Hand Surgery

Nerve release or Injection
Carpal Tunnel Release or Injection
Ulnar Tunnel Release or Injection
Cubital Tunnel Release or Injection
Radial Tunnel Release or Injection
Other peripheral nerve decompressions
Nerve surgery
- Repair of nerve injuries in hand and forearm up to elbow level
- Neurolysis (mobilizing nerve compression)
Tendon
- Flexor and Extensor tendon injury repair of acute or recent injuries
- Tenolysis (mobilization or restricted)
- Trigger finger injection or release
- Mallet finger treatment
- Boutonniere deformity treatment
- Tendonitis treatment with injection or release
- De Quervaius disease
- Acute and Chronic Tenosynovitis
- Swan neck deformity treatment
Dupuytren's disease
- Percutaneous needle aponeurectomy
- Xiaflex Injection
Arthritis (hand/wrist)
- Cortisone injection
- Joint debridement
- Joint replacement
- Joint fusion
- Excisions of joint cysts
Ganglion cysts of wrist or fingers
- Aspiration
- Injection
- Removal
- Capsular repair of joint
Raynaud's disease

Bone (hand/wrist)
- Finger fractures
- Metacarpal/hand fractures (e.g. "Boxer fracture")
- Wrist fractures
- Treatment of improper fracture healing (malurion)
- Excision of bone cysts
- Excision of bone spurs
- Scaphoid Fracture
- Distal Radio fracture
Skin (hand/wrist/upper extremity)
- Excision of benign or cancerous skin lesions/growths any size with reconstruction of defect with skin
flaps or skin graft if needed.
- Sentimel lymph node biopsy
- Hand Infection
- Hand Burns
- Nail Bed injury/ Nail Infection
Soft tissue (manes)/lumps/tumors
- Excision
- Biopsy
- Reconstruction
Elbow
- Lateral epicondylitis also known as Tennis Elbow
- Medial epicondylitis also know as Golfer's Elbow
Other
- Ski and Snowboard Injuries
- Skier's thumb Injuries
- Hand animal, human and insect's bites

Physical Therapy

Katy Hand & General Surgery offers Hand and physical Therapy at our office.

Hand Therapy at Hand & General Surgery

Evaluation
Rehabilitation begins with a one-on-one evaluation. Our therapist quantifies the deficits by measuring range of motion, muscle strength, sensibility, pain levels, and girth. After the evaluation, treatment can begin. Our clinic uses a variety of treatment techniques to facilitate recovery, such as Physical Treatment Techniques, Physical Agent Modalities, and Customized Splinting.
Modalities help reduce pain and gain motion. The following are used at our facility:
•Moist heat
•Fluidotherapy (dry heat)
•Paraffin baths
•Cold packs
•Ultrasound
•Functional electrical stimulation
•Iontophoresis

EMG/ NCV Test

An electromyogram (EMG) measures the electrical activity of muscles at rest and during contraction. Nerve conduction studies measure how well and how fast the nerves can send electrical signals. Nerves control the muscles in the body with electrical signals called impulses. These impulses make the muscles react in specific ways. Nerve and muscle problems cause the muscles to react in abnormal ways.

Electromyogram The skin over the areas to be tested is cleaned. A needle electrode that is attached by wires to a recording machine is inserted into a muscle.When the electrodes are in place, the electrical activity in that muscle is recorded while the muscle is at rest. Then the technologist or doctor asks you to tighten (contract) the muscle slowly and steadily. This electrical activity is recorded.The electrode may be moved a number of times to record the activity in different areas of the muscle or in different muscles.

The electrical activity in the muscle is shown as wavy and spiky lines on a video monitor and may also be heard on a loudspeaker as machine gun-like popping sounds when you contract the muscle. An EMG may take 30 to 60 minutes. When the test is done, the electrodes are removed and those areas of the skin where a needle was inserted are cleaned. You may be given pain medicine if any of the test areas are sore.

A nerve conduction velocity test (NCV) is an electrical test that is used to determine the adequacy of the conduction of the nerve impulse as it courses down a nerve. This test is used to detect signs of nerve injury. In this test, the nerve is electrically stimulated, and the electrical impulse 'down stream' from the stimulus is measured. This is usually done with surface patch electrodes (they are similar to those used for an electrocardiogram) that are placed on the skin over the nerve at various locations. One electrode stimulates the nerve with a very mild electrical impulse.

The resulting electrical activity is recorded by the other electrodes. The distance between electrodes and the time it takes for electrical impulses to travel between electrodes are used to calculate the speed of impulse transmission (nerve conduction velocity). A decreased speed of transmission indicates nerve disease. A nerve conduction velocity test is often done at the same time as an electromyogram (EMG) in order to exclude or detect muscle conditions.

X-ray Machine

Effective treatment of any condition begins with an accurate diagnosis. Today’s imaging techniques have greatly enhanced the physician's ability to accurately diagnose multiple conditions. At Katy Hand and General Surgery, we offer the most advanced digital imaging techniques that combine leading technology with a priority of patient safety and comfort.

Hand Evaluation by Dr. Vossoughi

Hand Therapy NCV/EMG test