Welcome to The Orthopaedic Center of South Florida.
The Orthopaedic Center of South Florida is one of the nation's leaders in treating all types of orthopaedic and podiatric injuries.
We have been serving the South Florida community for over 30 years. We have assembled a group of physicians with specialized expertise in several areas of orthopaedics and podiatry.
We are dedicated to getting our patients back to their active lifestyles.
Our five locations conveniently located in Dade, Broward and Palm Beach Counties make it convenient for our patients seeking our specialized services. The advanced, specialized care you will receive is delivered by board-certified orthopaedic surgeons. Our physicians strive to maintain the highest standards of orthopaedic care.
Please talk about spinal cord injuries that are caused by compression over time like myelomalacia & how it causes permanent myelopathy. There isn't enough discussion about this even after ACDF is preformed.
Getting one hand done next week. They make it sound like I'm going into surgery where a whole crew will be assisting. Told me I have to have somebody drive me home. Hope not. My doctor said it is a 5 minute operation. Pre operation visit on Monday. Thanks to this video I will have a lot of questions for them.
I have cervical stenosis but no symptoms of myelopathy, i have rediculopathy also in my right arm , i am confused do the surgery or not ?, Physiotherapist say no, Neurosurgeon say yes, i am 39, my main activity and work depend on writing , computer work , drawing and work at home,
I just watched this video to see what is involved in this procedure, I am having surgery tomorrow morning in Glasgow UK. I have had this condition for well over three years but I am grateful to the NHS for giving me a slot to have this fixed. Thanks for sharing your experience.
I was watching this to learn about the procedure as I am having trigger finger surgery in two weeks. I had to stop watching because your music was so loud I couldn’t hear you speak. I wasn’t a good song either!😂 Perhaps no music next time, it seems to cheapen the procedure. I’ll have to watch another RU-vid video where I can hear. Otherwise, I did like your explaining everything as you went along.
Dr. Blum is the best. I had my index and ring finger operated on for trigger finger three weeks ago. What an amazing experience. I now have full feeling in my fingers and no trigger finger. I found Dr. Blum to be kind, compassionate and a skilled surgeon. The office staff is excellent as well as his surgical assistant, Jennifer. Thank you Dr. Blum for your expertise and kindness. You're the best!
Dr. Very good at his operation; BUT what was doing that NURSE without bloody GLOVES & LONG NAILS? Bloody hell. If she's receptionist, then why in operating room? If she is a nurse then where are your F.. Gloves? And why Long Bloody Nails?
Wow, that was a simple surgery. I have a trigger finger too at my index finger. I was checked at my hospital and i must go with full anestesi to have a surgery. 😢😢😢
I just had another finger done by Dr. Blum. I was in and out of the office in less than an hour. Excellent out come. Feels good, no pain, and use of the hand, right away. Thank you
Hello I was diagnosed with cervical spondylotic myelopathy in 2020 I was scheduled for surgery 3 years ago and again in January my heart is not cooperating what do I do now
I’ve had both of these surgeries at age 41. My surgeon didn’t want to do the surgery when I was 34 so now I’m stuck with good and bad day. Any advice I could give would be don’t put off surgery if you have myelopathy and radiculopthy
Has it made any difference in your life. My wife has same problem including doctors not wanting to operate in her at the moment ( she is 36 ) any information would be great
@@chcheddayes for the most part I had to have a fusion so I feel the pain with hardware when the temp changes. I’m lucky I can walk without pain. Just don’t put it off til she has could possibly have permanent pain
Oh no so sorry to hear your pain. I'm so scared sometimes at night sat alone crying. Si afraid it will tip me over the edge. DRS seem to think it's all in my head. My hands and balance are dreadful. Just need someone to beleive me. Thankyou for contacting me out of your busy day. Great talking to you 😊
My neurosurgeon has told me he cant help. I'm getting no sleep pain in my neck, jaw, nose ,face. Migrains, burning agony down my left arm, losing my balance. Not sure what my next steps are. Just know without help I wont be able to function. Bladder ,bowel issues even though he said it was mild. Wish he could live in my shoes. Not getting any sleep as soon as evening come round it gets worse. Most nights I'm in tears. So sorry to go on
I have redicumyleopathy then. My specialist said it was caused by my bones not growing right as a teen. That's not on your list of causes He said he would operate. My balance is bad, drop things, numb hands and I'm dizzy. Now he wrote to a neurologist saying degenerative changes only and nothing more he can do. He has left me a year. I throw up in the mornings with dizziness I am mid fifties. I think hes forgotten what was on the mri.
My Aged Mother in her early 80's at the time, went for a "Revision Knee" replacement. But, it became infected, and she had to go for what they called a "Washout" but this is when her "Real" problems started. She was driving at the time, but here in the UK where most cars are "Stick Shift" she began to select the wrong gears, either revving the engine, or causing it to stutter. I don't drive due to medical reasons, and said, "Mum what has happened" she had been driving since 1975. Then she began to either oversteer, or understeer. I told her she would have to give up driving. But she began to deteriorate, to the point that she lost both arms, and eventually her legs. She became incontinent at both ends, even losing her speech at the end. She was placed in a "Nursing Home" where she eventually "Passed Away" We went to her Funeral only last Friday April 19. If anyone out there is told they have "Cervical Myelopathy" and Surgery is the only option. Then get it done, my Mother, before she lost her speech, wished she had opted for Surgery. She may have still been here now, if she had the Surgery, to reverse the Spinal Cord compression in her neck.
Hi all , I was diagnosed with cervical spondylosis c3-4-6-7 2007 over time I now have numbness left arm pins and needles weakness also , when grating or holding items my thumb and finger lock into a spasm …and twitch … new symptoms now staring
@@joerobert-qe9cn I have a second lot a scan's, neck motion X-ray, CT, and MRI done this week and the surgeon is going to let me know what options are available. Surgeons have so far suggested surgery to prevent further deterioration. However, they said it will not fix the current problems (neck, shoulder, arm pain, dizziness, instability (I close my eyes and it is like I am drunk). This all started last year (October) while I was at work. I went to lift my arms and pain ran down my neck, shoulders and arms, it was so intense I could not move my arms for 15 mins. Lifting anything set the whole thing off again. Not looking forward to any surgery (scary) Cheers.
I was diagnosed in April of moderate cervical myelopathy. As I expected, neurologist observed upper body relatively unaffected but walking and balance profoundly worsened. Planning to get surgery soon though told Id be out of work at least 6 weeks.
Plzz plzzz ans my question .i am suffering from mylorediculopathy..c5 c6 disc extrusion compressing spinal cord and nerve root both.symptoms are showing only on my right hand .what i have to do now 😢.is surgery is safe.my age is 36 years
I did my research and found out that taking vitamin coenzyme vitamin B6, P-5-P (Pyridoxal-5-Phosphate) 50mg - 3 times a day along with Chelated Magnesium (as magnesium glycinate) for absorption, cured my trigger thumb! From my research they said you have to take this for the minimum of 6 months to start working. Well, 6 month and 2 weeks later my trigger thumb totally cleared up, seems like overnight after suffering for over a year and a half. I'm cured, and just last month my hand doctor said he thought I should have the surgery to fix my trigger thumb! My trigger thumb was really bad, had to splint my thumb 24 - 7. I even had steroid shots in the thumb, no help at all! Anyways, this worked for me, even though my doctor didn't believe that it would work! A major resource for my research were 2 books, one written by John M. Ellis M.D. & James Presley, titled, "Vitamin B6 The Doctor's Report" copyright 1973 and "The Doctor Who Looked at Hands - Vitamin B6" by John M. Ellis M.D. - copyright 1970.
Leaning to the side can certainly help to decompress the area of the spine where the nerves exit the spinal canal to innervate the skin and muscles of the leg. When an individual suffers from a strain/sprain or has nerve irritation it’s not uncommon to lean in a direction to help take pressure off the sensitive nerves/muscles. This can help alleviate the pain/muscle spasm that may be occurring.
Great point Andrew! Depending on what structure or structures may be irritated/injured flexing or extending the spine may feel better. It would require an evaluation by your doctor to better determine why that may be the case. Spinal stenosis is an example of a conditions that frequently responds positively to leaning forward and flexing the lumbar spine to take pressure off of nerves.
From the information I have seen, the triggering is caused by some obstruction on the tendon. If the ultra sound gives you the visual, why are you cutting the sleeve/pulley instead of trimming away the obstruction on the tendon? Thanks.
I wish that my surgeon did it like this. I have had 7 total surgeries for 7 different fingers. The incision he makes is a lot longer than this and needs stitches.
Hello Dr. I have 2 questions for you. Do you know if any of the doctors at Jackson Hospital do this procedure? I ask because I have a Jackson card and do not have regular medical insurance to cover this, and I HAVE VERY PAINFUL trigger Thumb in both thumbs!!!!😭. Also, does this "awake" surgery work for trigger thumb as well?? Thank u any answers u can provide!!
Ughhhh .the blood.... I feel weak while watching this! However, just realized that this doctor is 30 minutes away from where I live! However, I don't have insurance for this surgery 🤦
You had trigger thumb and it went away on its own? I have trigger Thumb in both thumbs, and I'm never overused my thumb's, nor do I text with them, so I have no idea where this trigger thumb came from!! Tell me, did your trigger thumb go away on its own?
@motivate4change1 yes, it did. My left thumb and now my middle finger. I've been stretching my fingers upward. I've had for months already. I'm sure it will go away like the other one. I R Arthritis in my hands.
I had a procedure to release my pinky finger, but my ring finger started troubling immediately after that, made it worst actually. I experience more pain now then before the procedure.
I had triggering on both middle fingers. On the left one, I decided to get the operation because it.made playing guitar difficult. I relieved it a bit, but it still locks. Didn't get the surgery on my right hand and it eventually went away on its own. My left hand now is screwed. No strength and it still clicks. The surgery was a mistake in my case
I was awake with a local anesthetic. Cut open. Felt like I was going to pass out. It didn't work. It still clicks. I advise against this release unless it's absolutely necessary.
Just he’d my procedure today. About 5 hrs ago, and I’m feeling it pain wise. I can’t make a fist . The palm of my hand is so sore and the A1 pully area. During my procedure I was first injected with a lot of numbing fluid, then my Dr was poking around with a needle which felt like forever. to make sure I was numb. Once the device was inserted, I felt pressure- and the were 2 majorly loud pops!! Like everyone looked at each other!! Dr said that was the sheath it was so thick. Im having anxiety thinking the tendon was mistakenly cut. I never had the catching from my trigger finger. I think mine developed from a broken PIP joint I had. My whole Hand was messed up from that. I had pain stiffness , popping and cracking in my palms, finger was starting to stiffen up every morning. Hopefully this works, - otherwise I don’t know what to do!!
@@oshobaadu6272 I’m from NYC, for me, in y case it was a mistake. Reason being I had three small nodules in the palm of my hand, the were tight but not bothersome. Unfortunately they were Dupuytrens nodules. After the surgery, they got worse, increased in size and pain, and started pulling slightly. I eventually went to a hand surgeon and had them removed, (Dupuytrens excision, and a flexor tenosynovectomy, for the remaining inflammation from trigger finger. My hand will never be the same, but currently I have it to a point that’s manageable. As I stated for my case, looking back, I would not have done it. If you have nothing wrong with your hand other than trigger finger, you should be ok, But there are risks from this procedure, technically Dr is going in blind. Yes they use the ultrasound guided, however, after my experience, I would go open, even with longer recovery and I don’t care so much about scarring as long as I feel relief. Open they can see directly everything going on, they can rely high enough but not high to cause any bowstringing. That’s just me, the success rate is very high for percutaneous and there’s data proven it’s effectiveness. just know the risks. Make a well informed choice. Best of luck..
I watched this, and saved it for future reference, but I work with my hands and I don’t want to risk an op and then it somehow gets worse. So right now I am getting by with a home-made bandage splint that keeps my finger from closing into a fist. I can do everything I need to do without going into click mode. It is just really the pits getting old
@@jennapitts8373 This statement is not necessarily true. I have had multiple trigger fingers, caused by different injuries, resolve without surgeries. Some took years to fully disappear.
@@jimwing.2178 why would a surgery make it worse? We just saw that the doctor released the finger. Do you mean like some other complication where the surgery goes wrong?
Excellent technique. I have had two trigger finger releases several years apart (ring fingers) under local anesthetic. One went very well and had another hand specialist perform the other which went wrong. Several weeks after surgery something snapped at the surgical site, felt like a rubber band snapping on my finger. Three months later would still have a small divot that wasn't healing and what looks like a beige rubber band partly sticking out of the wound. The hand surgeon probed the divot with a hypodermic needle and said everything looked fine. Three days later I had to have emergency surgery because the wound was severely infected (salmonella). I had to undergo physical therapy due to the loss of mobility of the finger, which years later still can close the hand completely, and had a lot of scar tissue at the site.
