If your hand is impaired in any way, our physicians may be able to greatly improve your condition and capabilities.
This type of very complex surgery can help to treat diseases that cause pain and impair the strength, function and flexibility of your wrist and fingers. With specialized training in hand surgery, Plastic Surgery Northwest surgeons will strive to restore normal function of fingers and hands injured by a trauma or correct birth abnormalities.

Common Hand Procedures

Carpal Tunnel Syndrome

A condition caused by pressure to the median nerve within the wrist, or “carpal tunnel” near the base of the palm. If you suffer from carpal tunnel syndrome, you may experience pain, tingling sensations, numbness in your fingers, weakness or aching. Carpal tunnel syndrome is associated with multiple conditions including: repetitive motion or overuse, fluid retention during pregnancy, injury to the nerve in the carpal tunnel or rheumatoid arthritis.

Carpal tunnel syndrome tends to be slightly more common in women as one gets older, and very common in certain diseases such as diabetes.  For patients with mild symptoms, simply reducing repetitive activity or taking more frequent breaks to rest and stretch may be enough to keep things under control.  Anti-inflammatory medicines may be helpful to settle down a short-term flare up.  If the nighttime numbness is the main issue, wrist braces worn while sleeping, cannot keep people comfortable.  If symptoms are not adequately controlled with the above treatments, consideration sometimes is made for surgery.  The surgery is a very safe and is typically done as an outpatient procedure that does not require general anesthesia.  For most people with surgery only needs to be done once.

Cubital Tunnel

A condition brought on by increased pressure or stretching of the ulnar nerve at the inner side of the elbow, a site commonly called the “funny bone”. Symptoms of cubital tunnel syndrome typically include pain and/or weakness in the forearm, numbness, and/or tingling most often in the ring and little fingers.


Rheumatoid arthritis is just one type of arthritis out of many. Patients with rheumatoid arthritis often wake up with stiff and swollen joints. Early on, many patients feel tired. While this condition can affect many parts of the body, two thirds of patients with rheumatoid arthritis have wrist and hand problems. Often, the joints feel hot and look red. Rheumatoid arthritis is most common in the wrist and knuckles and typically happens in both hands.

Three other common types of arthritis include:

  • Wear and tear arthritis (osteoarthritis)
  • Gouty arthritis
  • Psoriatic arthritis

Treatment options include anti-inflammatory medications, disease-modifying antirheumatic drugs, and a class of drugs called biological response modifiers (commonly called biologics). A physician may recommend splints or braces, exercise, and modification of daily activities. If joint synovitis cannot be controlled with medications, or if the tendons of the hand and wrist become inflamed or weakened by the disease, surgery may be needed. Surgery may also be needed to correct deformities of the fingers that often result from the disease and is performed by our Board Certified Plastic Surgeons.

Dupuytren’s Contracture

A disabling hand disorder where thick, scar-like tissue bands form within the palm and may extend into the fingers. Eventually, the contraction may progress to where it is difficult to fully straighten the fingers.  There is no known way to halt the process, either by medication, stretching exercises or bracing.  Some individuals may not require any intervention in their lifetime while others may have multiple procedures. As a general rule, if someone can still place their entire palm flat against a table, no intervention is usually required.

When the impact of hand function becomes unbearable, effective treatment is considered.  Most treatments involve some form dividing, removing or dissolving the thickened tissue from the affected digits.  This is typically done in an outpatient setting, often followed by therapy to restore motion and minimize recurrence.

Trigger Finger

A common disorder in older adults characterized by catching, snapping or locking of the involved finger flexor tendon, associated with dysfunction and pain. “Trigger finger” is actually inflammation and thickening of the tendon sheath and can affect almost any tendon in the wrist and hand.  The tendons get stuck as they try to pull, causing a clicking or catching sensation with bending of the joints.  In a more advanced case, the affected digit actually will get stuck in a flexed position The causes are over activity, rheumatoid arthritis, carpal syndrome, systemic diseases (such as diabetes), and trauma.

Hand Rejuvenation

Often we neglect the back of our hands leaving them to look older that we truly are.  Our hands need attention too.  While we spend time taking care of our face and body with creams and treatments, our hands are not usually the focus of our beauty regimen.  Hands are often exposed to the harsh elements and sun (especially while driving) and by our late 20s have what is known as “loss of volume” – leaving thin skin on the back of the hand that is wrinkled and shows many of our tendons and veins.

Hand rejuvenation is a treatment option available Plastic Surgery Northwest.  Your specific hand rejuvenation plan will be tailored to your needs and expectations by Dr. Laura Bonneau, Board Certified Plastic Surgeon.  Hand rejuvenation often present number of benefits to give you healthier, younger-looking skin, including the following:

  • Improved skin texture and elasticity.
  • More volume and plumpness to the skin.
  • Improved skin tone

If you are embarrassed or dismayed by the look of your hands, age spots, sun damage or wrinkles have taken their toll, Dr. Bonneau can accurately evaluate your possible candidacy for hand rejuvenation.  For more information, you can contact our office to schedule consultation. 

Post-Operative Care

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