal or CMC) joint, located at the thumb’s base, is the second most common arthritic condition of the hand. It affects approximately 15 percent of people over 30 and about one-third of postmenopausal women. This condition can cause severe pain, loss of grip function and strength, and particularly, weakness in pinch, which can significantly impact daily activities.
The Impact on Quality of Life
Scientists believe that the basal joint is a key factor distinguishing humans from other primates, given its role in tool-making. Degradation of thumb function can drastically reduce a person’s quality of life, affecting routine and work activities.
Conservative Treatment Approaches
Early stages of basal joint arthritis are typically managed with conservative treatments, such as anti-inflammatory medications, corticosteroid injections, thumb splinting, and physical therapy. However, these treatments do not alter the disease’s progression, leading surgery to be the next option.
Surgical Advancements
A multi-center prospective study, led by Columbia University in New York, began in late 2018 to compare treatment options for arthritic basal joints. The study aims to identify the most effective, cost-efficient, and safe treatments and increase awareness and confidence in these regimens for both clinicians and patients.
Ligament Reconstruction & Basal Joint Fusion
Osteoarthritis causes articular cartilage loss, leading to bony overgrowths in the basal joint’s trapezium bone. Standard surgical care involves removing the trapezium, stabilizing the thumb area with ligament reconstruction, and using a tendon spacer. This approach and other procedures, such as basal joint fusion (arthrodesis), have their drawbacks and complications. Removing the trapezium limits future options if pain persists, while joint fusion often results in decreased range of motion and incomplete bone union at the thumb’s base.
The BioPro® Modular Thumb Implant
Dr. Badia reports successful outcomes using the BioPro® Modular Thumb Implant. Clinical research supports his findings, indicating that the BioPro® design, which replicates the thumb’s normal orientation and adjusts to anatomical differences, reduces pain, improves function, and provides a good post-implant appearance.
“The main advantage of joint replacement surgery is that no bridges are burned, recovery is faster, pain is minimal, and the anatomy is well-maintained,” Dr. Badia concludes. If symptoms persist, the implant can be easily removed, and a more traditional surgical procedure can be performed.
About Dr. Alejandro Badia
Alejandro Badia, MD, FACS, is an internationally renowned hand and upper-limb surgeon and founder of Badia Hand to Shoulder Center and OrthoNOW®, a walk-in orthopedic care clinic in Miami Florida.
Dr. Badia specializes in treating all problems related to the hand and upper extremity, including trauma, sports injuries, joint reconstruction, nerve injuries, and arthroscopic surgeries.
He is a member of the American Society for Surgery of the Hand, the American Association for Hand Surgery, and the American Academy of Orthopedic Surgeons.
If you need treatment or diagnosis for arthritic thumb or with the shoulder, wrist, hand or fingers, call Dr. Badia today to schedule a consultation:
Dr. Alejandro Badia MD, FACS
Gramercy Surgery Center
380 2nd Avenue
Suite #1000
New York, NY 10010
929-605-HAND (4263)
Prompt and Specialized Care Needed for Finger Injuries
Lets discuss finger injuries and the importance of getting prompt medical attention if your fingers are in distress. “There is only a finger difference between a wise man and a fool,” according to Greek philosophy. However, if that finger is injured, “it’s the wise man who has a hand specialist check it out,” says orthopedic surgeon Alejandro Badia MD. “An injured finger could be fractured, dislocated, or both, along with more subtle soft tissue injuries (ligaments/tendons), all of which can severely affect the long-term functioning of the hand if left untreated.”
Importance of Finger Health
Fingers are essential for hand dexterity and the ability to grip and grasp. Dr. Badia, a hand and upper limb specialist, emphasizes that the primary goal of a physician is to stabilize and repair a fractured finger bone or dislocated joint as quickly as possible after an injury. Prompt treatment is necessary to avoid complications, prevent permanent deformity, and maximize chances for a full return of the finger’s mobility. Dr. Badia adds that “jammed finger” is a misnomer and an unacceptable diagnosis, as is simple aluminum splinting, which is often all that is done in the emergency room or at general urgent care.
Understanding Finger Injuries
A fracture occurs when one of the phalanges (finger bones) cracks or breaks due to a blow to the finger during sports, work-related activities, a fall, or an accident like a slammed car door. A dislocation happens when the bones forming a joint are forced out of their natural position, sometimes tearing or rupturing supporting ligaments or tendons. Often, a fracture and dislocation occur together because a severe fracture can also damage a joint.
Common Orthopedic Trauma
Finger injuries are among the most common types of orthopedic trauma. Finger fractures represent about 10 percent of all broken bones treated. The finger’s middle joint (proximal interphalangeal joint) is frequently injured because of its length and exposed position. Trauma to this joint can be overlooked or dismissed as a “jammed” or sprained finger, leading to delayed treatment if the patient self-treats.
The Complexity of Hand Anatomy
The hand is anatomically complex, consisting of 27 bones, including 14 finger bones, and a system of ligaments, tendons, and nerves. Each finger has three joints, while the thumb has two, interconnected by phalanges. Failure to properly identify and treat finger injuries can lead to permanent hand dysfunction and affect a patient’s quality of life.
Treatment Approaches for Finger Injuries
Initial symptoms of a finger fracture are similar to those of a dislocation, including pain, tenderness, swelling, bruising, numbness, tingling, and deformity. Treatment approaches vary widely:
- Simple Joint Dislocation: An orthopedic specialist will manipulate the bones to their normal position and then splint the finger or “buddy” tape it to an adjoining healthy finger.
- Fracture and Dislocation: Splinting may be sufficient, but severe cases may require a thin metal rod (K-wire) to stabilize and heal the bone fragments.
- Severe Damage: Joint dislocations that cannot be realigned or involve significant ligament or soft tissue damage may require surgery.
Expert Advice and Tips for Finger Injuries
Dr. Badia stresses the importance of immediate action for finger injuries and offers these tips:
- Seek Specialized Care: Contact your family physician for a referral to a hand orthopedic specialist or visit a local orthopedic urgent-care clinic immediately after an injury.
- Avoid Emergency Rooms: Unless the bone is protruding through the skin or there is uncontrolled bleeding, avoid the hospital emergency room.
- Do Not Self-Treat: Avoid trying to realign a dislocated finger yourself to prevent further damage.
- Apply Ice: Chill the injured finger with an ice pack or ice wrapped in a towel and keep it immobile until you see a specialist.
Care for Finger Injuries: Conclusion
“And realize that, sometimes, you just have to take the fickle finger of fate seriously,” Dr. Badia says.
Contact Dr. Alejandro Badia for Treatment
Is your finger injury causing you pain and discomfort? Don’t let it disrupt your daily life. As a top NYC hand and shoulder specialist, Dr. Badia offers expert care and specialized treatments for a most finger injuries.
If you need consultation or treatment for a finger injury, call today to discuss your specific needs and learn how Dr. Badia can help you recover quickly and effectively.
Dr. Alejandro Badia, MD, FACS
Gramercy Surgery Center
380 2nd Avenue
New York, NY 10010
(929) 605-4263
Don’t Blame Your Job or Screens for Carpal Tunnel Syndrome
What are the true underlying causes of carpal tunnel syndrome, wrist pain and hand numbness? It’s common to attribute wrist pain or hand numbness to activities like typing, but the reality is more complex. According to orthopedic surgeon Alejandro Badia MD, specializing in upper limb treatments, carpal tunnel syndrome (CTS) is often due to hormonal changes, underlying inflammatory diseases, or wrist anatomy, not job-related activities.
Wrist Pain, Hand Numbness & Carpal Tunnel Syndrome
Understanding Carpal Tunnel Syndrome
CTS occurs when the median nerve, which runs from the forearm to the hand through a narrow tunnel in the wrist, becomes pinched and inflamed. This inflammation can result from irritated tendons or other conditions that cause swelling. Symptoms include wrist or forearm pain, persistent burning, tingling or numbness in the fingers, and decreased hand strength.
Higher Risk Among Women
Women are three times more likely than men to develop CTS, primarily due to their anatomically narrower wrist channels and hormonal changes during pregnancy and menopause. These hormonal fluctuations can lead to fluid retention and thicken the extracellular matrix in the wrist, resulting in median nerve compression. Statistics show that over 20 percent of pregnant women develop CTS.
Other Risk Factors
Other conditions increasing CTS risk include wrist injuries, inflammatory diseases like rheumatoid arthritis, diabetes, and thyroid dysfunction. Despite popular belief, studies have not conclusively linked repetitive wrist activities like typing to the development of CTS, although they can aggravate existing symptoms.
Historical Perspective
CTS was described as far back as 1025 AD by medieval Persian physician Avicenna in his book “Canon of Medicine.” He linked chronic nerve impingement in the wrist to both physical disorders and lifestyle factors such as poor nutrition and lack of sleep.
Importance of Early Diagnosis
Dr. Badia emphasizes the importance of early diagnosis. Untreated CTS can make it difficult to form a fist, coordinate fingers, or perform simple tasks like buttoning a shirt. It can also lead to muscle atrophy at the base of the thumb.
Treatment Options for Carpal Tunnel Syndrome
Initial treatments for CTS are typically conservative, involving wrist splints at night, anti-inflammatory medications, and corticosteroid injections. Some studies support the use of vitamins B6 and B12.
If symptoms persist or worsen, a minor surgical procedure may be necessary. This outpatient procedure, performed under local anesthesia, involves dividing the ligament that forms the roof of the carpal tunnel to relieve nerve pressure. Endoscopic release, a recent breakthrough, allows this to be done through a tiny incision, reducing recovery time and scarring.
Carpal Tunnel Syndrome Prevention Tips
While CTS cannot always be prevented, Dr. Badia offers tips to reduce risk:
- Monitor Hand Position During Sleep: Keep hands close to the heart to prevent fluid pooling in the wrist canal.
- Relax Your Grip: Use a relaxed grip when handling tools, pens, or other items.
- Maintain Good Posture: Avoid hunching, which strains the arms, wrists, and hands. Keep wrists in a neutral position.
- Take Regular Breaks: During prolonged activities involving the hands or wrists, take frequent breaks.
- Keep Hands Warm: Cold hands are more susceptible to developing CTS.
Dr. Alejandro Badia is an Expert in Treating Carpal Tunnel Syndrome
Alejandro Badia, MD, FACS, (Bio) is an internationally renowned hand and upper-limb surgeon and the founder of Badia Hand to Shoulder Center and OrthoNOW®, a walk-in orthopedic care clinic in Miami Florida.
Dr. Badia specializes in treating hand and upper extremity concerns, including trauma, sports injuries, joint reconstruction, nerve injuries, and arthroscopic surgeries.
Dr. Badia now offers expert consultations and treatment services in New York City. Call today to schedule a consultation.
Dr. Alejandro Badia, MD, FACS
Gramercy Surgery Center
380 2nd Avenue
New York, NY 10010
(929) 605-4263
Arthroscopic Treatment for Arthritic Thumbs
Can you benefit from arthroscopic treatment for arthritic thumbs? Pain relief for arthritic thumbs is more accessible than ever, thanks to advancements in technology, says Miami and New York City based orthopedic surgeon Alejandro Badia MD (Bio). Dr. Badia, a specialist in hand, wrist, and upper limb disorders, utilizes the BioPro® Modular Thumb Implant to effectively alleviate osteoarthritis in the basal joint, located at the thumb’s base. He believes these advancements in biomaterials could potentially replace the current “gold standard” surgical treatment – LRTI.
Limitations of LRTI
LRTI, typically performed as an outpatient procedure, involves removing the thumb joint’s trapezium (carpal bone) and transferring a tendon from the forearm to the trapezial space to stabilize the area and prevent joint collapse.
While LRTI is known to provide “95 percent pain relief” and up to 80 percent return of gripping strength, the surgery has significant drawbacks. “Removing the trapezium may shorten the thumb and leave patients with few other options if symptoms persist,” Dr. Badia states, noting that recovery from this surgery can also be prolonged and painful.
Alternative Surgical Options
Thumb ligament reconstruction without removing the arthritic bone can be beneficial if the patient only has a loose tendon without cartilage loss. Another common approach, basal joint fusion or arthrodesis, is often limited to the non-dominant hand due to its association with decreased range of motion, altered force transfer to other hand joints, and incomplete bone fusion at the thumb’s base, according to a 2017 Orthopedic Reviews report.
Arthroscopic Treatment for Arthritic Thumbs
Arthroscopic Reconstruction
“Arthroscopic reconstruction is another option I use for younger, high-demand patients seeking alternatives to surgery,” Dr. Badia says. “The use of Protease Inhibitors (like PRP on steroids!!) has shown promising early results in this new treatment modality.”
Advances in Joint Implants
As the population ages and remains active, more effective methods are necessary to provide pain relief from osteoarthritis while maintaining thumb strength and range of motion.
Advances in artificial joint implants, such as the BioPro®, represent a significant step forward. For instance, a February 2019 Journal of Hand Surgery (European Volume) study found that patients with an advanced thumb-joint prosthesis, like the Ivory® implant, experienced better thumb abduction, adduction, grip strength, pain relief, satisfaction, and faster return to daily activities compared to those who had undergone LRTI.
Benefits of Arthroplasty
“Advancements in implant design and materials are overcoming the shortcomings of older prosthetic versions,” Dr. Badia explains. “Arthroplasty of the thumb is similar to total knee or hip replacement. The thumb joint is removed and replaced with a prosthesis.”
Osteoarthritis of the basal joint, often associated with aging or previous injury, is the second most common arthritic condition of the hand, affecting about 15 percent of those over 30 and one-third of postmenopausal women. This condition can cause severe pain, loss of grip function, and strength. Conservative treatments for early-stage thumb arthritis include anti-inflammatory medications, corticosteroid injections, thumb splinting, and physical therapy. However, these treatments cannot alter the disease’s progressive pain and deformity, leaving surgery as the next option.
Advantages of Joint Replacement Surgery
“The main advantage of total joint surgery is that no bridges are burned,” Dr. Badia adds. “If symptoms persist, the thumb implant can be removed, and another surgical procedure performed.”
Preventative Tips
Dr. Badia offers these tips to reduce the risk or delay the onset of basal joint osteoarthritis:
- Perform simple hand exercises, including finger flexing and bending.
- Take frequent breaks from tasks requiring strong gripping, such as using hammers, wrenches, or screwdrivers.
- Maintain good posture, especially when typing.
- Follow a healthy lifestyle: stop smoking, maintain a healthy weight, and eat nutritious foods.
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Does Arthritic Thumb Pain Limit Your Daily Activities?
You’re not alone. Millions of New Yorkers suffer from painful thumb arthritis. But relief is closer than you think! Dr. Alejandro Badia, a leading hand surgeon in NYC, offers innovative arthroscopic solutions to alleviate pain and restore function in your thumb.
Why Choose Dr. Badia for Thumb Arthritis Surgery?
- Minimally invasive arthroscopy: Faster recovery and less pain compared to traditional surgery.
- BioPro® implant: Proven technology for pain relief and improved grip strength.
- NYC-based practice: Convenient care for busy New Yorkers.
- Experienced hand surgeon: Dr. Badia is a leader in hand and upper limb disorders.
Tired of living with thumb pain? Schedule a consultation with Dr. Badia today.
Dr. Alejandro Badia, MD, FACS
Gramercy Surgery Center
380 2nd Avenue
New York, NY 10010
(929) 605-4263
All About Tennis Elbow & Treatments
Here we will learn about tennis elbow & treatments. Adding a little “elbow grease” helps get the job done, but repetitive use can lead to disabling elbow pain. Orthopedic surgeon Alejandro Badia MD refers to this condition as “lateral epicondylitis” or “tennis elbow,” a persistent injury caused by overtaxing the forearm and elbow muscles and tendons. These forearm muscles control wrist movement, and the tendons connect these muscles to the bones.
Who is Affected by Tennis Elbow?
Tennis elbow primarily impacts the extensor carpi radialis brevis (ECRB) muscle and tendon, causing severe pain on the lateral side of the arm near the elbow. This condition is common not only among tennis players but also among other athletes, avid fishermen, factory workers, and tradesmen like carpenters, plumbers, and painters.
“Even do-it-yourselfers who undertake long-term projects such as painting their house—tasks they are not accustomed to—may develop tennis elbow,” says Dr. Badia (Bio), founder and chief medical officer of the Badia Hand to Shoulder Center and OrthoNOW®.
Causes and Symptoms of Tennis Elbow
Repetitive bending and straightening of the elbow stress the ECRB muscle, weakening and damaging it over time, leading to microscopic tears in the tendon connecting the muscle to the elbow’s lateral epicondyle bone. Hard work does not directly cause tennis elbow but can exacerbate symptoms in those predisposed to minor tendon injuries, reducing blood flow to the tendons and joints.
Each year, approximately 200,000 Americans are diagnosed with tennis elbow, a condition that can severely impact daily life, sometimes making it painful to perform simple tasks like lifting a coffee mug or shaking hands.
Tennis Elbow Treatment Options
While some scientists suggest a “wait-and-see” approach as the condition often resolves on its own over time, Dr. Badia notes this may take 12-18 months without treatment—an unacceptable duration for athletes and workers who need immediate relief.
Dr. Badia has successfully treated resistant tennis elbow in professional athletes, including former top-10 tennis champion Marcelo Rios, using ultrasonic percutaneous tenotomy with Tenex Health’s minimally invasive technology. Developed in collaboration with the Mayo Clinic, this outpatient procedure is an option for patients unresponsive to initial nonsurgical therapies.
Conservative Treatments
Conservative treatments include rest, applying ice to the affected area, performing arm-wrist stretch exercises to enhance blood supply to the ECRB tendon, taking anti-inflammatory medications, and receiving growth factors found in platelet-rich plasma (PRP) injections. Radiofrequency and corticosteroid injections are also options.
“For cases where the tendon fails to heal due to poor blood supply, necrotic tissue removal is necessary. Tenex Health technology uses ultrasonic energy ablation to melt away dead material, which is then aspirated through a small puncture wound,” explains Dr. Badia. This procedure takes less than 30 minutes, with minimal sedation and no scarring, allowing for almost immediate recovery and return to full mobility.
Prevention Tips
Prevention is the best treatment for tennis elbow. Dr. Badia offers these tips for workers and sports players with this condition:
- Warm up and do arm, wrist, and finger stretches before activities requiring repetitive movements.
- Engage in exercises to strengthen the upper limbs, including the wrist and elbow.
- Use the shoulder and upper arms to take some work off the elbow.
- Avoid repetitive hand and arm movements; rotate tasks or take breaks. Consider wearing an elbow brace if necessary.
Use tools and sports equipment that fit your grip and reduce strain on the forearm muscles. For instance, a lighter tennis racquet with string tension of 55 pounds or less can reduce stress on the arm and elbow. Gloves or padding can absorb shock when using tools. The Xtensor reverse grip hand exerciser is also recommended for regaining strength.
Tennis Elbow & Treatment: Conclusion
Early recognition and treatment of tennis elbow are crucial for the best outcomes, allowing individuals to return to their sports or work activities without prolonged pain.
Consulting with a specialist like Dr. Alejandro Badia can provide personalized care and effective treatment options.
Dr. Alejandro Badia, MD, FACS
Gramercy Surgery Center
380 2nd Avenue
Suite #1000
New York, NY 10010
(929) 605-4263
Alejandro Badia, MD, FACS, is an internationally renowned hand and upper-limb surgeon and founder of Badia Hand to Shoulder Center and OrthoNOW®, a walk-in orthopedic care clinic. A member of the American Society for Surgery of the Hand, the American Association for Hand Surgery, and the American Academy of Orthopedic Surgeons, Dr. Badia specializes in treating hand and upper extremity problems, including trauma, sports injury, joint reconstruction, nerve injuries, and arthroscopic surgeries. (Bio)
Carpal Tunnel Syndrome: Diagnosis and Treatment
Carpal Tunnel Syndrome (CTS) is a common condition that affects the hand and wrist, causing pain, numbness, and tingling. It occurs when the median nerve, which runs from the forearm into the hand, becomes compressed at the wrist. Early diagnosis and appropriate treatment are crucial for preventing long-term damage and restoring function.
Understanding Carpal Tunnel Syndrome
Carpal Tunnel Syndrome is caused by pressure on the median nerve as it passes through the carpal tunnel, a narrow passageway in the wrist. This pressure can result from various factors, including repetitive hand movements, wrist injuries, and certain medical conditions such as diabetes and rheumatoid arthritis.
Symptoms of Carpal Tunnel Syndrome
The symptoms of CTS typically develop gradually and may include:
- Numbness and Tingling: These sensations often occur in the thumb, index, middle, and ring fingers. They may be more pronounced at night.
- Pain: Pain in the wrist and hand, which can radiate up the arm.
- Weakness: Weakness in the hand and difficulty performing tasks that require fine motor skills, such as buttoning clothes or holding objects.
Diagnosis of Carpal Tunnel Syndrome
Diagnosing CTS involves a combination of patient history, physical examination, and diagnostic tests:
- Physical Examination: A doctor may perform specific tests, such as Tinel’s sign (tapping over the median nerve to elicit tingling) and Phalen’s maneuver (flexing the wrist to see if symptoms are reproduced).
- Electrodiagnostic Tests: Nerve conduction studies and electromyography (EMG) can help assess the severity of nerve damage and confirm the diagnosis.
- Imaging Tests: Ultrasound or MRI may be used to visualize the structures in the wrist and rule out other causes of symptoms.
Treatment Options for Carpal Tunnel Syndrome
Treatment for CTS depends on the severity of the condition and the individual’s response to initial therapies. Both non-surgical and surgical options are available.
Non-Surgical Treatments
- Wrist Splinting: Wearing a splint, especially at night, can help keep the wrist in a neutral position, reducing pressure on the median nerve.
- Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can reduce pain and inflammation.
- Steroid Injections: Corticosteroid injections can provide temporary relief by reducing inflammation and swelling around the median nerve.
- Activity Modifications: Avoiding activities that exacerbate symptoms and incorporating ergonomic adjustments can help reduce stress on the wrist.
Surgical Treatments
When non-surgical treatments are ineffective, surgery may be necessary to relieve pressure on the median nerve. The primary surgical option is carpal tunnel release, which can be performed using different techniques:
- Open Carpal Tunnel Release: Involves making an incision in the palm to cut the transverse carpal ligament and enlarge the carpal tunnel.
- Endoscopic Carpal Tunnel Release (ECTR): A minimally invasive procedure that uses a small camera and instruments to cut the ligament through a smaller incision. ECTR offers several advantages, including a smaller incision, less postoperative pain, and quicker recovery compared to traditional open surgery.
Recovery and Prevention
Post-surgery recovery typically involves rest, physical therapy, and gradual return to activities. Preventing CTS involves maintaining good wrist posture, taking frequent breaks during repetitive activities, and using ergonomic tools to reduce strain on the hands and wrists.
Carpal Tunnel Syndrome Diagnosis & Treatment: Conclusion
Carpal Tunnel Syndrome is a treatable condition, and early diagnosis and appropriate management can prevent long-term complications. Non-surgical treatments are often effective, but surgical options like ECTR can provide lasting relief when necessary.
For personalized care and expert treatment options for this condition or others, consult with Dr. Alejandro Badia at Gramercy Surgery Center in New York City or at his flagship medical facility in Miami Florida.
Dr. Alejandro Badia, MD, FACS
Gramercy Surgery Center
380 2nd Avenue
Suite #1000
New York, NY 10010
(929) 605-4263
Dr. Alejandro Badia is an internationally renowned hand surgeon specializing in hand, wrist, elbow, and shoulder issues. With extensive experience worldwide and a commitment to advanced treatments, Dr. Badia is dedicated to providing effective treatments and optimal care for patients.
Causes, Treatment, & Prevention of Wrist Pain
Wrist pain is a common complaint that can result from a variety of causes, ranging from acute injuries to chronic conditions. Understanding the underlying cause of wrist pain is essential for effective treatment and management. Here are some of the most common causes, treatments, and preventative measures concerning wrist pain.
Common Causes of Wrist Pain
Carpal Tunnel Syndrome (CTS)
Carpal tunnel syndrome is caused by compression of the median nerve as it travels through the carpal tunnel in the wrist. This condition can lead to numbness, tingling, and pain in the hand and fingers.
Symptoms: Numbness or tingling in the thumb, index, and middle fingers; pain that may extend to the arm; weakness in the hand.
Treatment: Non-surgical treatments include wrist splinting, especially at night, and anti-inflammatory medications. For more severe cases, endoscopic carpal tunnel release (ECTR) can be performed. Dr. Alejandro Badia prefers ECTR for its smaller incision, reduced pain, and quicker recovery time compared to open carpal tunnel release (OCTR) (DrBadia.com).
Tendonitis
Tendonitis occurs when the tendons in the wrist become inflamed due to overuse or injury. Common forms include De Quervain’s tenosynovitis and extensor carpi ulnaris (ECU) tendonitis.
Symptoms: Pain and swelling in the wrist, especially during movement; tenderness along the tendon.
Treatment: Rest, ice, and anti-inflammatory medications can help reduce inflammation. Physical therapy and ergonomic adjustments can prevent recurrence. Severe cases may require corticosteroid injections or surgery.
Arthritis
Arthritis, particularly osteoarthritis and rheumatoid arthritis, can affect the wrist joints, including the thumb, causing pain, stiffness, and swelling.
Symptoms: Joint pain and stiffness, swelling, reduced range of motion.
Treatment: Anti-inflammatory medications, physical therapy, and lifestyle modifications such as weight management and exercise can help manage symptoms. In advanced cases, surgical options like joint fusion or replacement may be considered.
Ganglion Cysts
Ganglion cysts are noncancerous lumps that commonly develop along the tendons or joints of the wrists. These cysts can cause pain and interfere with joint movement.
Symptoms: A visible lump on the wrist, pain that worsens with movement, tingling or numbness if the cyst presses on a nerve.
Treatment: Observation if the cyst is not painful, aspiration to remove fluid, or surgical removal if the cyst causes significant discomfort or recurrence.
Preventive Measures and Management
Ergonomic Adjustments
Adjusting your workstation to ensure proper ergonomics can help prevent wrist pain, especially for those who spend long hours typing or performing repetitive tasks. Use an ergonomic keyboard and mouse, and take regular breaks to stretch and rest your wrists.
Strengthening and Stretching Exercises
Incorporating exercises that strengthen the wrist and improve flexibility can help prevent injuries. Simple exercises like wrist flexor and extensor stretches, as well as grip-strengthening exercises, can be beneficial.
Proper Technique in Activities
Whether it’s sports or daily activities, using proper technique can help prevent wrist injuries. Ensure you are using the correct form and equipment to reduce strain on your wrists.
Causes & Treatment of Wrist Pain: Conclusion
Wrist pain can significantly impact daily activities, but understanding its causes and adopting preventive measures can help manage and alleviate symptoms.
Consulting with a highly experienced specialist like Dr. Alejandro Badia (Bio) will provide the most effective treatment options. Call today to schedule a consultation or appointment.
Dr. Alejandro Badia, MD, FACS
380 2nd Avenue
Suite #1000
New York, NY 10010
(929) 605-4263
Dr. Alejandro Badia is an internationally renowned hand surgeon specializing in hand, wrist, elbow, and shoulder concerns. With extensive experience and a commitment to advanced treatments, he is dedicated to providing optimal care for patients. Learn more about his work and expertise here.
Management & Treatment of Tennis Elbow and Golfer’s Elbow
Tennis elbow (lateral epicondylitis) and golfer’s elbow (medial epicondylitis) are common conditions that cause pain and discomfort in the elbow due to overuse. These conditions are not exclusive to athletes; anyone who performs repetitive arm, elbow, or wrist movements is at risk. Understanding how to manage and treat these conditions effectively can help alleviate pain and restore function.
Understanding Tennis Elbow and Golfer’s Elbow
Tennis elbow and golfer’s elbow are both forms of tendinitis, involving inflammation of the tendons that attach to the elbow.
Tennis Elbow
- Location: Affects the tendons on the outside (lateral side) of the elbow.
- Symptoms: Pain and tenderness on the outer part of the elbow, which may radiate down the forearm. Pain worsens with activities that involve lifting, gripping, or twisting the forearm.
Golfer’s Elbow
- Location: Affects the tendons on the inside (medial side) of the elbow.
- Symptoms: Pain and tenderness on the inner part of the elbow, which may extend down the forearm. Pain increases with activities that involve flexing the wrist or gripping.
Causes and Risk Factors
Both conditions are caused by overuse and repetitive stress on the tendons of the elbow. Common activities that can lead to these conditions include:
Sports
Activities like tennis, golf, and baseball that involve repetitive arm movements.
Occupational Tasks
Jobs that require repetitive motions, such as carpentry, painting, or typing.
Hobbies
Activities like gardening, knitting, or playing a musical instrument.
Non-Surgical Treatments
Most cases of tennis elbow and golfer’s elbow can be managed with non-surgical treatments.
Rest and Activity Modification
Resting the affected arm and avoiding activities that exacerbate the pain can help reduce inflammation and promote healing. It may be necessary to modify how certain tasks are performed to prevent further strain on the tendons.
Medications
- NSAIDs: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation.
- Topical Analgesics: Creams and gels applied directly to the elbow can provide localized pain relief.
Physical Therapy
Physical therapy exercises can help strengthen the muscles around the elbow, improve flexibility, and reduce pain. A physical therapist can provide a tailored exercise program that includes stretching and strengthening exercises.
Bracing and Support
Using a brace or strap on the forearm can help reduce strain on the tendons and provide support during activities. These devices can help distribute the load more evenly and prevent further injury.
Injections
Corticosteroid Injections
These can provide temporary relief from pain and inflammation. However, repeated use is not recommended due to potential side effects.
Platelet-Rich Plasma (PRP) Injections
PRP therapy involves injecting a concentration of the patient’s own platelets into the affected area to promote healing. This treatment is still being studied, but initial results are promising.
Surgical Treatment
Tennis Elbow Surgery
For tennis elbow, one surgical option is an open release procedure. This involves making a small incision over the affected area and removing the damaged tissue.
Arthroscopic surgery, a minimally invasive technique, can also be used to remove damaged tissue through small incisions using a camera and specialized instruments. Both procedures aim to alleviate pain and restore function by promoting healing in the affected tendons.
Golfer’s Elbow Surgery
Golfer’s elbow surgery similarly focuses on removing the degenerated tendon tissue. Open surgery is the traditional approach, allowing direct access to the damaged area for repair. Alternatively, arthroscopic techniques can be employed, offering the benefits of smaller incisions, reduced scarring, and faster recovery times.
In both cases, post-surgical rehabilitation is crucial to regain strength and flexibility in the elbow, ensuring a successful return to daily activities and sports. Consultation with an orthopedic specialist can help determine the most appropriate surgical option based on the severity of the condition and individual patient needs.
Prevention Tips
Preventing tennis elbow and golfer’s elbow involves reducing the strain on the tendons:
- Proper Technique: Using the correct techniques in sports and daily activities can help prevent overuse injuries.
- Strengthening Exercises: Regular exercises to strengthen the forearm muscles can provide better support to the elbow.
- Ergonomic Adjustments: Making ergonomic adjustments to workstations and tools can help reduce repetitive strain on the tendons.
Tennis Elbow and Golfer’s Elbow: Conclusion
Effective management & treatment of tennis elbow and golfer’s elbow involves a combination of rest, medication, physical therapy, and possibly injections or surgery. Early intervention and proper management can lead to a full recovery and help prevent recurrence.
If you are having issues related to tennis elbow and golfers elbow and need to schedule a consultation with an expert, call today to schedule a consultation with specialist Dr. Badia.
Dr. Alejandro Badia, MD, FACS
380 2nd Avenue
Suite #1000
New York, NY 10010
(929) 605-4263
Dr. Alejandro Badia is an internationally renowned hand surgeon specializing in hand, wrist, elbow, and shoulder concerns, and is now consulting and operating on patients in New York City.
Understanding Thumb CMC (Basal Joint) Arthritis: Symptoms and Treatments
Thumb carpometacarpal (CMC) arthritis, also known as basal joint arthritis, is a common condition that affects the base of the thumb. This type of arthritis can cause significant pain and functional limitations, impacting daily activities that involve gripping and pinching. Understanding the symptoms and available treatments is crucial for managing this condition effectively.
Symptoms of Thumb CMC (Basal Joint) Arthritis
Thumb CMC arthritis occurs when the cartilage in the joint at the base of the thumb wears down, leading to pain and inflammation. Common symptoms include:
Pain
- Localized Pain: Pain at the base of the thumb, especially when gripping or pinching objects.
- Activity-Related Pain: Increased pain during or after activities that involve using the thumb, such as opening jars, turning keys, or writing.
Swelling and Stiffness
- Swelling: Swelling around the base of the thumb, which can make the joint appear enlarged.
- Stiffness: Reduced range of motion and stiffness, particularly in the morning or after periods of inactivity.
Weakness and Decreased Function
- Weak Grip: Difficulty gripping objects firmly, leading to frequent dropping of items.
- Decreased Dexterity: Challenges in performing fine motor tasks, such as buttoning a shirt or holding a pen.
Causes and Risk Factors
Several factors can contribute to the development of thumb CMC arthritis:
Aging
The risk of developing CMC arthritis increases with age due to the natural wear and tear of the joint.
Genetics
A family history of arthritis can increase the likelihood of developing this condition.
Repetitive Use
Activities that involve repetitive thumb movements can accelerate joint wear and tear.
Injury
Previous injuries to the thumb joint can increase the risk of developing arthritis in the joint.
Treatment Options for Thumb CMC Arthritis
Treatment for thumb CMC arthritis focuses on relieving pain, improving function, and maintaining joint mobility. Options include both non-surgical and surgical approaches.
Non-Surgical Treatments
Non-surgical treatments are typically the first line of management for thumb CMC arthritis:
- Splinting: Wearing a thumb splint can help immobilize the joint, reducing pain and inflammation.
- Medications: Over-the-counter pain relievers like NSAIDs (ibuprofen) can help reduce pain and inflammation. In some cases, prescription medications may be necessary.
- Steroid Injections: Corticosteroid injections can provide temporary relief from pain and inflammation by reducing swelling in the joint.
- Physical Therapy: Exercises to strengthen the muscles around the thumb and improve range of motion can be beneficial.
Surgical Treatments
Arthroscopy
When non-surgical treatments are insufficient in managing symptoms, surgical options may be considered:
- Ligament Reconstruction and Tendon Interposition (LRTI): This procedure involves removing part of the damaged joint and reconstructing it using a tendon from the wrist to create a cushion and stabilize the thumb.
- Arthroplasty: Joint replacement surgery where the damaged joint surfaces are replaced with artificial components.
- Arthrodesis: Joint fusion surgery where the bones in the joint are fused together to eliminate movement and pain.
Basal Joint Arthritis Thumb CMC: Conclusion
Thumb CMC arthritis can significantly impact daily life, but understanding the symptoms and available treatments can help manage the condition effectively. Non-surgical treatments such as splinting, medications, and physical therapy are often effective in relieving symptoms. For more severe cases, surgical options like LRTI and arthroplasty can provide relief and restore function.
If you have basal joint arthritis (CMC) of the thumb and need consultation or treatment, speak with Dr. Alejandro Badia today. He will provide personalized care and treatment options.
Dr. Alejandro Badia, MD, FACS
Gramercy Surgery Center
380 2nd Avenue
Suite #1000
New York, NY 10010
(929) 605-4263
Dr. Alejandro Badia is an internationally renowned hand surgeon specializing in hand, wrist, elbow, and shoulder issues. With a primary practice in Miami, FL, he is now expanding his expertise to the NYC area. Learn more about his work and expertise here.
Top Hand Surgeon NYC: About Dr. Alejandro Badia
Dr. Alejandro Badia, a renowned hand and upper extremity orthopedic surgeon, is now expanding his treatment and surgical services to patients in New York City and the tri-state area. Known for his expertise in treating conditions of the hand, wrist, arm, elbow, thumb and shoulder, Dr. Badia brings his exceptional skills and innovative approaches to NYC, offering patients top-tier care and advanced surgical options.
Dr. Alejandro Badia Bio
Dr. Badia completed his undergraduate studies at Cornell University. He attended medical school at New York University later training in orthopedic surgery while chief resident at Bellevue Hospital, also in New York City. Specialty fellowships in hand surgery in Pittsburg and abroad in Europe followed. Upon completion of these fellowships, Dr. Badia settled his practice to offer the services of an orthopedic surgeon in Miami, FL to co-found the Miami Hand Center. Dr. Badia is past President of ISSPORTH (2011- 2013), is a member of ASSH, AAHS, AAOS and an honorary member of multiple international hand societies. Dr. Badia also works closely with fellow founders of the International Orthopedic Group in order to appropriately refer any musculoskeletal problem to the appropriate colleague.
Read Dr. Badia’s full bio here.
The Badia Hand to Shoulder Center in Miami
The Badia Hand to Shoulder Center was founded and created in 2008 by Dr. Alejandro Badia, a top hand and upper limb orthopedic surgeon. The Miami FLorida based center brings diagnosis and treatment for all problems pertaining to the hand, wrist, elbow and shoulder under one roof. Patients of Dr. Badia have access to digital radiographs, MRI imaging, physical and occupational therapy along with an advanced outpatient surgical center.
About Gramercy Surgery Center in NYC
The Gramercy Surgery Center is a multi-specialty ambulatory surgical center with locations in Manhattan and Queens, NYC. They offer a wide range of outpatient surgical procedures, from general surgery to cosmetic procedures, using advanced technology. Their team of over 150 physicians are recognized for their expertise and are affiliated with many of the region’s best hospitals.
Contact us today to schedule a convenient online or in-person consultation.
Dr. Alejandro Badia
Gramercy Surgery Center
380 2nd Avenue
Suite #1000
New York, NY 10010
(929) 605-4263