Joint Replacement Archive

Doctors have three ways to treat Dupuytren's contracture, a condition that pulls one or more fingers toward the palm. A needle aponeurotomy breaks up the thick collagen tissue sticking to the tendons. A collagenase injection contains an enzyme that eats up and dissolves the collagen. Surgery involves the removal of the collagen tissue. With all three procedures, the condition can return. The procedure that's right for someone depends on the condition's severity and the location of the collagen.

One condition affecting the hands and fingers is Dupuytren's contracture, where one or more fingers become curled, making it difficult to perform everyday activities. Dupuytren's affects one in 20 Americans, so what do people need to know about it?

The typical causes of cramps in the hands include dehydration and straining the muscles with repeated motions like typing. Low calcium or magnesium or a compressed nerve in the wrist may also cause cramping. Stretching the fingers may help.

A bunion is a deformity of the foot that causes the big toe to turn inward toward the other toes. This can result in damage to the other toes, calluses, and trouble walking.

Like the rest of the body, the feet are vulnerable to the effects of aging. Women may be more susceptible to certain foot conditions due to hormone fluctuations during pregnancy and a higher incidence of decreased bone density with aging. But everyone's soft tissues become less elastic, making foot problems more likely. Foot conditions that can develop or worsen with age include stress fractures, plantar fasciitis, bunions, flat feet, and osteoarthritis. Simple measures, such as resting the feet and wearing supportive shoes, can help ease pain.

Ankle sprains are common, but they require proper treatment to heal correctly. You should rest for one or two days and use ice to reduce swelling, then begin exercising to regain strength and range of motion.

Performing hand exercises using therapy putty can help a person improve grip and pinch strength.

Walking and running share similar movements, but how the foot is supported differs, which is why most walking and running shoes are designed differently. When walking, the heels hit the ground first before the foot rolls forward to begin the next step. Because of this rolling motion, walking shoes are designed to have soft, flexible soles, which help a person push off with each step, and an angled heel to absorb most of the shock and reduce pressure on the ankles. In comparison, runner's feet strike anywhere from the heel to the midfoot or forefoot. Therefore, running shoes are designed to have thicker soles that act as shock absorbers.