- ArthritisPatients with trigger fingers experience pain in the base of the finger/palm. As it progresses, the patient feels a clicking sensation in the middle knuckle with motion. Severe cases can cause the finger to be locked in a flexed or extended position. Trigger fingers are more commonly seen in patients with diabetes, rheumatoid arthritis, and gout.
- Pediatric CareWe offer comprehensive adult and pediatric care for the shoulder, elbow, wrist and hand. This includes surgical care for upper extremities, fractures, tendon lacerations and injuries, joint replacement for arthritis, arthroscopy, nerve decompression, repairs and microsurgery.
- Emergency CareHands are very complex regions in the human body composed of 19 bones. Fractures of the hand are common injuries experienced by all ages. They frequently occur from falls, contact sports, and winter sports injuries. The hand is amazingly complex and essential for human function. Hand fractures can lead to significant impairment or disability in hand dexterity and function. Signs of a hand fracture include pain, swelling, bruising, decreased range of motion and inability to grab objects. Any suspected hand fracture should be evaluated on an urgent basis with x-rays. Delayed diagnosis of hand fractures can lead to limited treatment options and an increased chance of permanent disability. Treatment of hand fractures should be performed by hand surgery specialists. The spectrum of treatment for hand fractures largely varies on the specific fracture itself. Some fractures are treated as simply as taping fingers together or short-term splinting. However, some hand fractures may need surgical treatment involving placement of pins or plates and screws with a more prolonged recovery process. If you have been involved in a recent injury and concerned about a possible hand fracture, or if you have been diagnosed with a hand fracture at an ER or urgent care, feel free to contact our office to schedule an appointment.
- Pregnancy
- Kidney StonesSymptoms of wrist or hand gout can include swelling, redness, tenderness, or hotness lasting one to four weeks. People who suffer from gout can experience restricted movement, excruciating pain, fever, headache, tophi (chunks of uric acid), or kidney stones.
- Carpal Tunnel SyndromeCarpal Tunnel Syndrome (CTS) is a condition that causes pain tingling and numbness in the hands. It affects.1% of the population and occurs 3x more often in women than in men. The diagnosis of CTS can largely be made on the basis of a good history and physical exam. However, to obtain an accurate baseline of the function of the median nerve and to better predict ones prognosis after CT surgery a tests called electromyography and nerve conduction studies should be done. Treatment options for CTS range from splints for mild CTS to injections for temporizing relief to surgery for complete relief. Surgery, whether through a mini open or endoscopic approach is very quick to recovery from. Patients who work in an office can return to work the next day, while laborers typically take three to four weeks to return to full activities.
- Diabetes Care
- Thyroid
- UltrasoundParticipants with a mean age of 44 years (ranging from 25 to 62 years) were divided into three random groups. Two groups had ultrasound-guided hydrodissection, while the third received a corticosteroid injection. Neither group knew which treatment they received. After four weeks, all three groups showed a reduction in pain symptoms, but the group that received the corticosteroid experienced emerging symptoms after 12 to 24 weeks.
- MRITo diagnose skier’s thumb, specialists analyze the patient history and perform a thorough exam. Patients often report a thumb injury where it was pulled backward or to the side. Swelling is also present, combined with the thumb ligament showing instability. X-rays are typically performed to further gain insight, and an MRI to confirm diagnosis.
- X-Rays
- Computed TomographyFractures of the wrist are very common injuries experienced across all ages. These injuries are frequently caused by falls, sports injuries, and motor vehicle/motorcycle accidents. Fractures around the wrist region involve fractures of the distal radius, distal ulna and or scaphoid bone. Most wrist fractures are accompanied by significant pain, swelling and bruising. Patients who have suffered a traumatic event with significant wrist pain and swelling should be urgently evaluated with xrays to assess for signs of a fracture. Additional imaging involving a CT scan or MRI may be indicated in specific cases. Simple wrist fractures may be treated with casting and/or splinting. Complex wrist fractures with displacement often require operative fixation. Evaluation by an orthopaedic hand surgeon is recommended to determine the correct treatment necessary. If you are experiencing significant wrist pain and swelling after an injury, or were diagnosed with a wrist fracture, feel free to contact our office urgently to schedule an appointment.
- ArthroscopyWe offer comprehensive pediatric and adult care for shoulders, elbows, wrists, and hands. Our surgery is useful for the upper extremities, fractures, tendon tears, lacerations and injuries, joint replacement for arthritis, arthroscopy, nerve decompression, repairs and microsurgery. If you think that you need professional surgery from expert doctors don't hesitate to contact us today!
- Wound Care
- Pinched NerveDiagnosis of Cubital Tunnel Syndrome is made by a detailed clinical examination. A nerve test called an Electromyography (EMG) and Nerve Conduction Study (NCV) is commonly ordered to confirm the diagnosis and assess severity. The nerve test also rules out other nerve problems like a pinched nerve in the neck.
- Joint ReplacementHe has presented research and workshops at a variety of local and national meetings. He is the editor of the popular text, Orthopaedic Physical Therapy Secrets. He remains active in physical therapy education as an Associate Clinical Professor for the Department of Physical Therapy at Oakland University. In 2004, Dr. Placzek joined Dr. Guiboux at Michigan Hand and Wrist, PC. Dr. Placzek treats both pediatric and adult conditions including trauma, sports injuries, arthritis, microvascular reconstruction, rotator cuff disease, frozen shoulder and total joint replacement.
- Hand SurgeryJean-Paul Guiboux, MD is an orthopaedic surgeon whose practice is limited to the treatment of hand and upper extremity disorders. Dr. Guiboux graduated from the University of Michigan Medical School in 1991. He completed his residency at William Beaumont Hospital in 1996. In 1997, Dr. Guiboux completed a fellowship in hand and upper extremity surgery at Thomas Jefferson University in Philadelphia. Dr. Guiboux became Board certified in 1999 then received his Certificate of Added Qualification in Hand Surgery in 2001. Also in 2001, Dr. Guiboux founded Michigan Hand and Wrist, P.C. a comprehensive care center for treatment of upper extremity disorders.
- Orthopedic SurgerySpecialties: Orthopedic Surgeon, Orthopedic Surgeons, Orthopedic Doctors, Orthopedic Surgery, Wrist Surgery, Wrist Pain Treatment, Hand Specialist, Hand Surgery, Hand Doctor, Carpal Tunnel Surgery, Tendonitis Treatment, Ganglion Cyst Treatment, Tennis Elbow Treatment, Tennis Elbow Surgery, Aarthritis Treatment...
- Arthroscopy
- Plastic SurgeryThough it falls into the plastic surgery realm, only a few surgeons are trained in microsurgery and those who do typically work with orthopedic surgeons, head and neck surgeons, and other specialists as well. Whether the area of the body that needs reconstruction is damaged by trauma or disease, microsurgery can allow patients to receive donor tissue from other people successfully.
- Cyst
- Psoriasis
- Sports MedicinePlaying sports has significant health benefits to a person’s well-being. However, with any physical activity is the possibility of injury. Approximately 25% of all sports injuries are associated with the athlete’s hand and wrist. These damages can create barriers to completing daily tasks- on and off the field. It’s important to understand the symptoms of common hand and wrist injuries and know how to take proper care to limit downtime. Below we discuss the most popular sports-related injuries...
- Physical TherapyReceive comprehensive physical therapy from our therapists who are committed to improving your quality of life. Learn More
- Occupational TherapyOverall treatment for wrist pain depends on the specific diagnosis. Treatment options include anti-inflammatories, splinting/casting and occupational therapy. More extensive treatment may be necessary in certain cases requiring steroid injections or surgery.
- Frozen ShoulderIn 2004, Dr. Placzek joined Dr. Guiboux at Michigan Hand and Wrist, PC. Dr. Placzek treats both pediatric and adult conditions including trauma, sports injuries, arthritis, microvascular reconstruction, rotator cuff disease, frozen shoulder and total joint replacement.
- Tennis ElbowTennis elbow is also known medically as lateral epicondylitis. Tennis elbow is very common in males and females who are 30-60 years old. Treatment may consist of oral medications', exercise at home or with a therapist, bracing, injections and on occasion, surgery if required. A number of minimally invasive techniques are available for the treatment of tendon injuries if required including percutaneous tendon debridement or injection of platelet rich plasma.
- Shoulder Pain
- Manual TherapyMichigan Hand and Wrist Rehabilitation offers the most current and comprehensive treatment programs available for traumatic and chronic conditions of the upper extremity. The therapists and physicians of MHWR work closely with one another to offer all patients a more thorough and individualized treatment program. Therapeutic services include custom splint fabrication for upper extremities, post-operative wound care, home exercise program instruction, durable medical equipment provision, upper extremity evaluation, joint mobilization/stretching techniques, customized therapeutic rehabilitation, and patient-education.