Hand Conditions & Treatments

Welcome to the Kansas Hand Center at Premier Plastic Surgery. The Kansas Hand Center is the largest group of board-certified Hand Surgeon Specialists in the Kansas City area. Drs. Moore, Storm and Gonzalez are all hand specialists, board certified in Plastic and Reconstructive Surgery, and in addition have undergone the rigorous requirements to achieve the status of Certificate of Added Qualification for Surgery of the Hand. Doctors Moore, Storm and Gonzalez have over 60 combined years of providing excellence in complex hand reconstruction. Our hand surgeons provide both conservative and surgical management for all types of hand, wrist and forearm problems including numbness, tingling, swelling, pain and stiffness. We specialize in work related injuries of the hand and wrist, arthritis reconstruction due to osteoarthritis (aging) and rheumatoid conditions of the hand and wrist, carpal tunnel syndrome and other nerve compression syndromes, traumatic injuries, congenital deformities, overuse syndromes, tendonitis and tumors of the hand. The Kansas Hand Center provides convenient on site X-ray services and a comprehensive hand therapy department to better serve our hand patients.


Hand Conditions & Treatments

The physicians at the Kansas Hand Center of Premier Plastic Surgery are pleased to provide conservative and surgical treatment for the following conditions:

  • Carpal Tunnel Syndrome
  • Cubital Tunnel Syndrome and Other Nerve Compressions
    • Radial nerve compression
  • Trigger Finger
  • Arthritis of the Wrist, Hand, Thumb and Fingers
    • Osteoarthritis (degenerative) of the wrist, hand, thumb and fingers
    • Basilar Joint Arthritis (Thumb arthritis)
    • Post Traumatic Arthritis of the wrist, hand, thumb and fingers
    • Rheumatoid arthritis of the wrist, hand, thumb and fingers
  • Dupuytren’s Contracture
  • Ganglion Cysts and Hand Tumors
    • Wrist and Fingers Ganglion Cysts (ganglions)
    • Skin tumors, both benign and malignant of the hand, forearm and fingers
    • Bony tumors, both benign and malignant
    • Soft tissue tumors: giant cell tumors, sarcomas, nerve tumors
  • Injuries
    • Lacerations of hand and arm
    • Cut tendons, arteries, and nerves requiring microsurgery
    • Mallet finger (drooping finger tip from jamming types of trauma)
    • Fractures (broken bones) of the fingers, hand, and wrist
    • Crush injuries to the hand and fingers
    • Amputations, both partial and complete
    • Ligament injuries to the hand and wrist (sprains and dislocations)
    • Overuse tendonitis: DeQuervain's Tenosynovitis, Lateral Epicondylitis

Numbness & Pain

Our patients come to us for evaluation of numbness, tingling, swelling, pain and or stiffness in the wrist, hands or fingers. This pattern of symptoms helps our physicians determine the cause and the particular area (neck, elbow, wrist, hand) that may be the source of the problem. Numbness and Tingling in the Forearm, Wrist, Hands or Fingers may be caused by the following:

  • Pressure on a nerve at a particular level known as a compressive neuropathy, carpal tunnel syndrome, and cubital tunnel syndrome
  • Disk or nerve root compression involving the cervical spine
  • Certain illnesses such as diabetes, multiple sclerosis or alcoholism
  • Certain medications can cause numbness
  • Nutritional deficiencies such as Vitamin B

The most common cause of numbness and tingling in our patients is due to a compressive neuropathy, especially carpal tunnel syndrome and cubital tunnel syndrome. Local pressure applied on a particular nerve can compress the numbness and tingling.

Stiffness of Hands, Wrist & Fingers

Our wrist and hands are very complex structures and when healthy move with ease and allow us to effortlessly perform thousands of intricate movements every day. However, when conditions cause stiffness in the wrist, hands or fingers these intricate movements may become difficult to perform limiting our activities of daily living.

Problems that affect joint structures in the wrist, hand and fingers can result in stiffness and limited movement. Normal, healthy joints have precise shaped matching surfaces that are covered with a smooth layer of cartilage which allow pain free and full range of motion. Problems that affect the joint surfaces or the cartilage can alter the normal contour of the joint causing stiffness and loss of motion. Tendon and muscle injuries can cause them to get scarred down to the surrounding joint causing stiffness and resulting in loss of motion as well.

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