76 April 2015 NJMONTHLY.COM
Special Advertising Section
Q: Are there new ways to treat painful carpal tunnel
A: Yes. Common symptoms of carpal tunnel syndrome are pain, numbness and tingling in the hand, wrist
and fingers, and sometimes pain that radiates up to the
shoulder. Early diagnosis and treatment are necessary to
prevent irreversible nerve damage. If conservative treatment is unsuccessful, Drs. Decker, Gabuzda, Atik, Fedorcik
and I are dedicated hand specialists who release the carpal
tunnel in a minimally invasive way through a small incision. We’ve successfully performed more than 20,000 of
these endoscopic procedures.
Q: What if a patient is experiencing pain in their
A: Basal joint arthritis, which causes thumb pain,
is common in adults aged 45 years and older. Simple
motions such as grasping, pinching and twisting can
become quite painful. Conservative treatment begins with
vitamins, splint, therapy, medications and cortisone injection. If this fails, reconstructive surgery for basal joint
arthritis can be performed utilizing advanced minimally
FOR HIP & KNEE REPLACEMENT
Dr. Mark A. Hartzband, medical director,
Bone and Joint Center, Holy Name Hospital
Q: How have techniques evolved since you started
A: Because of the improvements we’ve seen over
the last few decades, Drs. Levine, Klein, Seidenstein and
I are performing more than 3,000 hip and knee replacements annually. Joint replacements used to require foot-long incisions, muscle cutting and materials that didn’t
hold up over time. Recoveries were long and painful. Since
then, we’ve made huge strides to shrink incisions, spare
muscles and manage pain.
Q: When was
the advent of the
A: In the
1990s, we began
looking at how to
make the recovery
from joint replacement surgery faster
and less painful.
We began by
and this progressed
to what is widely
known as the two-incision hip replacement, in which no muscles are cut at
all. Today, in appropriate patients, we perform outpatient
hip and knee replacements that offer minimal pain, quick
recoveries and replacements that outlive most people.
Today’s incisions are 2 to 3 inches long and we use ceramics and cross-linked plastics reinforced with vitamin E for
strength and durability.
Q: Can you explain how managing pain has
A: We used to give patients general anesthesia and
intravenous narcotics, but recovery was difficult because
the general anesthesia wore off quickly and intravenous
narcotics often caused nausea, vomiting and drowsiness.
Today, we give patients preoperative medications and a
spinal anesthetic that helps to decrease bleeding and blood
pressure, and minimize postoperative pain. By treating
pain prior to surgery and creating less tissue damage during the procedure, patients are often walking within an
hour of surgery.
Mark A. Hartzband, MD.