Carpal tunnel syndrome causes numbness and pain in the thumb, index, middle and part of the ring fingers. It is caused by pressure on the median nerve in the wrist as it passes through the carpal tunnel. The transverse carpal ligament forms the roof of this tunnel. Carpal tunnel surgery divides this ligament which relieves pressure on the nerve. There are two approaches to this surgery—open or endoscopic. Dr. Isom prefers the endoscopic approach as it allows for a faster recovery with less pain and less scarring. A single small incision is hidden in the wrist crease and allows for access to the carpal tunnel using a special scope and camera. Recovery is usually about two weeks, and you can use your hands right away for light tasks.
Trigger finger is a common condition that causes locking or triggering of a digit in the flexed position. A "pop" is felt as the digit is extended. This is treated in the office under local anesthesia by releasing the pulley that is keeping the flexor tendon from gliding smoothly. The operation is done either with a percutaneous needle approach or small incision over the palm of the hand.
Dr. Isom is an experienced hand surgeon and is able to treat most hand injuries. He specializes is repairing injuries to nerves, blood vessels, skin, and bones of the hand.