Dr. Purnell Traverso – Hand Surgeon in Delray Beach, FL

Here at Traverso Hand, we pride ourselves on the treatment of our patients. Our most prominent traits are empathy, compassion, and precision. Through his robust knowledge, Dr. Traverso has helped in hand treatment across all of South Florida. In his experience, Dr. Traverso has become the top hand specialist in all of South Florida and the most regarded Delray Beach hand surgeon. Whatever issues you face with your hands, wrist, or fingers, our expert team can help. At Traverso Hand, we develop wrist and hand treatment plans that are specific to your needs.

Common Hand & Wrist Conditions We Treat

There are numerous hand and wrist conditions that we treat in Delray Beach. Our expertise allows us to develop a treatment that works for your specific needs. Below are just some hand and wrist issues we treat. 

Treatment of Complex Regional Pain Syndrome (CRPS) In Delray BeachCRPS_Fig1

Complex Regional Pain Syndrome (CRPS) is a condition where the pain is constant over an extensive period of time. It’s believed to be the result of dysfunction in the central or peripheral nervous system. The nervous system will send frequent or constant pain signals to the brain. Feelings and occurrences of aching pain, intense burning, swelling, moisture, and changes in skin color are present in this condition. The causes of CRPS are unknown. It usually forms following a minor injury or after major trauma or surgery. Injury to a nerve may also cause the condition. CRPS is common among those aged between 25 and 55 years, though it can exist at any age. It is also more common in women than in men.

Symptoms of CRPS involve continuous and intense pain. They include:

  • Feelings of a burning sensation
  • Changes in skin temperature
  • Changes in skin color and texture (shiny and sometimes sweaty)
  • Swelling and stiffness in affected joints
  • Limited ability to move the affected body part

There is no single test to confirm if it is evident in your body or not. 

Treatment

The earlier the diagnosis and treatment, the better the chance for recovery from CRPS. Treatment varies and depends on both the symptoms and the amount of time that has passed. There’s no singular, or simple, cure for CRPS. Treatment can only relieve painful symptoms so that patients can resume the normal functions of their arms and hands. 

Treatments include:

  • Psychotherapy
  • Nerve Blocks
  • Occupational/Physical Therapy
  • Surgery
  • Medications

Gout & Pseudogout Treatment In Delray BeachFigure 1 gout - pseudogout

Gout and Pseudogout are forms of arthritis that contribute to sore joints. These illnesses are the result of crystal formation in the joints, causing irritation that can also take place in the tendons or near the joint. Joints can become red, swollen, and painful. The first joint often affected, in gout, is the big toe as well as wrists, fingers, and elbows. Infections of the knees and wrists with similar crystal formations are signs of pseudogout.

Gout

If your family has a history of gout then it’s likely you’ll have it, too. Crystal formations in the joints happen when your body produces too much or too little uric acid. Certain medication, typically those for high blood pressure, cyclosporine, some blood thinners, and diuretics can cause a change in uric acid levels. Meat, seafood, and alcohol consumption also contribute to increased uric acid levels. Other harmful health factors are associated with this type of arthritis including obesity and high cholesterol, just to name a couple. This condition is usually followed after injury or surgery and physical fitness contributes greatly to the resistance of gout.

Pseudogout

This type of arthritis – also referred to as calcium pyrophosphate deposition – causes the victim to form crystals throughout their life. Unlike gout, however, most will not have pain, swelling or redness. Symptoms of pseudogout are more common in those whose family history involves this condition, in age, and with those who have a history of injury to a joint. Unlike gout, pseudogout is not contributed by alcohol, a certain diet, or certain medication. Its diagnosis can occur with other conditions such as strokes, heart attacks, and pneumonia. Much like gout, it can also occur after surgery.

Both of these conditions can appear with red, hot, or swollen joints and will also look as if infected, even though they are not. The pain will occur with joint movement. Diagnosis for both types of arthritis is determined through a series of tests, X-rays, and a physical examination. Because medication can cause both conditions, it’s imperative that you give all details of your medical history and provide a list of past to present medications to your doctor when asked. 

Pseudogout’s presence in your body is often shown to be evident through X-rays. It can be harder to determine with gout. A diagnosis of gout, however, can be confirmed by the extraction of fluid in a joint with a needle.

Treatment

To treat gout, first, the swelling, pain, and redness must be decreased. Steroid pills and shots are used to treat this condition, but often now today’s patients may be prescribed non-steroidal anti-inflammatory medication. Episodes of the condition can come and go. When infrequent, the necessary medication will be taken as needed. When frequent episodes occur, specific medicine will be prescribed by your doctor. Surgery may be needed if the condition has worn out the joints or if tendons have been damaged. Otherwise, medicine, splints, and compression may only be required.

Treatment Of Kienböck’s Disease In Delray Beach

Avascular Necrosis of the lunate, or simply known as Kienböck’s disease, is a Kienbock_Fig3wrist condition where the lunate bone, one of the small carpal bones in the wrists, loses its blood supply, leading to the bone’s death. The lunate bone is essential in proper movement and support of the joint. It and the other bones it shares the space in the wrist, make up the proximal carpal row. These sets of bones articulate with the 2 forearm bones to form the portion of the wrist that provides the most motion. Damage to the lunate can potentially lead to arthritis of the wrist later in age. This disease is most common in men between the ages of 20 and 40.

Signs and Symptoms of Kienböck’s Disease

Kienböck’s Disease is initially present with wrist pain. Tenderness surrounding the area of the lunate bone decreased motion, and swelling can be followed. History, x-rays, and physical exams can be used to determine Kienböck’s Disease. The most reliable study to assess the blood supply of the lunate bone is by MRI. It can be difficult to diagnose Kienböck’s Disease in its early stages and patients will have the condition for months or years before they seek treatment. The disease’s progression happens in different stages. In stage 1, the blood supply is lost to the lunate bone and pain and a probable fracture will occur. The second stage involves the lunate bone hardening due to a lack of blood supply. In the third, the bone collapses and fragments. And finally, the lunate is entirely collapsed and the surrounding bones have become degenerative and arthritic. It’s important to note that not all stages of the disease occur and the victim may be lucky enough to never experience the final stage.

Treatment

Depending on the severity and stage of the disease, treatment will be advised. In earlier stages, treatment may only involve observation and immobilization. In later and more serious stages, surgery will likely be required. Shortening, lengthening, or fusion of various bones in the forearm or wrist will be the focus of surgical treatment. Surgical means could also attempt to restore blood supply to the lunate. However, if you are in a stage where the bone has vastly deteriorated, wrist fusion would be the preferred surgical treatment. 

Your doctor may advise hand therapy to aid in minimizing problems but it cannot change the course of the disease. The results of treatment vary depending on the severity and progression of Kienböck’s disease.

Trust The Top Hand Surgeon in Delray Beach With Dr. Traverso and Traverso Hand

The treatments mentioned above are only of the few services that we provide at our facilities. Look through our Conditions & Injuries page to see what other issues we provide treatment for. If you think you have a hand, wrist, or finger problem consider reaching out to Dr. Traverso of Delray Beach for your healthcare needs. Through his excellent track record, Dr. Traverso has proven to be the leading hand surgeon of Delray Beach. Want to learn more or make an appointment? Visit our contact page or give us a call at 954-575-8056.

CONTACT TRAVERSO HAND

Doctors Traverso and Gellman have lectured both nationally and internationally, being recognized experts in the field of Hand and Upper Extremity Surgery. Complete the short form below and Traverso Hand specialist will contact you promptly.

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