Carpal Tunnel Syndrome

Carpal tunnel syndrome (CTS) is a common neurological condition which causes numbness and tingling and pain in one or both hands.  Classically it causes the numbness and tingling in the 1st 3 fingers but often the entire hand is affected.  People who will use their hands intensively and repetitively her more prone to develop this condition.  Also patient with rheumatological disease such as rheumatoid arthritis are also more prone to CTS.

CTS can be evaluated with either EMG or ultrasound.  These diagnostic tests provide information about the severity of the disease, which guides treatment.  Treatments can include use of splinting, injections, or surgical decompression.  Dr. David Hogarty can help with both the diagnosis and treatment of this condition and make a surgical referral when needed.

Rotator Cuff Tendinitis

Rotator cuff tendinitis (RCT) is a common disorder which leads to shoulder pain and decreased functional use of the shoulder and arm.  The symptoms can occur on 1 side or both at the same time.  Pain is often worse with use of hands above the shoulder level, or with laying on the involved side.

Diagnosis of this disease can be made by evaluation in the clinic with a simple physical exam, or sometimes with ultrasound if a rotator cuff tear is suspected.  Treatment options vary from use of medications, ultrasound-guided injections, or even surgical referral in some cases.  Also a more natural formal treatment includes the use of PRP or other regenerate of medicine treatments to help heal tendon damage which leads to resolution of pain and improved function.

Tennis Elbow

Tennis elbow, also known as lateral epicondylosis, is a degenerative condition affecting the tendon of the forearm muscles which we use to stabilize the wrist. This is a common disorder which often affects the dominant side more  severely.  When this condition becomes chronic, traditional treatment such as physical therapy and steroid injections often become ineffective.  On the other hand PRP is a very effective treatment for tennis elbow.  Dr. David Hogarty can help this diagnosis and find the right treatment for each patient.

Plantar fasciitis

Plantar fasciitis is a common condition which causes heel pain in 1 or both feet.  The symptoms are often so severe that patient has developed difficulty with walking.  They are often underlying mechanical issues with the feet that can be addressed with arch supports.  Physical therapy referral can also be made especially in cases that are not chronic.  Unfortunately medications and steroid injections are often ineffective in treatment of this condition.  Regenerative medicine treatments such as PRP can help heal the damaged tissue which is causing pain.  Dr. Hogarty can help determine what type of treatment(s) are needed to alleviate pain and get people “back in the game”.