Latest Articles

What is elective surgery?

Posted on:

Updated 3/26/2020: Governor Roy Cooper has declared a state of emergency in North Carolina due to the spread of the novel Coronavirus, COVID-19 illness. Additionally, he has suspended all “elective” surgery in the state in hospitals and surgery centers. Just what is an elective surgery? The Department of Health and Human Services in North Carolina has defined this as any surgery which if not done within 4 weeks would cause harm to the patient. At this time only surgery that is time-sensitive and needs to be done within 4 weeks will be allowed in North Carolina. 

Many surgeries in orthopedics are urgent or non-elective. These surgeries ideally should be done sooner rather than later in order to achieve the best outcome. Delay of a few weeks can result in a worse outcome. Examples of urgent procedures in hand surgery include: fracture repair, tendon repair, nerve repair, drainage of infections, stabilization of dislocated joints, ligament repair, treatment of burns, among others. If you have an injury, please seek prompt evaluation. Your doctor will decide which treatment is best, and surgery can be performed if this procedure is considered urgent.

For most patients, Raleigh Hand to Shoulder Center doctors can perform surgery at an ambulatory surgery center as an outpatient outside the hospitals. 

Urgent Conditions in the hand and arm:

  • Fractures
  • Tendon injuries
  • Nerve damage
  • Infections
  • Joint dislocations 
  • Skin lacerations
  • Ligament injuries
  • Burns
Posted in Company News | Comments Off on What is elective surgery?

Our office is Open for Medical Treatment

Posted on:

COVID-19 Update: We plan to remain open during the Coronavirus outbreak to take care of our patients and to keep as many patients out of the emergency rooms as possible. Visiting your doctor is allowed under the current North Carolina guidelines for social-distancing. “Elective surgeries” have been canceled, but we are performing urgent and emergency procedures as needed.

If you have fever, shortness of breath, cough, flu-like symptoms or have been exposed to someone suspected of COVID-19, please call to reschedule your office appointment and notify your primary care physician by phone. We have started screening patients in our office to help reduce the spread of this disease in our community. We are also asking patients to bring only one other person with them to their appointment.

Please call our office if you are interested in a Telemedicine visit, which is a video visit with your doctor from the comfort of your home.

Updated 3/26/2020: Governor Roy Cooper has declared a state of emergency in North Carolina due to the spread of the novel Coronavirus, COVID-19 illness. Additionally, he has suspended all “elective” surgery in the state in hospitals and surgery centers. Just what is an elective surgery? The Department of Health and Human Services in North Carolina has defined this as any surgery which if not done within 4 weeks would cause harm to the patient. In other words, only surgery that is time-sensitive and needs to be done within 4 weeks will be allowed. 

Many surgeries in orthopedics are urgent or non-elective. These surgeries ideally should be done sooner rather than later in order to achieve the best outcome. Delay of a few weeks can result in a worse outcome. Examples of urgent procedures in hand surgery include: fracture repair, tendon repair, nerve repair, drainage of infections, stabilization of dislocated joints, treatment of burns, among others. If you have an injury, please seek prompt evaluation. Your doctor will decide which treatment is best, and surgery can be performed if this procedure is considered urgent. For most patients, Raleigh Hand to Shoulder Center doctors can perform surgery at an ambulatory surgery center as an outpatient outside the hospitals. 

Urgent Conditions in the hand and arm:

  • Fractures
  • Tendon injuries
  • Nerve damage
  • Infections
  • Joint dislocations 
  • Skin lacerations
  • Burns
Posted in Company News | Comments Off on Our office is Open for Medical Treatment

Telemedicine at Raleigh Hand to Shoulder

Posted on:

We are now pleased to offer telemedicine at Raleigh Hand to Shoulder Center. This service allows you to visit with the doctor in another location using secure, video technology. In many cases, this will allow the doctor to evaluate the problem, make a diagnosis, and recommend a treatment plan.

There are risks and limitations to this type of visit. In some cases, an accurate diagnosis and treatment plan cannot be established, in which case the doctor may recommend an in-person appointment in the office. 

As a result of the Coronavirus pandemic, this method of treatment may be in the patient’s best interest as well as the health and safety of other patients and the public.

Please check with your insurance plan if telemedicine services are covered. You will be responsible for the charges if the insurance company denies the bill. 

You may use this service on any device with a camera and an internet connection, including laptops, tablets and smartphones.

We are currently using Doxy.me Telemedicine. Please call our office to set up an appointment.

Posted in Company News | Comments Off on Telemedicine at Raleigh Hand to Shoulder

Coronavirus Update

Posted on:

For the latest information about this disease, please visit the Centers for Disease Control website.

The Raleigh Hand to Shoulder Center physicians and staff are concerned about the spread of Coronavirus, COVID-19 disease. We are following recommendations by the Center for Disease Control and Prevention by frequently washing our hands with soap and warm water, using hand sanitizer, wiping down frequently touched surfaces, and maintaining 3-6 feet distance between others when possible. We are now screening patients on the phone and at the check-in area for symptoms. We are asking patients to reschedule their appointment if they are having fever, cough, shortness of breath or other flu-like symptoms, or if they have been in close contact with someone suspected of having Coronavirus. Our physicians and staff are monitoring themselves for symptoms and will stay home if they are showing concerning symptoms. We are asking patients to bring only one other person with them to their appointment to limit the potential spread of the virus. We are all doing our best to keep the community safe and healthy.

Infectious disease experts have recommended frequent hand washing with warm water and soap for 20 seconds, avoiding sick contacts, staying home if you are sick, using a disposable tissue for sneezing, avoid touching your face, and wiping down frequently touched surfaces. Face masks have not been recommended for healthy people trying to avoid getting sick.

If you have flu-like symptoms, please call to reschedule your office appointment and notify your primary care physician by phone.

Flu-like symptoms include: Fever, cough, fatigue, body aches, sore throat, chills, or shortness of breath

Updated 3/16/2020

Posted in In The Media | Comments Off on Coronavirus Update

Dr Edwards III discusses congenital hand problems at conference

Posted on:

Dr. George Edwards, III of Raleigh Hand to Shoulder Center will be discussing congenital hand problems at WakeMed UNC orthopedic resident conference on Monday, February 3rd. This talk includes a discussion of various birth abnormalities involving the hand including treatment options.

Posted in Company News | Comments Off on Dr Edwards III discusses congenital hand problems at conference

Dr Messer travels to Nicaragua for Mission Trip

Posted on:

Dr. Terry Messer of Raleigh Hand to Shoulder Center and Dr. William DeAraujo of Goldsboro Orthopaedics recently traveled to Leon, Nicaragua for a medical mission trip.  They worked with the Resident and Attending doctors at HEODRA Hospital where they saw approximately 100 patients and performed more than 25 surgeries during the week.  Several doctors from RHSC have participated in medical mission trips to Nicaragua in recent years.

Posted in Company News | Comments Off on Dr Messer travels to Nicaragua for Mission Trip

Dr. Messer gave a talk on thumb ligament injuries at orthopedic meeting

Posted on:

Dr. Terry Messer gave a talk entitled “Thumb Collateral Ligament Injuries in the Athlete” at the 2019 North Carolina Orthopedic Association, Annual Meeting on Saturday, October 12, 2019.

Dr Messer
Posted in Company News | Comments Off on Dr. Messer gave a talk on thumb ligament injuries at orthopedic meeting

What does hand arthritis look like on x-rays?

Posted on:

Hand arthritis is typically diagnosed with x-rays. Osteoarthritis (OA) is the most common form of arthritis. This is caused by wear-and-tear, genetics, injuries, and it is often a normal part of the aging process. An arthritic joint will show decreased space between the bones as the cartilage thins, bone spurs or calcium deposits on the edges of the joint, small cysts within the bone, and sometimes deformity of the joint, causing it to look crooked. See the x-rays below for common findings in osteoarthritis of the hand and compare this to the normal hand x-ray. The joints closest to the fingertip (DIP joints) and the joint at the base of the thumb (thumb CMC joint) are the most common joints in the hand affected by osteoarthritis. Of note, the letters on the xray images are NOT patient initials.

normal hand xray
normal hand xray
moderate hand osteoarthritis
moderate hand osteoarthritis
severe hand osteoarthritis
severe hand osteoarthritis
Posted in Company News | Comments Off on What does hand arthritis look like on x-rays?

Request an Appointment