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Specialized Hand Care
To Move You Forward

At Crescent City Orthopedics, our doctors are Louisiana natives who are passionate about helping each of their patients. We know that hand injuries can make your daily activities difficult or impossible, which is why we proudly offer the latest treatments and personalized care plans for your hand injuries and conditions so you can move past your pain and get back to the life you love.

We take pride in the expertise our board-certified orthopedic surgeons provide for our patients at Crescent City Orthopedics. As dedicated, compassionate experts committed to providing you with specialized hand care, our orthopedic hand surgeons, Dr. Scott Buhler and Dr. John Cazale, are skilled experts in their field with decades of combined experience and training. Together, they make up a team committed to your recovery by offering the latest in orthopedic technology and procedures for all your hand needs.

Hand Specialists in the Greater New Orleans Area

Committed to serving Metairie and the surrounding areas, our doctors work with you to deliver the high-level, specialized care you deserve. With their extensive training and years of experience, our hand doctors are experts in the treatment of various hand injuries and conditions, including Dupuytren's contracture, fractures, and trigger finger.

Nonsurgical treatment options will be recommended first when developing an individualized treatment plan. These methods may include receiving physical therapy, wearing a brace, or taking over-the-counter medication. These nonsurgical approaches can reduce or even eliminate hand pain.

If nonoperative care is ineffective or becomes less effective over time, our hand surgeons will discuss surgical options with you to help you determine which surgery is right for you. Our surgeons have the expertise and exceptional skills needed to perform the required surgery as well as access to the latest surgical equipment, which helps ensure the best outcome possible.

Our surgeons are prepared to educate you and answer any questions you may have regarding your recommended surgical options.

  • Common Conditions

    With years of experience and orthopedic training, our hand doctors assess, diagnose, and treat hand injuries as well as other conditions that can develop in the hand and wrist, such as arthritis and carpal tunnel syndrome.

Carpal Tunnel Syndrome

Symptoms

  • Numbness, tingling, or even a burning sensation in the fingers, especially in the index, thumb, middle, and/or ring fingers
  • Weakness in the hand that makes it difficult to grip objects
  • Pain that extends from the wrist to the forearm

Causes

  • Repetitive use of the wrist or hand
  • Pressure on the median nerve in the wrist, which can be associated with arthritis, diabetes, pregnancy, and other overall health factors

De Quervain's Tenosynovitis

Symptoms

  • Pain and swelling near the base of the thumb
  • Difficulty moving the thumb and wrist
  • A sticking sensation when moving the thumb

Causes

  • Repetitive activities that involve twisting or gripping the wrist
  • Other health factors, such as rheumatoid arthritis, pregnancy, or breastfeeding

Dupuytren's Contracture

Symptoms

  • Development of lumps or nodes under the skin of the palm
  • Inability to fully straighten one or more fingers

Causes

  • Genetic factors
  • Age—this condition is most common in individuals over 50 years old
     

Fracture

Symptoms

  • Severe pain in the affected area
  • Swelling and bruising around the area
  • Inability to bear weight on, move, or lift the affected arm or leg
  • In severe cases, deformity of the area is visible

Causes

  • Trauma or injury, such as a fall or car accident
  • Osteoporosis or weakened bones
  • Participating in high-impact activities

Tennis Elbow

Symptoms

  • Pain or tenderness on the outer part of the elbow
  • Weakness in the forearm, making it difficult to grip objects
  • Pain that may radiate from the elbow to the forearm and wrist

Causes

  • Repetitive use of the forearm muscles and tendons that attach to the lateral epicondyle (outer part of the elbow)
  • Improper technique or form during activities that involve gripping or twisting the forearm

Treatment Options

  • Carpal Tunnel Release
  • De Quervain's Tendon Release
  • Fasciotomy
  • Tennis Elbow Repair
  • Trigger Finger Release

Our experts offer a wide array of traditional treatment methods as well as state-of-the-art surgeries, including carpal tunnel release surgery, de Quervain's tendon release, fasciotomy, and trigger finger release.

  • Carpal Tunnel Release

    In order to relieve pressure and reduce symptoms, the surgeon cuts ligament that is pressing on the median nerve in the wrist. Carpal tunnel release can be performed either through open surgery or endoscopic surgery, which involves the use of a small camera to guide the procedure through a smaller incision.

    Benefits

    • Improved hand function, including grip strength
    • Reduced pain, numbness, and tingling in the affected hand
    • Long-term relief of symptoms
  • De Quervain's Tendon Release

    To treat De Quervain’s tenosynovitis surgically, the surgeon makes a small incision at the base of the thumb to release the tendon sheath. This relieves pressure on the tendons and reducing pain and swelling. Surgery for De Quervain's can be performed as an open surgery or endoscopic surgery, with endoscopic surgery generally resulting in smaller incisions and a shorter recovery time.

    Benefits

    • Improved hand function and range of motion
    • Reduced pain and swelling in the affected area
    • High success rate in relieving symptoms and preventing recurrence
  • Fasciotomy

    Sometimes used to treat Dupuytren’s contracture, fasciotomy is performed to release tension and relieve pressure. The surgeon makes an incision in the fascia, a tissue that surrounds muscles to reduce any pain or numbness in the affected area. Fasciotomy can be performed either as an open surgery or minimally invasive procedure, depending on the specific condition.

    Benefits

    • Improved blood flow and oxygenation to the affected area
    • Reduced pain, stiffness, and swelling in the affected area
    • Improved function and mobility
  • Tennis Elbow Repair

    This surgery typically involves removing damaged tissue from the affected area or reattaching torn tendons to the bone. Tennis elbow repair may be performed as open surgery or arthroscopic surgery, with arthroscopic surgery being minimally invasive.

    Benefits

    • Improved function and range of motion in the elbow
    • Reduced pain and inflammation
    • Faster recovery times compared to open surgery
  • Trigger Finger Release

    With a minor surgical procedure, the surgeon widens the tunnel the affected tendon passes through (or tendon sheath), allowing the tendon to move more freely. Trigger finger release can be performed through a small incision in the palm. Your surgeon may instead use a needle to perform the procedure.

    Benefits

    • Improved hand function
    • Reduced pain and stiffness in the affected finger
    • Better or restored range of motion in the fingers
Our Hand Doctors

Scott A. Buhler, M.D.

Orthopedic Surgeon & Sports Medicine Specialist

Specialized Hand Care When You Need It

Our doctors at Crescent City Orthopedics know that injuries can happen when least expected. We are proud to offer same-day appointments at our Metairie location for all your urgent bone, joint, and muscle needs. When you choose Crescent City Orthopedics, you choose our highly skilled experts who prioritize patient-focused care.

If you are suffering from hand pain that is keeping you from the life you love, please call (504) 309-6500 or request an appointment online to get the care you need in Metairie or Chalmette.