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Home / Blog / It’s Complicated

Problems with Hands, Wrists, Arms? ‘It’s Complicated’

Posted on January 29, 2020 by Badia Hand to Shoulder Center

Dr. Alejandro Badia, renowned hand and upper-limb surgeon and founder of Badia Hand to Shoulder Center & OrthoNOW®, Upper-Limb Experts Know Best; Offers Tips

MIAMI (PRWEB) January 23, 2020

“It’s complicated.” The phrase may apply to some human relationships but certainly holds true for the complex architecture providing function to a person’s hand, wrist, arm and shoulder. “Which is why patients should contact an experienced upper-limb specialist – not just an orthopedic surgeon — when anything goes wrong up or down this superhighway of interconnected bones, joints, tendons, ligaments, muscles and nerves,” says renowned Miami hand doctor and upper-limb surgeon Alejandro Badia MD. Dr. Badia and many of his colleagues note that our patients are often unaware that the specialty of hand surgery even exists and often ask, “What type of issues do you treat?”. This fact even led to the development of ISSPORTH (International Society of Sport Traumatology of the Hand), where a group of colleagues in Europe noted that many elite athletes seemed unaware of the specialties’ importance when it came to assessing and treating their sports-related wrist or elbow issues. Badia served as the international societies first president in 2011-12.

Addressing Injuries and Diseases of the Musculoskeletal System

Of course, orthopedic surgeons, in general, address injuries and diseases of the musculoskeletal system. However, “hand specialists are also experts in microsurgical techniques, having undergone additional, rigorous training in repair of the hand’s minute blood vessels and nerves which requires the use of an operating microscope” explains Dr. Badia. Arthroscopic and minimally invasive techniques involving the wrist, hand and elbow are also the domain of the hand surgeon, and like Badia, many also focus on the shoulder due to its importance in controlling the entire upper limb function by placing the hand in space.

Badia completed fellowships in hand and trauma surgery following four years of orthopedic and surgical residency at New York University, preceded by a general surgery internship at the historic Bellevue Hospital.

German philosopher Immanuel Kant referred to the critical importance of the human hand by calling it “the visible part of the brain.” The same description could hold true for the wrist, arm and shoulder, which provide the necessary fulcrums and levers to give the hand motion and the strength to grasp, hold, lift, turn, work and play. The shoulder, for example, is one of the most complex joints in the body, powered by a collection of muscles and tendons (rotator cuff) and able to assume as many as 1,000 different positions.

The capabilities of the upper limbs are what set aside humans from other animals, states Dr. Badia, whose professional memberships include the American Society for Surgery of the Hand (ASSH) and multiple international orthopedic, hand and arthroscopic surgical societies. The human thumb function specifically separates us from other simians, for example.

“Considering the upper anatomy’s importance to overall quality of life, why wouldn’t patients contact an available surgeon who specializes in the care of the upper extremity for treatment of problems, including pain, that affect the function of their hand, wrist, arm or shoulder?”

Emergence of hand and upper-limb surgery as a subspecialty of orthopedic surgery is fairly recent, dating primarily to World War II when large numbers of battle-related hand injuries brought together a variety of specialists – general, orthopedic, vascular and plastic surgeons, as well as neurosurgeons – to treat and return function to soldiers’ hands. This multidisciplinary approach served as a model for development of special centers – and, later, professionals — for care of the hand.

Today’s rapid, ongoing changes in medical and surgical procedures for musculoskeletal disorders and development of new biomaterials — like tissue-engineered substitutes as replacements for skin or tendon grafts – to repair joints, ligaments and muscles make subspecialization within the field of orthopedic surgery almost mandatory. “No one physician can know and learn about study findings and advancements affecting every area of the skeleton,” Dr. Badia says.

As founder and medical director of the Florida-based Badia Hand to Shoulder Center and OrthoNOW®, a walk-in orthopedic care clinic, Dr. Badia speaks from experience, having become internationally known for his treatment of a wide array of upper-limb disorders and injuries, including complex trauma, tennis elbow, carpal tunnel syndrome, ulnar nerve entrapment, shoulder impingement, wrist disorders, distal radius fractures, post-injury reconstruction and outpatient upper limb joint replacement. His patients have included well known sports professionals and corporate executives from Europe, South America and even Asia.

“Musculoskeletal pain is a leading reason why people visit doctors,” Dr. Badia says. “That’s why it is important patients select the right specialist to ensure quick, accurate diagnosis and receive the optimal therapy for resolving their problem.”

Just because a patient sees a hand and upper-limb surgeon – or any orthopedic surgeon, for that matter – does not mean surgery will be the recommended course of action. Conservative approaches, including anti-inflammatory medications, corticosteroid injections, splinting, physical therapy, or recommended stretching and home exercises, are often first line of treatment for many musculoskeletal conditions.

Surgery is only required when debilitating pain or disease persists, says Dr. Badia, who is also expert in use of alternative, nonsurgical approaches like orthobiologics – the harnessing of a person’s own biologic substances, including blood platelets and adult (mesenchymal) stem cells — to mitigate inflammation, relieve chronic musculoskeletal pain and repair orthopedic injuries when standard therapies fail.

Dr. Badia’s advice to patients:

  • Do the research. Learn about the training and experience of specific doctors and clinics before selecting.
  • Match the specialist with the problem. Consider a 2nd opinion with an upper-limb specialist should the problem involve the hand or upper extremity.
  • Ask questions about treatment options.

Enhance the potential for treatment success by following the specialist’s directions.

As specialists and subspecialists in orthopedics, we do more than mend bones and fix joints,

Dr. Alejandro Badia

Dr. Badia adds. “We apply the latest therapies to treat a myriad of disorders affecting nerves, muscles, ligaments and other structures of the musculoskeletal system.”

Alejandro Badia, MD, FACS, internationally renowned hand and upper-limb surgeon and founder of Badia Hand to Shoulder Center and OrthoNOW®, a walk-in orthopedic care clinic. He is a member of the American Society for Surgery of the Hand, American Association for Hand Surgery and the American Academy of Orthopedic Surgeons and an honorary member of many international professional hand societies. Dr. Badia specializes in treating all problems related to the hand and upper extremities, including trauma, sports injury, joint reconstruction, nerve injuries and arthroscopic surgeries. Go to OrthoNOWcare.com and drbadia.com.

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Maria Santos
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01:45 06 Nov 20
I am really satisfy with my hand surgery that was done by Dr. Alejandro Badia, and I want to thanks all the... professional personal and staff that always are very kind. I highly recommended!read more
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Dr. Badia is an outstanding Dr and surgeon. I first sought his expertise, in late 2013, after a misdiagnosis and a... botched surgery by another Dr that left me with unbearable pain and unable to move my right hand for months. After doing some research online, looking for some excellent hand surgeons, a lot of articles came up praising Dr. Badia's expertise and competence. I sent him an email explaining what happened, how the pain started and asked for his opinion. To my surprise, I received a thorough response the same day with detailed information. I right then decided to drive 4hours to go see him; I must say it was the best decision I made. From the 1st visit, Dr. Badia performed surgery to fix the initial issue and later did another surgery to correct the botched one; I couldn't be happier with the results. Earlier this year, I slipped and injured my left wrist. I made another trip to Miami and once again Dr. Badia came to the rescue. He did surgery on my left wrist after the conservative treatment didn't fully help and at the same time did a cubital nerve release on my right elbow that instantly stopped the pain I've been having. I HIGHLY recommend Dr. Badia; he's a true expert and an outstanding surgeon. His staff is very kind, professional, friendly and truly cares.read more
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My husband and I contacted Dr Badia for my hand issues. I had researched approximately five hand specialists in... Florida and one in New York city before I found Dr Badia about an hour away from us. My husband and I went to Doral, Florida and the minute I met Dr Badia I knew he was going to do my surgery. He has personality plus !!! and loves what he does. He is kind, patient and listens to his patients. He respects your hands ! Dr Badia was highly recommended and I am so glad that we found him. He did the surgery on my hand and with a bit of rehab it healed better than I expected and my pain was gone ! Dr Badias office personnel are wonderful ! It is quite obvious that they love working there with him and that they love their jobs. My husband and I have never experienced an office with so many helpful and caring people. We both recommend Dr Badia. We still drive to his office for anything to do with hand issues and he takes care of whatever it is. We both trust our hands ONLY to him ! He is a gem.read more
Yohann Dessureault
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02:25 01 Oct 20
I first contacted Dr. Badia's clinic after I injured my hamate bone. I needed a surgery and someone in my family that... knew Dr. Badia convinced me that he was one of the best if not the best hand surgeon in the world. I am a high level Baseball player so I needed treatments in order to get back on the field as soon as possible. I have been able to book an appointment the next week which was great. I'm Canadian which made it tougher with my insurance company, but Dr. Badia's team has been really helpful with that, they sent numerous emails and even made some calls with the company to make sure I would not have any fees related to the consultation and surgery. The surgery went really well, without any complication and I don't think it would have been as quick and easy with anyone else than Dr. Badia and his team. I would definitively recomand Badia Hand to Shoulder Center to anyone in the need of treatments.read more
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I injured my shoulder right as we entered into a lockdown due to a pandemic. It was next to impossible to get anyone to... see me and assess my injury. Dr. Badia and his team, following carefully laid out safety protocols, were able to bring me in, have x-rays, MRI and thorough review of the findings all in ONE visit!!! I was given an interim treatment plan to bridge the gap as surgeries were restricted due to COVID-19. As soon as surgeries resumed, I was scheduled for my procedure. To say that both Dr. Badia and his team are amazing is an understatement. They helped me handle a difficult insurance approval process to ensure I had the best surgeon treating me and my procedure at The Surgery Center at Doral and communication with my PCP and Cardiologist was excellent. Everyone made me feel very safe and confident that I was in the best possible setting where I wouldn’t be exposed to needless risk in a traditional hospital. The results of my surgery so far have been amazing. I’ve had next to no pain post-op and my recovery is coming along at lightning speed thanks Dr. B’s amazing talent and the dream team he has at OrthoNow where I have been undergoing physical therapy. I couldn’t say enough good things about him and the team. His expertise and dedication to providing the best possible care using cutting edge technology make for patient centered care and well being vs. insurance driven red tape so often seen today. Highly recommend Dr. Badia!read more
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I went to Dr. Badia with a bad infection in my nail. He is so good at what he does and took care of me with such... concern. Gigi is the sweetest, cutest thing ever, who also made sure that I was comfortable and helped so I would not be nervous. The whole staff makes you feel like family. Thank you everyone from the bottom of my heart and I would recommend Dr. Badia's expertise and his office to anyone. So, if you have an injury or a problem, please go see him.read more
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Staff was very welcoming and accommodating.. Dr. B. was very professional and caring.He seems to be a driving... innovator and in improving the lives of patients in the South Florida area.read more
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Dr Badia is the best orthopedic surgeon in Miami hands down. I need surgery because of a multiple fracture in my left... forearm. Went to other doctors (UM, mount Sinai) and they didn’t promise me I would recover 100% of my injuries and told me I would not be able to do sports again. Dr Badia did tell me I would heal 100% and it’s true. I did a much simpler surgery and fixed me in no time. Would recommend to anyone. Two thumbs upread more
Deb Duro
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Wonderful practice very welcoming staff and amazing service with top notch technology. I was a patient and I am a... colleague of Dr Badia and had the best treatment for my hand injury got diagnosed in the spot with a 3D Ultrason super modern technology and treated at the same moment. Really superb experience being a physician I absolutely recommended Dr Badia Hand and Shoulder Center at OrthoNOW!read more
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Excellent visit. I injured my finger yesterday and was seen today by Dr. Badia. The staff was friendly and very... efficient and the doctor spent more than enough time explaining what was going on and explaining my options. Truly a great experience.read more
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The Dr and staff are professional and friendly. I’m happy I came here and I received the attention and answers I... needed. I had injured my hand and I left the office feeling better. Thank you all for everything!!!read more
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Due to a fall, I fractured my wrist in late Nov. 2018. Dr Badia and his team helped me overcome this issue and today... I’m working, and back on my bike and running. The best service and experience!read more
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Staff displayed professionalism and caring. Dr. Badia was as enthusiastic as I was about this surgery to improve the... function of my hand. The surgical day process was smooth; I was kept informed every step of the way. I felt comfortable and safe.read more
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From the first call I made to Dr. Badia‘s office I was impressed by the professionalism of the person who answered... the phone. When I arrived at the office for my appointment I was once again greeted in a professional manner. This professionalism radiated through all of the team. I hadn’t seen Dr. Badia for over 10 years and he greeted me as if we’ve been in contact with each other for years.read more
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From my first visit the staff as well as the Dr. Badia have been exceptionally professional and caring. I had an injury... to my pinky finger, the required a placement of a rod in order to align. The surgery went well and was scheduled right away. The office staff has been amazing with scheduling and confirming appointments. Overall I am very happy with the care i received as well as the results. My finger healed and my range of motion has also gotten much better. Thank you Dr. Badiaread more
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