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Dr. Ark, orthopaedic hand doctor, discusses thumb twitching symptoms and carpal tunnel syndrome with a patient using a skeleton model of the hand.

If you’ve been experiencing numbness, tingling, or pain in your wrist and fingers, you might be wondering if you have carpal tunnel syndrome. Carpal tunnel is a common condition that affects millions of people. It can significantly impact daily activities. Understanding carpal tunnel syndrome can help you take steps toward relief and prevention.

The Daily Struggle with Carpal Tunnel Syndrome

Living with carpal tunnel syndrome can be incredibly frustrating and disruptive. Simple daily tasks like typing, holding a phone, gripping a steering wheel, or even buttoning a shirt can become painful and difficult. Many people struggle with sleep due to tingling and numbness, waking them up in the middle of the night. Even work productivity can suffer, especially for those in jobs requiring repetitive hand movements, such as office workers, hairstylists, and factory workers. If you have hobbies involving heavy use of your hands, like crocheting, cooking, or playing an instrument, carpal tunnel syndrome can cause them to become challenging. Dealing with this persistent discomfort and unpredictability of symptoms can be frustrating and lead to fatigue, impacting your overall well-being and quality of life.

Carpal Tunnel Syndrome, What is It?

It's a pretty commonly known condition, but what is it? Carpal tunnel syndrome (CTS) happens when the median nerve, running from your forearm into your hand, becomes compressed at your wrist. This nerve passes through the carpal tunnel, which is a narrow passageway in your wrist that is surrounded by your bones and ligaments. This tunnel can become too narrow due to swelling or inflammation, and when this happens, it puts pressure on the median nerve, which leads to the symptoms accompanying carpal tunnel syndrome.

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Symptoms of Carpal Tunnel Syndrome

Carpal tunnel symptoms often start gradually and may worsen over time, making it important to know the common signs.

Common signs of possible carpal tunnel syndrome include:

The gradual onset of carpal tunnel symptoms can sometimes make it more difficult to realize what might be going on. If you have some or all of these symptoms, we recommend seeing one of our orthopaedic hand & wrist specialists. Seeking a proper diagnosis will help you get set on the right treatment plan for you and relieve your discomfort.

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Why you can trust us:

  • We have multiple highly specialized,  board-certified, fellowship-trained orthopaedic surgeons.
  • We know that we serve people - actual humans - not random orthopaedic conditions. That drives us to compassionate care.
  • The world of orthpaedics is constantly evolving.  Our orthopaedic surgeons are constantly evaluating new techniques, tools and methods to serve our community even better.
  • We provide outcome-focused treatment. We work with our patients to achieve their goals, all while developing custom treatment plans that fit our patient's lives.

Want to know more? Visit our website.


Carpal Tunnel Syndrome Symptoms vs. Cubital Tunnel Syndrome Symptoms

While carpal tunnel syndrome and cubital tunnel syndrome share some similarities, they affect distinctly different areas and nerves. It can seem easy to confuse by name, but once you understand each condition, you can better determine which may be causing your pain.

Below is a quick comparison of the symptoms:

Cubital Tunnel Syndrome

Affects the ulnar nerve at the elbow

Pain radiates from elbow to hand

Symptoms include pinky and ring finger numbness

Symptoms may worsen with elbow flexion

Carpal Tunnel Syndrome

Affects the median nerve at the wrist

Pain typically radiates from wrist to hand

Symptoms include thumb and index finger numbness

Symptoms worsen with wrist flexion

Causes and Risk Factors

Carpal tunnel syndrome can be caused by anything that puts pressure on the median nerve.

Some common causes and risk factors include:


princeton orthopaedic associates brand shots jersey orthopaedic surgeons 2023

Are you suffering from pain?

Please contact us! We'd love to help.

If you have pain, please contact us and schedule an appointment. We have urgent care facilities all over New Jersey for your convenience.


How Is Carpal Tunnel Syndrome Diagnosed?

If you suspect you have CTS, it's important to see an orhtopaedic specialist to evaluate your symptoms and condition. An orthopaedic hand doctor can accurately diagnose the condition and set you on the right path to finding relief.

What will an orhtopaedic hand doctor do to diagnose your condition:

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Physical exam: Checking for tingling, numbness, and muscle weakness.

Tinel’s test: Tapping on the median nerve to see if it triggers tingling.

Phalen’s test: Holding your wrists in a flexed position to see if symptoms develop.

Nerve conduction studies: Measuring how well electrical signals travel through the median nerve.

Imaging: MRI or an ultrasound can create detailed images of the carpal tunnel, helping to confirm CTS and identify any other underlying issues.

Carpal Tunnel Syndrome Treatment

If you are struggling with possible carpal tunnel pain in your wrists, the good news is that carpal tunnel syndrome is treatable! The treatment options for your CTS may vary depending on the severity of your symptoms and may include:


Meet Our Hand and Wrist Specialists


Preventing Carpal Tunnel Syndrome

While not all cases of CTS can be prevented, you can take steps to lower your risk of developing it.

Here are a few examples of steps you can proactively take to prevent carpal tunnel syndrome:

Carpal Tunnel Syndrome Stretches

Here are some simple hand and wrist stretches to help with carpal tunnel syndrome relief:

1. Wrist Flexor Stretch

  • Extend one arm straight with your palm facing up.
  • Use your other hand to gently pull your fingers down and back.
  • Hold for 15–30 seconds, then switch hands.

2. Wrist Extensor Stretch

  • Extend one arm straight with your palm facing down.
  • Use your other hand to pull your fingers toward you.
  • Hold for 15–30 seconds, then switch hands.

3. Prayer Stretch

  • Place your palms together in front of your chest (like a prayer).
  • Slowly lower your hands while keeping your palms together until you feel a stretch.
  • Hold for 15–30 seconds.

4. Median Nerve Glide

  • Make a fist with your thumb tucked in.
  • Slowly open your fingers, extending them straight.
  • Then extend your thumb outward and stretch your wrist back slightly.
  • Repeat 5–10 times on each hand.

5. Shake It Out

  • Gently shake your hands for 10–15 seconds to relieve stiffness.

Try doing these 2–3 times a day to help with flexibility and reduce tension.

When to See a Doctor

If you’re experiencing persistent symptoms that are gradually worsening and interfere with daily activities, it’s best to see a healthcare provider. Seeking early intervention can prevent your condition from worsening and help you find relief sooner.

Carpal tunnel syndrome is a common but manageable condition. Understanding the symptoms, causes, and treatment options can help you take the right steps to relieve your discomfort and protect your hands! If you suspect you have CTS, making small changes now can make a big difference in your long-term hand health!

This blog post is meant to be informative and should not act as a self-diagnosis tool. If you’d like to see one of our doctors, please contact us here.

Are you wondering, "Why do I have a bump on my wrist that hurts?"

Dr. Ark helps a patient put on a removable splint for ganglion cyst treatment - Princeton Orthopaedic Associates

Ganglion cysts, fluid-filled sacs that develop outside joints or along tendons, are usually benign but can occasionally cause discomfort. Understanding what a ganglion cyst is, its symptoms, diagnosis, and treatment options can help you make the quickest recovery. 


Why you can trust us:

Want to know more? Visit our website.


 What is a Ganglion Cyst?

If you’ve got a mysterious bump at one of your joints, it might be a ganglion cyst. A ganglion cyst is a fluid-filled bump that can form on joints and tendons in various parts of the body. The size and texture of a ganglion cyst may change, particularly during joint movement or activity. They are commonly found on the wrists, hands, fingers, feet, or ankles. While typically harmless and not painful, a ganglion cyst may cause you discomfort if it puts pressure on your nerves. The exact cause is unknown, but factors such as repeated stress, age-related degeneration, or weak connective tissue may contribute to the formation of ganglion cysts. They are more common in women aged 20 to 40 and those participating in sports with sudden stops and motions.

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There are several areas where ganglion cysts are frequently found. These include:

  • Wrist: Ganglion cysts are commonly found on the back of the wrist, near the joints. They may also occur on the front or sides of the wrist.
  • Hand and Fingers: Ganglion cysts can develop on the fingers, particularly at the base or near the joints. They may be more noticeable on the sides of the fingers.
  • Foot and Ankle: Ganglion cysts may occur on the top of the foot or around the ankle joint. They can also develop on the toes, particularly at the base.
  • Knee: Ganglion cysts can be found on the front or back of the knee, often near the tendons. However, knee ganglion cysts are less common than those in the wrist or hand.
  • Back of the Knee: Ganglion cysts can develop at the back of the knee, often near the popliteal tendon.
  • Shoulder: While less common, ganglion cysts can occur in the shoulder area, particularly around the rotator cuff tendons.

It's important to note that ganglion cysts can also develop in other joints and tendon sheaths. The specific location of a ganglion cyst can influence the symptoms experienced and the treatment options considered. If you notice a lump or bump near a joint, especially if it causes discomfort or limits movement, consulting with a healthcare professional for an accurate diagnosis and appropriate management is recommended.

Symptoms of a Ganglion Cyst

Ganglion cysts may not always be painful, but if they put pressure on your nerves, they can lead to discomfort. Swelling and tenderness in the affected area are common symptoms. The cyst's size and location determine the severity of symptoms.

 When to See an Orthopaedic Specialist About a Ganglion Cyst

If you experience wrist pain or suspect a ganglion cyst, a visit to an orthopaedic specialist is crucial. A physical examination, questions about symptoms, and additional tests, such as X-rays or ultrasound imaging, may be conducted to diagnose and rule out other conditions.

Common Treatments for Ganglion Cysts

Treatment options vary depending on the size and location of the ganglion cyst. Non-surgical approaches include draining fluid with a needle and medications to reduce inflammation. While more invasive, ganglion cyst surgery offers a better chance of complete elimination. It's important to consider the pros and cons of each option with your specialist, keeping in mind factors like recovery time and your individual health.

Watch & Wait

For small, painless cysts, the orthopaedic specialist may choose a conservative approach, monitoring the cyst over time to observe any changes. No immediate treatment may be necessary. 

However, some home treatments can provide relief:

  • Applying warm compresses to your ganglion cyst may help reduce inflammation and promote fluid drainage.
  • Gently massaging your ganglion cyst in a circular motion may aid in fluid dispersion and potentially reduce the size of your ganglion cyst.
  • Avoiding activities that aggravate and put unnecessary stress on the affected joint.
  • Applying ice packs to reduce inflammation can also help you manage pain.

*It's crucial to note that while these home treatments may offer relief for some people, consulting with a healthcare professional is advisable for a comprehensive evaluation and personalized guidance based on the specific characteristics of your ganglion cyst.

Over-the-counter Pain Relievers:

Prescribing Non-prescription pain relievers, such as ibuprofen or acetaminophen, can manage pain associated with ganglion cysts and reduce inflammation.

Splinting

Using splints or braces to immobilize the affected joint can relieve pressure on the cyst and minimize discomfort.

Aspiration

This common, relatively quick, in-office procedure involves draining the fluid from the cyst using a needle.

Surgical Removal

Ganglion cyst surgery may be recommended in more severe cases, especially if it causes significant discomfort.

If you think you have a ganglion cyst, it is recommended that you consult with one of POA's orthopaedic specialists. They guide patients in weighing the pros and cons of surgery versus non-surgical options, considering factors such as recovery time and individual health, the size and location of the cyst, symptoms, and patient preferences.


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Do you think you have a ganglion cyst?

Please contact us! We'd love to help.

If you suspect you have a ganglion cyst, please contact us and schedule an appointment. We have urgent care facilities all over New Jersey for your convenience.


Meet Our Hand & Wrist Orthopaedic Specialists

Frequently Asked Questions About Ganglion Cysts

What Happens if a Ganglion Cyst is Left Untreated?

If a ganglion cyst is left untreated, several outcomes may occur, and the severity of these outcomes can vary depending on the individual and the characteristics of the cyst. Some potential consequences of leaving a ganglion cyst untreated include:

  • Persistence and Enlargement: Without intervention, the cyst may continue to fluctuate in size, causing cosmetic concerns and potential discomfort.
  • Discomfort and Pain: While ganglion cysts are often painless, leaving the cyst untreated may result in persistent or worsening discomfort.
  • Limited Joint Movement: In some cases, the presence of a ganglion cyst may restrict the range of motion in the affected joint, impacting daily activities and function.
  • Risk of Rupture: Although rare, ganglion cysts can rupture spontaneously leading to the release of fluid into the surrounding tissues, causing inflammation and potentially triggering pain.

Will a Ganglion Cyst Go Away on its Own?

The likelihood of a ganglion cyst going away without intervention depends on various factors, including your overall health, the size and location of the cyst, and whether it causes discomfort or limitations in joint movement.

Can I Treat a Ganglion Cyst at Home?

While home remedies cannot guarantee complete resolution, some individuals have reported success in reducing the size of ganglion cysts with warm compresses and gentle massage. However, these methods may not be universally effective, and consultation with a healthcare professional is essential for appropriate guidance.

Do Ganglion Cysts Feel Like Bone?

Ganglion cysts are soft tissue lumps filled with fluid. When you touch one, it typically feels firm or rubbery, and it can be moved around slightly beneath the skin. However, some ganglion cysts feel quite hard and can sometimes be mistaken for a bony prominence. 

What Triggers a Ganglion Cyst?

Ganglion cysts often develop in response to repeated stress on a specific joint or tendon. Additionally, age-related degeneration of ligaments and tendons, as well as weak areas in connective tissue, can contribute to their formation. Activities involving sudden stops and motions, such as those in racket sports or gymnastics, increase the likelihood of developing ganglion cysts.

What to Avoid with a Ganglion Cyst?

If you have a ganglion cyst, it's advisable to avoid activities that put unnecessary stress on the affected joint. High-impact activities and repetitive motions may exacerbate symptoms. Wearing protective gear during activities with a risk of joint stress can also help prevent aggravation of the cyst.

What Makes a Ganglion Cyst Worse?

Persistent stress on the joint or tendon, inadequate rest, and failure to address symptoms promptly can contribute to the worsening of a ganglion cyst. Ignoring discomfort and continuing activities that strain the affected area may lead to increased pain and swelling.

Can You Drain a Ganglion Cyst Yourself?

We do not recommend that you try to drain a ganglion cyst yourself. Attempting to do so can lead to complications such as significant pain, scarring, infection, damage to the surrounding tissues and nerves, and an increased likelihood of recurrence. If that's not enough, you could attempt it and still have a ganglion cyst along with those issues above.

How to Prevent a Ganglion Cyst

Practicing good joint health through low-impact activities, monitoring movement patterns, understanding ergonomics, and avoiding tight footwear can reduce the risk of ganglion cyst formation. Proactive measures today can safeguard your joint health and prevent future issues with ganglion cysts.

It's essential to note that ganglion cysts are generally benign, and not everyone with them will experience complications. If a ganglion cyst is causing you pain, discomfort, or limitations in your joint movement or concerns about the cyst's appearance, you should seek medical advice and consider appropriate interventions, whether non-surgical or surgical. The right interventions can help address your symptoms and prevent potential complications associated with untreated ganglion cysts.

If you suspect a ganglion cyst or experience related symptoms, consult with an orthopedic specialist for a comprehensive evaluation and personalized treatment plan. Princeton Orthopaedic Associates offers both surgical and non-surgical treatment options, ensuring personalized care for your specific needs. Don't let wrist pain hinder your activities—schedule an appointment today for expert diagnosis and treatment. 

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Understanding Cubital Tunnel Syndrome

If you are living with cubital tunnel syndrome, it can make your daily functioning uncomfortable and challenging. Imagine waking up daily with tingling sensations in your pinky and ring fingers, sometimes accompanied by sharp pain radiating from your elbow down to your hand. Pain like this causes everyday activities like typing, using your phone, or even holding a cup can become cumbersome. Many people describe feeling a "clumsy" grip or dropping things unexpectedly. This frustrating condition arises from the ulnar nerve, which runs from your shoulder to your hand, being compressed at the elbow, often resulting in persistent discomfort and limited mobility. Read on to learn more about cubital tunnel syndrome.

What Causes Cubital Tunnel Syndrome?

Cubital tunnel syndrome, sometimes confused with carpal tunnel syndrome, occurs when the ulnar nerve, a nerve that runs along the inner side of your elbow, becomes compressed.

Several factors contribute to this compression:

  • Repetitive Elbow Flexion: Frequent bending of your elbow, such as during work or sports, can irritate your ulnar nerve.
  • Elbow Injury: Trauma to your elbow, such as fractures or dislocations, can lead to swelling or bone spurs that pinch the nerve.
  • Anatomical Factors: Some people may have a naturally narrower cubital tunnel which increases the likelihood of nerve entrapment.
  • Posture: Poor posture while sitting or sleeping can place undue stress on the elbow and nerve.
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Cubital Tunnel Syndrome Symptoms

The symptoms of cubital tunnel syndrome often manifest as follows:

  • A numbness or tingling in your ring and pinky fingers.
  • Weakness in your grip strength, particularly in your affected hand.
  • A feeling of clumsiness when you are handling objects.
  • Pain that radiates from your elbow to your hand, especially when your elbow is flexed for prolonged periods.

If you're experiencing hand pain but these symptoms don't match up, take a look at our comprehensive blog on numbness and tingling in your hands.


Why you can trust us:

  • We have multiple highly specialized,  board-certified, fellowship-trained orthopaedic surgeons.
  • We know that we serve people - actual humans - not random orthopaedic conditions. That drives us to compassionate care.
  • The world of orthpaedics is constantly evolving.  Our orthopaedic surgeons are constantly evaluating new techniques, tools and methods to serve our community even better.
  • We provide outcome-focused treatment. We work with our patients to achieve their goals, all while developing custom treatment plans that fit our patient's lives.

Want to know more? Visit our website.


Cubital Tunnel Syndrome Symptoms vs. Carpal Tunnel Syndrome Symptoms

While cubital tunnel syndrome and carpal tunnel syndrome share some similarities, they affect distinctly different areas and nerves. By name, it can seem easy to confuse, but once you understand each condition, you can better determine which may be causing your pain.

Below is a quick comparison of the symptoms:

Cubital Tunnel Syndrome

Affects the ulnar nerve at the elbow

Pain radiates from elbow to hand

Symptoms include pinky and ring finger numbness

Symptoms may worsen with elbow flexion

Carpal Tunnel Syndrome

Affects the median nerve at the wrist

Pain typically radiates from wrist to hand

Symptoms include thumb and index finger numbness

Symptoms worsen with wrist flexion

What Causes Cubital Tunnel Syndrome Symptoms?

Symptoms of cubital tunnel syndrome arise due to compression or irritation of the ulnar nerve. When your ulnar nerve is compressed, it can lead to dysfunction in the hand, causing numbness, weakness, and pain.

Cubital Tunnel Syndrome Treatment

Prevention can be the first line of treatment for cubital tunnel syndrome. You can help prevent it by making some easy lifestyle adjustments.

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Common lifestyle adjustments for cubital tunnel prevention may include:

Modify Activities: Reduce repetitive elbow bending and take frequent breaks if your job or activities require it.

Maintain Good Posture: Ensure your workspace is ergonomically friendly to minimize strain on your elbows.

Use Proper Protective Gear: If you plan to participate in activities that have a risk of elbow injury, wearing a protective brace or padding can help prevent cubital tunnel syndrome.

Caring for Cubital Tunnel Syndrome

Once diagnosed, it is important to take the proper steps to manage and alleviate your symptoms effectively.

At-Home Treatments

  1. Rest: Allow your elbow to recover by reducing activities that exacerbate symptoms.
  2. Cold Therapy: Apply ice to your elbow for 15-20 minutes at a time to help reduce your pain and inflammation.
  3. Cubital Tunnel Syndrome Brace: Wearing a brace can help keep the elbow straight and reduce pressure on the ulnar nerve.
  4. Pain Relief: Over-the-counter medications, such as ibuprofen or acetaminophen, can help you manage the discomfort.

What to Avoid

Cubital Tunnel Syndrome Exercises

Performing cubital tunnel syndrome exercises, gentle stretches and strengthening exercises, can help relieve tension around the ulnar nerve. Here are a few recommended exercises:

Meet our orthopaedic specialists:

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Are you suffering from pain?

Please contact us! We'd love to help.

If you have pain, please contact us and schedule an appointment. We have urgent care facilities all over New Jersey for your convenience.

When to Seek Help from POA's Orthopaedic Surgeons

If cubital tunnel syndrome symptoms persist despite at-home care, it may be time to consult an orthopaedic surgeon.

Here are signs that indicate the need for professional intervention:

What Type of Orthopaedic Surgeon Should Be Seen?

When seeking help for cubital tunnel syndrome, look for an orthopaedic surgeon specializing in elbow, hand and wrist, and upper extremities. These specialists have the expertise to provide comprehensive care tailored to your needs.

What Does Treatment Look Like?

Treatment for cubital tunnel syndrome may vary based on the severity of the condition:

  1. Non-Surgical Options: Initial treatments may include physical therapy, corticosteroid injections, and continued use of a cubital tunnel syndrome brace. A physical therapist may be able to help you with specific exercises that can improve flexibility and strength.
  2. Surgical Options: If conservative treatment approaches aren't providing you relief, surgery may be necessary to decompress the ulnar nerve. Surgical options may include:
    • Ulnar Nerve Transposition: Moving the ulnar nerve to a position less likely to be compressed.
    • Cubital Tunnel Release: Enlarging the cubital tunnel to alleviate pressure on the nerve.

When to Seek Urgent Care for Cubital Tunnel Syndrome Symptoms

If you experience sudden loss of sensation, severe pain, or an inability to move your fingers, seek urgent medical attention. These intense symptoms may indicate a more serious issue requiring immediate intervention. When in doubt, we recommend visiting one of our urgent care locations as soon as possible.

Need Care Now? POA Has Six Urgent Care Facilities

Monroe

11 Centre Drive
Monroe Twp., NJ 08831

Plainsboro

5 Plainsboro Road, Suite 100
Plainsboro, NJ 08536

Robbinsville

1 Union Street Suite 305
Robbinsville, NJ 08691

Princeton

325 Princeton Avenue
Princeton, NJ 08540

Hillsborough

315 US Highway 206
Hillsborough Township, NJ 08844

Ewing

200 Charles Ewing Blvd. Suite 170
Ewing, NJ 08628

Urgent Care Hours

Although living with cubital tunnel syndrome can be a daily challenge, with the right knowledge and proactive care, you can manage your symptoms effectively. Understanding the condition, seeking timely help from the right orthopaedic specialist, and implementing preventive measures can significantly improve your quality of life.

If you are struggling with symptoms or suspect you may have cubital tunnel syndrome, don't hesitate to schedule an appointment with POA's specialists. Our experienced team is dedicated to providing personalized care with a treatment plan tailored to your needs.

This blog post is meant to be informative and should not act as a self-diagnosis tool. If you’d like to see one of our doctors, please contact us here.

Dr. Ark examines a man's hand for his twitching finger issues.

What Are Common Finger Issues?

From simple tasks like typing on a keyboard to more complex activities like playing sports, our fingers are integral to almost everything we do. Whether it's the discomfort of trigger finger or the frustration of thumb twitching, these common issues can make even the simplest tasks challenging. Understanding their causes, symptoms, and available treatments is essential for effectively managing these conditions and returning to living without constant discomfort.

With how integral our hands are in our day-to-day activities, it's not surprising that there are problems that can arise.

Why Is My Finger Stuck?

It can be a bit scary if your finger gets stuck or locked in a position. This condition is known as Trigger Finger. Trigger finger is caused by the tendons in the finger becoming inflamed and thickened, making it difficult for the tendon to move smoothly through its sheath. This can result in the finger getting stuck in a bent position, accompanied by pain, stiffness, and a popping or clicking when moving the finger. For more information, see our blog on trigger finger. 


Why you can trust us:

Want to know more? Visit our website.


Why Is My Thumb Twitching?

If you have a twitching thumb, it may be a condition called Thumb Twitching. This is involuntary movements of twitches in the thumb. This can be caused by overuse of the thumb muscles, stress, fatigue, or underlying neurological conditions such as carpal tunnel syndrome or nerve compression. It often presents with weakness, tingling, or numbness in the thumb.

Why Do I Have Numbness In My Fingers?

Numbness in fingers can be indicative of Carpal Tunnel Syndrome. This condition is caused by compression of the median nerve in the wrist and can lead to numbness, tingling, weakness, or pain in the thumb, index, middle, and half of the ring finger. It may be exacerbated by repetitive motions, injury, or underlying health conditions like arthritis. Learn more from our Carpal Tunnel Syndrome 101 blog.

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Why Do I Have Stiff Fingers?

Sometimes inflammation of the joints in your fingers can be caused by Arthritis, either Osteoarthritis or Rheumatoid Arthritis. Arthritis is inflammation of the joints that can affect your fingers and thumb. Osteoarthritis results from degenerative changes in joint cartilage. Rheumatoid arthritis is an autoimmune condition that causes joint inflammation. Symptoms include joint pain, stiffness, swelling, and reduced range of motion. Learn more about Hand Arthritis.

Why Do I Have Stiff Fingers?

That wasn't a typo! Stiff fingers can also be caused by Tendonitis. How do you tell the difference? As mentioned above, the root of stiff fingers with Arthritis is inflammation of the joints. Tendonitis is inflammation of the tendons, often due to overuse, repetitive motions, or injury. It commonly presents with pain, swelling, tenderness, or warmth around the affected tendon, along with limited mobility.

Why Can't I Straighten My Fingers Out?

If your fingers won't straighten it may be Dupuytren's Contracture, a condition characterized by the thickening of tissue in the palm, leading to fingers being pulled into a bent position. The cause is often unknown but may involve genetic factors, injury, or certain medical conditions. It can result in finger stiffness and an inability to fully straighten the fingers.

Why Is There Pain at The Base of My Thumb?

De Quervain's Tenosynovitis is inflammation of the tendons at the base of the thumb. It typically occurs due to overuse, repetitive thumb movements, or direct injury. Symptoms include pain, swelling, and tenderness at the base of the thumb, often accompanied by difficulty gripping or pinching.

Why Do I Have a Lump In My Wrist?

Ganglion Cysts are non-cancerous lumps or masses that typically form along the tendons or joints of the wrist or fingers. The cause is often unclear, but they may result from joint or tendon irritation, trauma, or unknown factors. Symptoms include pain or discomfort and a visible lump that may interfere with movement. Read more about Understanding Ganglion Cysts.

princeton orthopaedic associates brand shots jersey orthopaedic surgeons 2023

Are you suffering from pain?

Please contact us! We'd love to help.

If you have pain, please contact us and schedule an appointment. We have urgent care facilities all over New Jersey for your convenience.

Why Do I Have Pain In My Fingertip?

Mallet Finger, also known as Baseball Finger, is caused by an injury to the extensor tendon at the tip of the finger, leading to an inability to fully straighten the fingertip. This often happens due to direct trauma or forceful impact, such as during sports activities.

What Is Jersey Finger?

Jersey Finger is not something that can only happen in New Jersey. Jersey Finger is an injury to the flexor tendon in the finger, typically occurring when forcefully trying to extend the finger while it is flexed. This can happen during sports or physical activities and results in an inability to flex the finger at the distal joint.

Should I See an Orthopaedic Hand & Wrist Doctor?

These finger conditions, from trigger finger to arthritis, can disrupt your daily routine and cause significant discomfort. While mild cases may respond well to at-home treatments such as rest, ice, splinting, and over-the-counter pain medications, more severe or persistent symptoms may require intervention from an orthopedic surgeon.

If you experience persistent pain, swelling, or difficulty performing everyday tasks despite home remedies, it's crucial to seek help from a specialist. Our orthopaedic hand specialists will provide a thorough evaluation, diagnosis, and a tailored treatment plan to address your specific needs. Don't let finger problems hold you back from enjoying life to the fullest. Take your first step towards relief and contact us to schedule today. Your fingers will thank you!

This blog post is meant to be informative and should not act as a self-diagnosis tool. If you’d like to see one of our doctors, please contact us here.

Knowing When to Seek Help From a Hand Doctor for Hand Issues

Experiencing discomfort or limitations in your hand's function can disrupt your daily life. Knowing when to consult a hand doctor is essential for getting the proper care, whether it's from an injury or a persistent condition. But what exactly is a hand doctor, and when should you consider seeing one?

What Is a Hand Doctor?

Hand doctors, often orthopedic specialists, are experts in diagnosing, treating, and preventing disorders affecting the hand, wrist, and forearm. With their deep understanding of the intricate network of tissues and bones in the hand, they provide tailored care for people of all ages dealing with hand-related issues.

Seeing a hand specialist, such as an orthopedic surgeon or a hand surgeon, can offer several advantages over seeing a general doctor for hand issues:

While general doctors can provide initial evaluation and basic treatment for hand issues, seeing a hand specialist can offer specialized expertise and tailored care that may lead to better outcomes in the long run. If you're experiencing hand problems, consulting with a hand specialist can help ensure you receive the most tailored, appropriate, and effective care for your condition.

Meet Our Orthopaedic Hand & Wrist Specialists


Why you can trust us:

Want to know more? Visit our website.


Common Hand Conditions That Can Cause Pain

From arthritis to nerve problems and fractures, various conditions can affect hand health. Whether from sudden injuries or gradual wear and tear, these issues can impair function and cause discomfort.

These are some of the common hand issues that can cause pain or discomfort:

Recognizing symptoms and seeking timely evaluation and treatment from a hand specialist can help alleviate pain and prevent long-term complications.


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Are you suffering from hand pain?

Please contact us! We'd love to help.

If you have hand pain, please contact us and schedule an appointment. We have urgent care facilities all over New Jersey for your convenience.


Treatment for Hand and Wrist Pain

Treatment for hand conditions varies based on diagnosis and severity. In many situations these non-surgical methods are often attempted first. However, surgical intervention might be necessary if these methods prove ineffective or if significant damage exists.

Non-Surgical Hand Treatment

  • Therapy
  • Splinting
  • Medications

Surgical Treatment

  • Tendon repair
  • Joint reconstruction
  • Nerve surgery

These procedures aim to both alleviate pain and restore function, offering hope for improved quality of life.

When Should I Seek Out A Hand Doctor Near Me?

Hand pain and issues may fluctuate, potentially arising from overuse or a previous injury. Sometimes though, more attention is required.

Here are some signs that it's time to find an orthopaedic hand specialist near you:

Your hands play a vital role in daily activities, making it crucial to address any issues affecting their function promptly. By recognizing symptoms and seeking timely care from a hand specialist, you can embark on a journey toward better hand health and overall well-being.

If you're experiencing hand and wrist pain keep these things in mind:

Welcoming Dr. Martin E. Griffis: Your Trusted Hand and Upper Extremity Specialist

princeton orthopaedic associates new jersey orthopaedic surgeons 2023 doctor 11

We are excited to introduce another recent addition to our exceptional team here at POA, Dr. Martin E. Griffis, a renowned specialist in hand and upper extremity care. Dr. Griffis brings a wealth of expertise and a dedication to patient well-being that perfectly aligns with our commitment to providing top-tier, individualized care.

Exceptional Education and Training

Dr. Griffis's journey to becoming a leading orthopaedic surgeon is marked by exceptional education and rigorous training. He holds a Doctor of Medicine degree from Drexel University College of Medicine, a prestigious institution known for producing exceptional medical professionals. Following his degree, he completed a comprehensive internship at Drexel University/Hahnemann University Hospital.

His commitment to excellence continued with an Orthopaedic Surgery Residency at the esteemed Hospital of the University of Pennsylvania. Further honing his specialization in hand and upper extremity care, Dr. Griffis pursued a fellowship at NYU Langone Hospital for Joint Diseases, known for its dedication to pioneering orthopaedic treatments.

Dedicated to Excellence and Compassion

Dr. Griffis's commitment to patient care goes beyond his extensive education and training. He is a member of the Alpha Omega Alpha Honor Medical Society (AOA) and the Gold Humanism Honor Society, reflecting his dedication to compassionate healthcare.

His exceptional contributions to orthopaedics have not gone unnoticed. Dr. Griffis is a recipient of the Oscar Corn Award for Excellence in Orthopaedic Surgery, an acknowledgment of his dedication to advancing the field.

Dr. Griffis - Princeton Orthopaedic Associates

Innovative Techniques and Research

As a member of the American Academy of Orthopaedic Surgeons and the American Society for Surgery of the Hand (Candidate Member), Dr. Griffis is at the forefront of orthopaedic advancements. His specialization in hand and upper extremity care positions him as a sought-after expert in the field.

Your Path to Better Health

Dr. Martin E. Griffis is here to provide you with exceptional care for your hand and upper extremity concerns. If you're seeking specialized treatment, innovative surgical techniques, and compassionate patient care, Dr. Griffis is ready to assist you on your journey to improved health.

You can learn more about Dr. Griffis here. Don't hesitate to contact our office today to schedule your appointment with Dr. Griffis. We look forward to helping you achieve optimal well-being.

A ganglion cyst is a fluid-filled sac that develops outside of a joint or along a tendon. These cysts are usually benign, but can occasionally become painful. In this blog post, we will discuss how ganglion cysts are diagnosed and treated. If you have any questions or concerns about your own health, be sure to get in touch with us here at Princeton Orthopaedics so that we can schedule an appointment.

candids gutowski princeton orthopedic associates nj 2021 36

What is a ganglion cyst and what causes it to form?

A ganglion cyst is a fluid-filled bump or mass that can occur in joints and on tendons of the arms, wrists, hands, feet, and legs. Though ganglion cysts are typically not painful, their pressure on nerves may cause discomfort. Ganglion cysts form when lubricating joint fluid accumulates around a joint capsule or tendon sheath. The actual cause of ganglion cysts is unknown but can be attributed to repeated stress on the area, age-related degeneration of ligaments and tendons, or weak areas in connective tissue. They are most common among women between the ages of 20 to 40 as well as those participating in sports activities that involve sudden stops and motions like racket sports or gymnastics.

candids hasan princeton orthopedic associates nj 2021 05

How can you diagnose a ganglion cyst?

A ganglion cyst is a common benign (non-cancerous) bump that appears near joints or tendons. Diagnosing a ganglion cyst typically begins with a physical examination from a doctor. During the exam, your doctor will check the area for swelling and tenderness. They may also ask some questions about your symptoms. Once the ganglion cyst is identified, additional testing may be performed to rule out other conditions like infections, arthritis or a tumor. An X-ray may be ordered to assess the joint and surrounding tissue for changes that could lead to the ganglion cyst development. Additionally, ultrasound imaging can be used to help diagnose ganglion cysts more accurately and determine their size and location. Knowing these details can help your doctor develop an appropriate treatment plan to reduce discomfort and minimize any problems associated with ganglions cysts in the future.

candids hasan princeton orthopedic associates nj 2021 04

What are the treatment options for a ganglion cyst?

Treatment options for a ganglion cyst vary depending on the size and location of the cyst. In some cases, no treatment may be necessary if the cyst is small and causes no pain or discomfort. A physician may choose to watch a small cyst over time to see if any changes occur. For larger or more painful cysts, there are both non-surgical and surgical treatments that can be employed. Non-surgical treatment includes draining the fluid from the cyst with a needle and medications to reduce inflammation. The use of splints also can offer relief if the cyst is located in an area easily immobilized by splints. Surgical removal in more serious cases may also be an option that resolves the issue, but should only be done as a last resort given its invasive nature.

Surgery vs. nonsurgical options

When considering treatment options for ganglion cysts, patients often have to weigh the pros and cons of surgery versus nonsurgical options. Surgery is more invasive but generally offers a better chance of completely eliminating the ganglion cyst than nonsurgical options. Nonsurgical treatments may be better suited for those who want a faster recovery time or who are unable to undergo surgery due to age or health concerns. However, such treatments usually require multiple sessions over an extended period of time and sometimes provide only temporary relief from pain or discomfort associated with ganglion cysts. Ultimately, defining which treatment option is best is a difficult decision that must be made in consultation with medical professionals who have taken into account each patient's unique needs.

Recovery from surgery/nonsurgical treatments

Surgery and nonsurgical treatments can be necessary to help with ganglion cysts and other medical issues. Surgery is generally recommended when the ganglion is causing discomfort, and it can help reduce recurrence by removing pressure on the tendons or nerves. Nonsurgical treatment involves draining fluid with a needle, which can provide relief for some ganglions. Recovery times vary depending on the patient and their individual situation, but it typically involves several days of activity restriction followed gradually by physical therapy to help restore strength and movement in affected areas. It's important for patients to understand that care following surgery or a nonsurgical treatment plan is vital for long-term successful recovery!

Prevention of future ganglion cysts

The development of ganglion cysts can cause extreme distress and frustration for sufferers, as well as a large amount of pain and discomfort. One way to reduce the risk of ganglion cyst formation is to practice good joint health. Participating in low-impact activities such as cycling, stretching and swimming can help ensure that the joints remain lubricated and flexible; this will promote mobility, increase strength in surrounding muscles and help prevent joint injury, reducing your risk of ganglion cysts. Additionally, regularly monitoring body movement patterns may also aid in preventing ganglion cyst formation as it allows for early identification and correction of any asymmetries or movement habits that could lead to ganglia development. Educating yourself on proper ergonomics when performing repetitive activities is also essential for ganglion cyst prevention. Last but not least, avoiding excessively tight or restrictive footwear can prevent pressure on your joints which could result in ganglia formation. By taking proactive measures today to safeguard the condition of our joints we can reduce our chances of developing a ganglion cyst tomorrow.

A ganglion cyst is a growth that usually appears on the back of the wrist, hand, or fingers. It may also occur on the foot or ankle. Ganglion cysts are not cancerous and tend to fluctuate in size. They might get larger when you use your joints a lot or during times of stress. If you think you have a ganglion cyst it’s best to seek medical attention so we can diagnose and treat it accordingly. There are both surgical and non-surgical options for treatment depending on factors such as size, location, symptoms, and patient preference. Recovery from surgery typically takes one to two weeks but for nonsurgical treatments like aspiration/injection with corticosteroids, recovery time is shorter since there is no wound to heal. Prevention measures include avoiding activities that put unnecessary stress on joints as well as wearing protective gear when participating in high-impact activities.

If you are suffering from pain in your wrists or forearms and have bumps associated with them, you'll want to get a diagnosis from a doctor. Our specialists at Princeton Orthopaedic Associates are some of the best physicians around. You're in good hands with us and we'd love the opportunity to help you live pain-free as you do the things you love to do. Contact us today and schedule an appointment.

A ganglion cyst is a fluid-filled sac that develops outside of a joint or along a tendon. These cysts are usually benign, but can occasionally become painful. In this blog post, we will discuss how ganglion cysts are diagnosed and treated. If you have any questions or concerns about your own health, be sure to get in touch with us here at Princeton Orthopaedics so that we can schedule an appointment.

misc medical princeton orthopedic associates nj 2021 09

What is a ganglion cyst and what causes it to form?

A ganglion cyst is a fluid-filled bump or mass that can occur in joints and on tendons of the arms, wrists, hands, feet, and legs. Though ganglion cysts are typically not painful, their pressure on nerves may cause discomfort. Ganglion cysts form when lubricating joint fluid accumulates around a joint capsule or tendon sheath. The actual cause of ganglion cysts is unknown but can be attributed to repeated stress on the area, age-related degeneration of ligaments and tendons, or weak areas in connective tissue. They are most common among women between the ages of 20 to 40 as well as those participating in sports activities that involve sudden stops and motions like racket sports or gymnastics.

candids david lamb princeton orthopedic associates nj 2021 30sharpen motion

How can you diagnose a ganglion cyst?

A ganglion cyst is a common benign (non-cancerous) bump that appears near joints or tendons. Diagnosing a ganglion cyst typically begins with a physical examination from a doctor. During the exam, your doctor will check the area for swelling and tenderness. They may also ask some questions about your symptoms. Once the ganglion cyst is identified, additional testing may be performed to rule out other conditions like infections, arthritis or a tumor. An X-ray may be ordered to assess the joint and surrounding tissue for changes that could lead to the ganglion cyst development. Additionally, ultrasound imaging can be used to help diagnose ganglion cysts more accurately and determine their size and location. Knowing these details can help your doctor develop an appropriate treatment plan to reduce discomfort and minimize any problems associated with ganglions cysts in the future.

candids ark princeton orthopedic associates nj 2021 07

What are the treatment options for a ganglion cyst?

Treatment options for a ganglion cyst vary depending on the size and location of the cyst. In some cases, no treatment may be necessary if the cyst is small and causes no pain or discomfort. A physician may choose to watch a small cyst over time to see if any changes occur. For larger or more painful cysts, there are both non-surgical and surgical treatments that can be employed. Non-surgical treatment includes draining the fluid from the cyst with a needle and medications to reduce inflammation. The use of splints also can offer relief if the cyst is located in an area easily immobilized by splints. Surgical removal in more serious cases may also be an option that resolves the issue, but should only be done as a last resort given its invasive nature.

Surgery vs. nonsurgical options

When considering treatment options for ganglion cysts, patients often have to weigh the pros and cons of surgery versus nonsurgical options. Surgery is more invasive but generally offers a better chance of completely eliminating the ganglion cyst than nonsurgical options. Nonsurgical treatments may be better suited for those who want a faster recovery time or who are unable to undergo surgery due to age or health concerns. However, such treatments usually require multiple sessions over an extended period of time and sometimes provide only temporary relief from pain or discomfort associated with ganglion cysts. Ultimately, defining which treatment option is best is a difficult decision that must be made in consultation with medical professionals who have taken into account each patient's unique needs.

Recovery from surgery/nonsurgical treatments

Surgery and nonsurgical treatments can be necessary to help with ganglion cysts and other medical issues. Surgery is generally recommended when the ganglion is causing discomfort, and it can help reduce recurrence by removing pressure on the tendons or nerves. Nonsurgical treatment involves draining fluid with a needle, which can provide relief for some ganglions. Recovery times vary depending on the patient and their individual situation, but it typically involves several days of activity restriction followed gradually by physical therapy to help restore strength and movement in affected areas. It's important for patients to understand that care following surgery or a nonsurgical treatment plan is vital for long-term successful recovery!

Prevention of future ganglion cysts

The development of ganglion cysts can cause extreme distress and frustration for sufferers, as well as a large amount of pain and discomfort. One way to reduce the risk of ganglion cyst formation is to practice good joint health. Participating in low-impact activities such as cycling, stretching and swimming can help ensure that the joints remain lubricated and flexible; this will promote mobility, increase strength in surrounding muscles and help prevent joint injury, reducing your risk of ganglion cysts. Additionally, regularly monitoring body movement patterns may also aid in preventing ganglion cyst formation as it allows for early identification and correction of any asymmetries or movement habits that could lead to ganglia development. Educating yourself on proper ergonomics when performing repetitive activities is also essential for ganglion cyst prevention. Last but not least, avoiding excessively tight or restrictive footwear can prevent pressure on your joints which could result in ganglia formation. By taking proactive measures today to safeguard the condition of our joints we can reduce our chances of developing a ganglion cyst tomorrow.

A ganglion cyst is a growth that usually appears on the back of the wrist, hand, or fingers. It may also occur on the foot or ankle. Ganglion cysts are not cancerous and tend to fluctuate in size. They might get larger when you use your joints a lot or during times of stress. If you think you have a ganglion cyst it’s best to seek medical attention so we can diagnose and treat it accordingly. There are both surgical and non-surgical options for treatment depending on factors such as size, location, symptoms, and patient preference. Recovery from surgery typically takes one to two weeks but for nonsurgical treatments like aspiration/injection with corticosteroids, recovery time is shorter since there is no wound to heal. Prevention measures include avoiding activities that put unnecessary stress on joints as well as wearing protective gear when participating in high-impact activities.

If you are suffering from pain in your wrists or forearms and have bumps associated with them, you'll want to get a diagnosis from a doctor. Our specialists at Princeton Orthopaedic Associates are some of the best physicians around. You're in good hands with us and we'd love the opportunity to help you live pain-free as you do the things you love to do. Contact us today and schedule an appointment.

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