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The hand is one of the most complex features of the human body. When one or more components of the hand does not function properly or look abnormal the consequences can affect nearly every area of your life. Causes for hand issues can be anything from a congenital defect, wear and tear or an injury. Dr Damon Thomas is passionate about hand surgery and has made it a focus of his practice. He has undertaken additional fellowship training in this area and specialises in all types of reconstructive hand surgery to restore hand function and appearance.

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candidates for adult hand surgery

Dr Thomas sees patients for the following hand concerns:

Dupuytren’s Contracture
This progressive condition results when fibrous tissue beneath the skin called the palmar fascia, becomes thickened. With time one or more fingers can become permanently bent towards the palm with this clawing. The ring and little fingers are predominantly affected but it can develop in any finger. Dupuytren’s contracture can create serious challenges in your ability to perform daily tasks. Traditionally surgery has been the primary modality to treat this condition, with either a comprehensive excision of all the Dupuytren’s tissue (fasciectomy) or the less invasive needle fasciotomy.

Carpal Tunnel Syndrome
Carpal tunnel syndrome is a common condition in which pressure is placed on the main nerve that leads to the hand. Common symptoms include finger numbness, often worse at night and pain in to the hand and fingers. When patients experience symptoms of this condition for more than three months, which are not helped by rest or pain medications, surgery may be the next logical step.

Arthritis
Both osteoarthritis and rheumatoid arthritis are debilitating conditions that can lead to severe pain and disfigurement. Non-surgical treatments for these conditions offer temporary relief, but some patients turn to surgical solutions to gain long-lasting improvement.

Trigger Finger
This sometimes painful condition is characterised by clicking or popping in the finger joint when the finger is bent or straightened. It is caused by thickening tendons in the finger that begin to get “stuck” in the tunnel that runs between the hand and finger. While injections can effectively treat the condition for some patients, surgery may be required for more severe cases.

Ganglions
These benign cysts typically form around the wrist or end joint of a finger. Although they are not a serious problem, they can become very painful if they begin to press on a nerve in the hand. The condition can also become unsightly, if the ganglion grows especially large. Surgery can be used to remove the ganglion and relieve discomfort related to the cyst.

Hand Trauma
Injuries to the hand may require the skill of a plastic surgeon to ensure treatment leads to the best possible functional and aesthetic results. From stitching lacerations to reattaching amputated digits, Dr Thomas can treat your hand injuries to help restore function and cosmesis to the hand. Dr Thomas can be contacted after hours directly through his paging service 24/7 for emergency cases. Tel 03 8508 9000

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Dr Damon Thomas