At the office of orthopedic hand surgeon Dr. Lisa R. Reznick, we offer a number of on-site services such as digital X-ray evaluation, application of splints and casts, therapeutic injections, and more to help diagnose and treat bone, muscle, joint, and soft tissue injuries and disorders.
If you need more advanced diagnostic imaging studies such as MRI, CT scan, or DEXA bone density scan, Dr. Reznick will refer you to the facility that is most convenient to you.
Digital X-ray is an imaging procedure that uses digital sensors in an image capture device instead of photographic film to take pictures of bones. Digital radiography can efficiently save, store, transfer, and enhance images taken of the target area of the body.
Benefits of digital X-rays over traditional film X-rays include the ability to enhance images. Larger, clearer, color-enhanced images can result in a more accurate diagnosis. In addition, current X-rays can be compared to previous X-rays, enabling doctors to identify small changes that may not be visible to the naked eye. You are also exposed to approximately 90% less radiation than traditional X-rays.
Dupuytren’s disease causes an abnormal thickening of the tissue located underneath the skin in the palm of the hand. As the tissue thickens, it can form knots under the skin that eventually form a thick cord that causes the fingers to bend in towards the palm of the hand. Severe cases can result in the loss of hand function. Until recently, the standard treatment for severe cases has been surgery, which most often involves a long recovery and physical therapy.
Xiaflex® is an injection of an enzyme called collagenase clostridium histolyticum that has proved highly effective in treating advanced Dupuytren's contracture. This enzyme relaxes and weakens the contracted cord, which allows it to be manipulated and broken. Following the injection and manipulation, bent fingers become straight and functional again. This office-based procedure is safe, relatively painless and is an excellent alternative to surgery.