http://www.nwhand.com We have the region\'s largest hand therapy program With early evaluation and therapy, surgery can often be avoided We are the upper extremity team physicians for the Everett Aquasox We are the medical partners for KOMO4 TV for upper extremity problems en-us http://www.nwhand.com/welcome_htm.htm Carpal Tunnel Syndrome, trigger fingers tendonitis, ganglion cysts, deQuervain\'s, tennis elbow, shoulder impingements, tumors, Dupuytren\'s disease, and rotator cuff tears Sports medicine injuries, on-the-job injuries and medical conditions of the upper extremity Early diagnosis and treatment improves outcome and minimizes pain http://www.nwhand.com/welcome_htm.htm http://www.nwhand.com/sep/electronic-medical-records.htm In Massachusetts, where the cost of health care is higher then anywhere else in the nation, the state is taking a bullish approach to implementation of a statewide EMR system after a Massachusetts Technology Collaborative study showed that state hospitals could lower costs by more then $274 million annually by using EMR technology. http://www.nwhand.com/sep/electronic-medical-records.htm http://www.nwhand.com/sep/everett-elbow-surgery.htm A doctor can usually diagnose elbow arthritis based upon a patient\'s symptoms and standard X-rays. X-rays show the arthritic changes. Most of the time, advanced imaging studies such as CT (computed tomography) or MRI (magnetic resonance imaging) scans are not needed. http://www.nwhand.com/sep/everett-elbow-surgery.htm http://www.nwhand.com/sep/seattle-trigger-finger-surgery.htm It isn\'t usually known what causes the problem. Trigger fingers are more common in women than men. They occur most frequently in people who are between the ages of 40 to 60 years. Trigger fingers are more common in people with certain medical problems such as diabetes and rheumatoid arthritis. http://www.nwhand.com/sep/seattle-trigger-finger-surgery.htm http://www.nwhand.com/sep/thumb-arthritis-seattle.htm The first symptom of basilar joint arthritis is pain with activities that involve gripping an object with the thumb and fingers (pinching). These activities could include opening jars, turning door knobs, opening car doors, and turning keys. Heavy use of the thumb may also cause pain in the basilar joint, as can changes in weather. http://www.nwhand.com/sep/thumb-arthritis-seattle.htm http://www.nwhand.com/sep/seattle-tennis-elbow-therapy.htm Tennis elbow is an overuse injury, involving repeated contraction of the forearm muscles that straighten and raise your hand and wrist. The repeated motions and stress to the tissue may result in inflammation or a series of tiny tears of the tendons that attach the forearm muscles to the bone at the outside of your elbow. http://www.nwhand.com/sep/seattle-tennis-elbow-therapy.htm http://www.nwhand.com/sep/seattle-hand-injury.htm Most of the time, the physician can realign the bones by manipulating them without surgery. Then, a cast, splint or fracture-brace is applied to immobilize the bones and hold them in place. The cast will probably extend from the fingertips down past the wrist almost to the elbow to ensure that the hand bones remain fixed in place. http://www.nwhand.com/sep/seattle-hand-injury.htm http://www.nwhand.com/sep/seattle-hand-surgery.htm The hand skeleton is made up of many bones that form its supporting framework. This frame acts as a point of attachment for the muscles that make the wrist and fingers move. A fracture occurs when force is applied to a bone that is enough to break it. When this happens, there is pain, swelling, and decreased use of the injured part. http://www.nwhand.com/sep/seattle-hand-surgery.htm http://www.nwhand.com/sep/seattle-elbow-surgery.htm In arthroscopic elbow surgery, the surgeon makes small incisions though which he or she inserts a tiny camera and light to look inside your elbow. The image is projected onto a monitor outside your body. The surgeon uses the images on the monitor to guide him or her through the surgery, which is conducted through the tiny incisions. http://www.nwhand.com/sep/seattle-elbow-surgery.htm http://www.nwhand.com/sep/seattle-carpal-tunnel-syndrome-treatment.htm Symptoms usually start gradually, with frequent burning, tingling, or itching numbness in the palm of the hand and the fingers, especially the thumb and the index and middle fingers. Some carpal tunnel sufferers say their fingers feel useless and swollen, even though little or no swelling is apparent. http://www.nwhand.com/sep/seattle-carpal-tunnel-syndrome-treatment.htm http://www.nwhand.com/sep/services-mri.htm You don\'t need to be our patient to schedule an MRI exam. We accept referrals directly to our MRI service for extremity exams - hands, wrists, elbows, shoulders, feet, ankles and knees. You will need to get a referral from your physician prior to scheduling an appointment. http://www.nwhand.com/sep/services-mri.htm http://www.nwhand.com/sep/rotator-cuff-tears.htm The shoulder joint is the most mobile joint in the body, providing us with a tremendous range of movement where we can reach with our hands. The shoulder joint has this extra mobility because its design is different than most other joints in the body - the stability of the joint is provided by muscles and tendons rather than through the coupling of bones. There are four muscles surrounding the shoulder joint which provide this stability, collectively called the rotator cuff. You cannot feel these muscles by touching your shoulder - they are very deep in the shoulder tissue. http://www.nwhand.com/sep/rotator-cuff-tears.htm http://www.nwhand.com/sep/everett-trigger-finger-surgery.htm Stenosing tenosynovitis, commonly known as trigger finger or trigger thumb, involves the pulleys and tendons in the hand that bend the fingers. The tendons work like long ropes connecting the muscles of the forearm with the bones of the fingers and thumb. In the finger, the pulleys form a tunnel under which the tendons must glide. http://www.nwhand.com/sep/everett-trigger-finger-surgery.htm http://www.nwhand.com/sep/seattle-wrist-injury.htm Grade 3 or severe sprains occur when there is a complete tear all the way through the ligament. These are significant injuries that require medical or surgical care to ensure recovery. As the ligament tears away from the bone, it may also take a small chip of bone with it, resulting in an avulsion fracture. http://www.nwhand.com/sep/seattle-wrist-injury.htm http://www.nwhand.com/sep/seattle-hand-finger-amputation.htm Amputation is the complete removal of an injured or deformed body part. In the event that surgery cannot replant (reattach) or repair an injured finger or hand, amputation may become necessary. Before surgery, your doctor, if possible, will explain the probability that an amputation may occur and will discuss the options for future treatment and rehabilitation. http://www.nwhand.com/sep/seattle-hand-finger-amputation.htm