Hand DisordersDr. Howard Liss treats disorders that cause pain and disability by providing consultative services and soft tissue and joint injections when needed. When medically appropriate, he makes specific referrals for diagnostic testing (lab work, imaging, electrodiagnosis), physical and occupational therapy, interventional procedures (epidurals and facet joint injections), and surgery.
Without question, hand pain can make everyday activities challenging. A number of circumstances can lead to pain in the hand, such as trauma, burns, fractures or amputation. Yet, in other cases, hand pain is a result of a chronic problem such as diabetes, arthritis, neurological concerns or conditions such as carpal tunnel syndrome or tennis elbow. Even so, the complex network of structures and connective tissues of the hand including bones, muscles, joints, tendons and blood vessels must be considered to ensure that hand therapy is effective.
The following conditions can benefit from hand therapy:
Hand Disorder Treatments
Surprising to some, hand therapy treatment focuses on evaluating and treating conditions of the upper extremities, not simply the hand. Thus, therapy is proposed that includes the shoulder, arm, elbow, forearm, wrist and hand. To better understand, the basis of hand therapy encompasses non-operative treatment, preventative care and rehabilitation for replanted extremities. Patients benefit from a wide perspective in which they can learn how to protect their joints, healthy body mechanics and exercise. Since hand movements incorporate multiple systems, hand therapy must consider those as well.
As physical medicine and rehabilitation (PM&R) specialists, physiatrists favor a non-surgical approach to the treatment of hand conditions. For instance, while initial treatment may center on reducing pain and improving mobility, physiatrists seek to design and propose rehabilitation that enhances a patient’s quality of life, long-term. This is accomplished by considering multiple systems and disciplines. The physiatrist will coordinate with other medical professionals when necessary. Specifically, physiatrists make recommendations for assistive devices, tools and adaptive equipment. In turn, they consult with therapists regarding exercise and orthotic fabrication. They also design a timeline for pain management and continued wound care, if needed.
Dr. Howard Liss is a well-known physiatrist in Tenafly with an emphasis on treating the whole person, while considering the connection between physiological and psychological well-being. At the Howard Liss, M.D. Rehabilitation Institute, patients can rely on Dr. Liss to put together the right treatment, therapy and rehabilitation plan to ensure the most optimal outcome. Dr. Liss works closely with other specialists required to rehabilitate patients suffering from chronic pain or serious injuries, and Dr. Liss will refer patients as needed to ensure appropriate treatment. With extensive education and exposure to a variety of conditions that affect the cervical and lumbar spine, bones, nerves, joints, ligaments, tendons, muscles, brain, and spinal cord, Dr. Liss is uniquely positioned to help patients manage their pain and maximize their functioning.
For appointments, contact the Howard Liss, M.D. Rehabilitation Institute in Tenafly.