Coffee with a Doc: Dr. David Strege

Posted on Tuesday, June 11, 2019 in Signatures Shares

Coffee with a Doc is a video series where our Signature doctors step out of the office and into local coffee shops to answer common medical questions from patients. In this episode, Dr. David Strege of Signature Orthopedics West County addresses questions related to hand, finger, and wrist issues at The Dapper Doughnut in Creve Coeur, Missouri.

Is texting thumb a real condition?

As we use more handheld electronic devices and gaming devices we're starting to see a lot more musculoskeletal disorders occurring in the hand. Repeated use of the thumb and hand can lead to tendinitis issues and can lead to myofascial pain syndromes. Fortunately, most of these things can be treated nonoperative.

Do they have to put you to sleep for hand and finger surgery?

Many of these procedures such as a trigger finger release or a carpal tunnel release can be done primarily under a local anesthetic. Anesthesiologists have gotten really good at doing what are called nerve blocks. They can cause most of - if not the entire limb - to become numb so that the patient is not feeling any discomfort.

If I have numbness in my small finger should I be concerned?

Any time an individual has numbness in the fingers, that's usually a signal that we've got a nerve problem. Numbness in the small finger might be an indication that we have a problem with the ulnar nerve. A common place for the ulnar nerve to be pinched is in the elbow.

So if we're having numbness that's just not going away in that little finger, that's an indication that maybe we have a problem with the ulnar nerve and probably need some more medical attention.


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  2. david strege
  3. hand and wrist
  4. orthopedics
  5. signature orthopedics west county