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Office closure on Thanksgiving and Black Friday

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Our office will be closed on Thursday and Friday 11/24/22 and 11/25/22 this week for the Thanksgiving holiday. Our physicians are always on call for emergencies.

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Dr. Timothy Luchetti is Board-Certified

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Congratulations to Dr. Timothy Luchetti! Dr. Luchetti of the Raleigh Hand to Shoulder Center is now board-certified in orthopedic surgery. Certification by the American Board of Orthopedic Surgery (ABOS) demonstrates a surgeon’s exceptional expertise in orthopedic surgery and is the culmination of many years of preparation.

Dr. Luchetti
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Dr. Terry Messer discusses TFCC injuries at hand conference

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Dr. Terry Messer from Raleigh Hand to Shoulder Center discussed the treatment of patients with TFCC injuries of the wrist. Surgical and non-surgical options were described. He spoke at WakeMed Raleigh Hospital hand conference on 8/29/22.

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Update on Carpal Tunnel Syndrome

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Carpal tunnel syndrome (CTS) is a type of pinched nerve in the wrist. It is the most common compression neuropathy in the hand and arm. It results from increased pressure on the median nerve at the wrist, within the carpal tunnel. Symptoms such as numbness, tingling, weakness, and pain can result if the nerve is compressed or “pinched.”

The word “carpus” is derived from the Greek word karpos, which means “wrist.” The carpal tunnel is a passageway in the wrist which contain the median nerve and flexor tendons. The carpal tunnel is a narrow space made up by the bones of the wrist and the transverse carpal ligament. The median nerve is at risk for compression within this tunnel. If there is swelling, abnormal wrist anatomy, or injury to this area, the function of the median nerve may be affected.

Carpal Tunnel

WHAT CAUSES CARPAL TUNNEL SYNDROME?

In most cases, the cause of CTS is unknown. Thyroid disorders, rheumatoid arthritis, pregnancy, vitamin deficiencies, diabetes, fluid retention, and trauma can be associated with CTS. Women are more commonly affected than men. Repetitive, forceful gripping and heavy use of vibratory tools may increase a person’s risk of CTS.

HOW DO I KNOW IF I HAVE CARPAL TUNNEL SYNDROME?

Patients with CTS commonly report “numbness” or “tingling” symptoms in the fingers. Some patients feel that the fingertips are “asleep” or report “poor circulation” in the hands. Symptoms are often worse at night and people tend to shake their hands for relief to wake them up. Some patients report increased symptoms while gripping a steering wheel. Dropping objects, clumsiness with the hands, or a weak grip are also common complaints. Some people also report pain in the forearm, wrist or fingers. In severe cases, the muscles at the base of the thumb can become weak and atrophy, sometimes permanently. 

Often the diagnosis can be made on the basis of your symptoms, medical history, and physical examination. An electrodiagnostic study or nerve test can confirm the diagnosis in some cases. 

WHAT ARE THE TREATMENT OPTIONS?

Not everyone with carpal tunnel syndrome needs surgery. Many people with CTS improve without surgery. Wearing a wrist brace at night supports the wrist and takes pressure off the median nerve. Avoiding prolonged wrist flexion and forceful gripping may also help. Corticosteroid injections provide an anti-inflammatory effect and can be effective in many patients.

Should these measures fail to improve the condition, or if nerve compression is severe, surgery may be recommended. A carpal tunnel release is performed to decrease pressure on the median nerve. During this procedure the transverse carpal ligament is divided to take pressure off the nerve. Cutting this ligament increases the size of the carpal tunnel and provides more room for the median nerve. The ligament grows back over time, but the tunnel size has been increased.

Raleigh Hand to Shoulder Center doctors

Raleigh Hand to Shoulder Center doctors are experts in treatment of CTS. They are members of the American Society for Surgery of the Hand

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Dr. James Post discusses nerve repairs

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Dr. James Post of the Raleigh Hand to Shoulder Center discussed treatment options for patients with nerve injuries in the hand and arm. He gave conference at WakeMed hospital hand conference on Monday, August 15, 2022.

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Dr John Erickson discusses Rheumatoid Arthritis

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Dr. John Erickson of the Raleigh Hand to Shoulder Center discussed treatment of patients with rheumatoid arthritis affecting the hand. He gave hand conference at WakeMed hospital on Monday, August 8, 2022.

Dr John Erickson
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Update on Raleigh Hand to Shoulder Practice

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For over 30 years, North Carolinians have trusted the Raleigh Hand to Shoulder Center.  The doctors and therapists provide personalized and compassionate care to patients with conditions of the hand, wrist, elbow and shoulder. Each physician has completed training in orthopedic surgery and a fellowship in hand and upper extremity surgery. They are experts in treatment of carpal tunnel syndrome, wrist tendonitis, tennis elbow, Dupuytren’s contracture, hand and shoulder arthritis, rotator cuff tears, sport injuries, and fractures of the hand and arm. The practice has been recognized for high-value healthcare and patient satisfaction.

Non-surgical treatments are an important part of the practice, including splints, injections, and physical and occupational therapy. If surgery is necessary, the doctors operate primarily at Capital City Surgery Center, voted the #1 ambulatory surgery center in North Carolina for the past 2 years. 

Raleigh Hand to Shoulder Center doctors

Drs. James Post, Paul Schricker, Terry Messer, John Erickson, and George Edwards, III welcomed Dr. Timothy Luchetti to their practice this summer. After his hand and upper extremity surgery fellowship, Dr. Luchetti has practiced in Pennsylvania for two years and is now excited to call North Carolina home. Dr. George Edwards, Jr. recently retired after practicing for 38 years in Raleigh.

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Welcome Dr. Luchetti

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Raleigh Hand to Shoulder Center is pleased to welcome Dr. Timothy Luchetti to the practice. Dr. Luchetti was born in Harrisburg, PA.  He received his doctorate in medicine from the Columbia University College of Physicians & Surgeons in 2014.  His orthopedic internship and residency occurred at Rush University in Chicago, IL, where he was directly involved in the care of athletes from the Chicago Bulls and Chicago White Sox.  He completed his specialty training in Hand & Upper Extremity Surgery at the University of Pittsburgh Medical Center in 2020.  Dr. Luchetti is a member of the American Academy of Orthopedic Surgeons and the American Society for Surgery of the Hand.  He is board eligible in orthopedic surgery. He is married and has one daughter.  He is an avid Notre Dame football fan.  In his spare time, he enjoys cycling, playing piano, and reading science fiction novels.

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Dr. Edwards, Jr retires after 38 years of practice

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George Edwards Jr.

Dr. George Edwards, Jr. retired on May 1, 2022 after 38 years of hand and upper extremity surgery in Raleigh.  He thanks all the office, surgery center and hospital staff for their unwavering support in caring for our patients.  Drs. Post, Schricker, Messer, Erickson and Edwards, III will continue to offer care seamlessly for new and follow-up patients. Dr. Tim Luchetti joined RHSC in August, 2022

Raleigh Hand Center Physicians
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