Hand Infection Treatment Dickson TN

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Jan M Gorzny, MD
(615) 441-4574
113 Highway 70 E
Dickson, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny At Buffalo Sch Of Med & Biomedical Sci, Buffalo Ny 14214
Graduation Year: 1974

Data Provided By:
James L Rushford
(615) 446-2708
758 Highway 46 South
Dickson, TN
Specialty
Orthopedic Surgery

Data Provided By:
D Marshall Jemison, MD
(423) 756-7134
979 E 3rd St
Chattanooga, TN
Business
The Plastic Surgery Group PC
Specialties
Orthopedics

Data Provided By:
Charles Edward Barnes, MD
(423) 434-6300
3 Professional Park Dr Ste 21
Johnson City, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Fl Coll Of Med, Gainesville Fl 32610
Graduation Year: 1990

Data Provided By:
Daniel R Merwin, DDS
(731) 668-8922
460 N Parkway
Jackson, TN
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Ronald Gerard Derr, DO
(615) 790-3290
115 Highway 70 E
Dickson, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Ohio Univ, Coll Of Osteo Med, Athens Oh 45701
Graduation Year: 1988

Data Provided By:
Dr. Chad Upchurch
Life Source Wellness Center
(615) 441-6115
491 Henslee Dr
Dickson, TN
Specialty
Chiropractor
Conditions
Back pain,Chronic pain,Leg pain,Lower back pain,Neck pain,Upper back pain
Treatments
Chiropractic adjustment,Chiropractic care,Spinal manipulation
Proffesional Affiliation
Tennessee Chiropractic Association

Ronald Edward Glenn
(615) 383-2693
4230 Harding Rd
Nashville, TN
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
Martin Harry Redish, MD
(423) 893-9020
1809 Gunbarrel Rd Ste 101
Chattanooga, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: In Univ Sch Of Med, Indianapolis In 46202
Graduation Year: 1980
Hospital
Hospital: Erlanger Med Ctr, Chattanooga, Tn
Group Practice: Chattanooga Bone & Joint Srgns

Data Provided By:
Larry Alan Bacon, DDS
(423) 224-3200
117 W Sevier Ave Ste 220
Kingsport, TN
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
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Diagnosis and Treatment of Hand Infections

In this article, hand surgeons from the Walter Reed National Military Medical Center in Washington, D.C. offer us a review of rare, but potentially disabling hand infections. They focus on two infections of the wrist, hand, or fingers: osteomyelitis and septic arthritis. Causes, type of bacteria involved, patient symptoms, diagnosis, and treatment are summarized for each condition. Complications with and without treatment are also presented.

Osteomyelitis is an infection of the bone or bone marrow that can affect the hand. The most common infecting bacteria are staph, strep, and e coli. Undiagnosed, delayed diagnosis, or untreated, any of these infectious agents can cause destruction of the joint. Loss of motion, impaired function, and eventual arthritis with pain, stiffness, and disability can occur. The disease process can get so bad, a person can lose the affected hand.

How does a person get osteomyelitis of the hand or wrist? There are three main mechanisms: 1) puncture wounds (e.g., human bites, thorns, fractures, and surgery), 2) spread from infection of nearby soft tissues, and 3) spread through the blood system from any other infection in the body.

The immune system sets up an inflammatory response and tries to wall off the infection. In the healthy child or adult, this reaction may be enough to take care of the problem. But malnutrition, smoking, medications that suppress the immune system, and cancer or other health problems can put the patient at a disadvantage for self-healing.

In the case of one particular bacteria (methicillin resistant Staphylococcus aureus or MRSA, pronounced "mersa"), even healthy people can be affected. Tissue invasion and severe bone destruction can occur quickly. That's why early diagnosis and immediate treatment is recommended for hand infections of this type.

How does the hand surgeon know a patient has an osteomyelitis-linked hand infection? There are usually visual signs (swelling, redness, warmth) and pain. The patient may have a fever with chills and fatigue. These flu-like symptoms are a red flag of systemic (system-wide) infection. Blood tests and imaging studies possibly including X-rays, bone scans, PET scans, MRIs, and other more advanced imaging aid in making the diagnosis.

Once it's clear what the surgeon is dealing with, then treatment begins. Antibiotics may be all that's needed if the problem is identified and caught early. But most of the time, surgery is needed to debride (clean out) the area. This surgical procedure is followed by a course of antibiotics as well.

It may be necessary to perform more than one debridement, a process called serial debridement. Serial debridement is done until the affected area is clear of infection. The whole process can take six weeks or more. If the infection has occurred around an implant (e.g., joint replacement or hardware used to repair a fracture), the implant may have to be removed before debridement and antibiot...

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