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TestimonialsHand
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Restoring power to a weakened hand
As a scenic artist working on commissioned projects for television, theaters, museums, galleries and private homes, Louise Hunnicutt is especially reliant on optimal hand health for her profession. When the base of her right thumb started hurting, the painter’s first thought was that she had somehow injured it, although she couldn’t remember any specific incident that would cause such pain. “Over a period of six months I went to eight doctors,” she remembers. Finally diagnosed with Carpal Tunnel Syndrome, Hunnicutt received surgery that helped alleviate the pain. Despite the procedure, however, the muscle at the base of her thumb remained profoundly weak. “My thumb was just hanging there,” says Hunnicutt, who did everything from tying paint stirrers to her thumb to training herself to work with her non-dominant left hand. Eventually, terrible cramps drove her to seek relief with a physical therapist, who in turn recommended that she see Dr. Pruzansky. “He suggested I have a tendon transfer,” she says—a procedure in which an extra tendon from the ring finger is moved to the thumb to compensate for lost muscle power, dexterity and mobility. After four weeks in a splint and a course of occupational therapy, Hunnicutt’s hand has become once again fully functional. “My hand is just as strong as it was before,” she says. “If it weren’t for Dr. Pruzansky, I would have lost total use of my thumb. For that I will always be grateful.” Rebuilding wrist ligaments to restore mobility and athleticism
After calling around to New York hospitals for hand surgeon recommendations, Brochstein was reffered to Dr. Pruzansky, who was able to diagnose a triangular fibrocartilage tear, an injury common to skiers who fall on a hyper-extended wrist, as well as severe ligament tears destabilizing the wrist leading to debilitating pain and weakness. Dr. Pruzansky was able to reconstruct the ligaments and repair the tear through an arthroscopically assisted outpatient procedure that demanded only regional anesthesia. “It was actually not bad,” said Brochstein of the surgery. “I was taken care of very professionally. Dr. Pruzansky’s office works like clockwork.” After being immobilized in a cast for several weeks, Brochstein had eight weeks of occupational therapy before being cleared for all normal activities. Full recovery for the oncologist has included tennis—“my toss and serve took a while to get back, but now it’s as good as it was before.” As for winter activities, Brochstein admits that since the surgery he has hit the slopes again, only this time “with more caution and trepidation.” Endoscopic carpal tunnel release to restore hand sensation and strength “I’m the poster child for Dr. Pruzansky,” says legal journalist Monica Bay with a laugh.
A few years ago, she experienced problems with a cyst at her right wrist, and numbness in her pinkie fingers on both hands. “The symptoms weren’t as intense as the severe tendonitis I had experienced in the past,” she remembers, “but because typing is essential to my livelihood I didn’t want to take any chances; so we scheduled the surgeries on both wrists. You could call me Little Ms. Carpal.” She ended up having an “open” procedure on her right hand (because of the cyst), and a less-invasive procedure on her left hand. A result of the compression of the median nerve by the finger’s flexor ligaments as it passes through a small canal in the wrist, Carpal Tunnel Syndrome is a particular specialization of Dr. Pruzansky, who is one of the country’s pioneers in a minimally invasive procedure known as Endoscopic Carpal Tunnel Release. On her left hand, rather than cutting the palm open, Dr. Pruzansky was able to access Bay’s compression via two quarter-inch incisions, which usually leads to a quicker and less painful recuperation—critical factors for a journalist whose livelihood is connected to her ability to type. Both procedures had speedy recoveries, but Bay is especially enthusiastic about the second surgery. “You can’t even see the scars,” she notes. “I was typing within days.” “Everything Dr. Pruzansky has done has worked beautifully,” says Bay. “I’m pain-free, and while I still am not fond of hospitals, I’m no longer afraid to face surgery. I jokingly call Dr. P my ‘auto repair shop,’ and all my tune-ups have been a complete success!” Arthroscopically assisted elbow ligament reconstruction
Upon initial examination as well as an MRI and CT scan, it became clear that not only did Grennan suffer from the residual effects of his college injury in the form of a chronic tear in his medial collateral ligament, he had also developed osteoarthritis that limited his ability to extend his arm. “By this point it was hard to put on a shirt in the morning,” he recalls. Treatment came in the form of an arthroscopically-assisted procedure during which Dr. Pruzansky was first able to smooth the surface of Grennan’s arthritic elbow, release contractures and remove loose bodies and then repair and reconstruct his medial collateral ligament using a tendon taken from his forearm - the modern version of the “Tommy John” operation. Six months later, after extensive physical therapy, Grennan is on his way to regaining normal use of his elbow - a great relief for the active New Yorker, who still enjoys working out at the gym and is active in the New York theater world. “I’ve had to see quite a few doctors in recent years,” says Grennan, “and it has sometimes felt like a factory experience. Dr. Pruzansky was different. There was great communication and a personal connection.” Arthroscopic surgery to rebuild an athlete's shoulder
“I was relieved at the thought that it would end,” he recalls. During the arthroscopic procedure, Dr. Pruzansky was able arthroscopically to fix his unstable shoulder joint by reattaching his torn cartilage to the socket and simultaneously repairing SLAP and Bankart lesions. “A year after the surgery, I now have 90 percent range of motion” and full athletic use, says Messing, who will graduate this summer and hopes to be an entrepreneur in his native New York. “Before I was at 20 percent. Dr. Pruzansky has been a very good doctor!”
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Carpal Tunnel Syndrome | Rotator Cuff Injuries | Wrist Pain | Tendonitis | Cubital Tunnel Syndrome
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