Knees 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.

Most people experience occasional acute musculoskeletal pain as part of daily living, such as an injury caused by exercising or a minor household accident. Acute pain is short-term and often becomes manageable with home remedies and over-the-counter medication. However, when symptoms persist there is greater chance that it will become chronic pain, which lasts two to three months or longer. That's when medical advice is needed.

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.

Most people will experience shoulder pain at some point in their lives. The most common causes of shoulder pain are bursitis, rotator cuff problems, frozen shoulder, and osteoarthritis. They can occur for various reasons, such as overuse, injury, and age-related wear and tear. A doctor may be able to make a likely diagnosis based on a person's symptoms, a shoulder exam, and sometimes MRI. Treatment often includes a combination of rest, over-the-counter medication, corticosteroid injections, and physical therapy. In some cases, surgery is needed to repair damage.