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Hand, Shoulder and Elbow Care

Vascular Disease

Chronic tingling and numbness in the fingers and hands can be the first sign of a vascular disorder. Caused when blood flow is limited or blocked within the arm, vascular disorders of the arm and shoulder can be complex and difficult to diagnose. At Wake Forest Baptist Health, we offer advanced diagnostic tests and treatments. 

Peripheral Vascular Disease: Why Choose Wake Forest?

Our collaborative approach with the Wake Forest Heart and Vascular Center ensures that our patients receive comprehensive one-stop care from diagnosis to rehabilitation. We offer: 

  • Microangiology Lab: Wake Forest Baptist Medical Center is home to one of the only microangiology labs in the world. The specialized technology used there helps doctors study the blood vessels in your arm to diagnose the root causes of pain. Learn more about our microangiology lab. 
  • Expert Diagnosis: Our doctors used the most advanced technology and tests available to quickly and accurately diagnose vascular problems.
  • Personalized Care: Our goal is to customize a treatment that gets you back to your desired activity level as fast as possible. 

Peripheral Vascular Disease: Conditions We Treat

We offer advanced surgical revascularization as well as the latest nonoperative treatments for a variety of vascular conditions, including:

  • Atherosclerosis
  • Complications due to diabetes
  • Embolism
  • High blood pressure
  • Peripheral artery disease
  • Raynaud's disease and symptoms of scleroderma
  • Thoracic outlet syndrome
  • Upper extremity occlusive disease

Our orthopedists work closely with Wake Forest vascular surgeons. Learn more about the Wake Forest Heart and Vascular Center.

Wake Forest Microangiology Lab: Advanced Diagnostics for Vascular Disease          

The Wake Forest Microangiology Lab - one of the only labs of its kind in the world - allows doctors to use advanced diagnostic tests to pinpoint the source of vascular disease affecting your arms and hands. Our specialized equipment can monitor blood flow, cold sensitivity and study blood vessels up close, and provide detailed mapping of small vessels. Our lab offers patients a comfortable environment to undergo these tests, which are painless. 

Our tests include:

  • Laser Doppler perfusion imaging
  • Laser Doppler fluxmetry
  • Vital capillaroscopy 

Advanced Treatments for Vascular Conditions in Winston-Salem

Wake Forest hand surgeons are experts in the treatment of the complex and extremely delicate arteries and veins of the hand and fingers. From medications and injections to advanced surgical techniques, our physicians personalize a treatment plan for each patient. Our specialized procedures include: 

  • Parenteral botulinum toxin injections-Patients suffering from poor circulation in the hands, including vasospastic disorders such as Raynaud's disease may benefit from this non-surgical approach. Targeted injections of botulinum toxin, also known as Botox, help relax tissue surrounding blood vessels, helping the vessels to dilate and maintain blood flow. The treatment can provide relief up to three months. 
  • Periarterial sympathectomy-Patients with peripheral vascular disease and nonhealing ulcers may be candidates for this microsurgical technique. To help the body better regulate blood flow to the hand and fingers, surgeons strip away the outer membrane of the affected vessels. This technique helps vessels dilate, allowing oxygenated blood to return to the outer tissues of the hand. 
  • Vein and artery grafts-Patients with severe vascular disease may benefit from vein and artery grafts. Surgeons can reconstruct injured or damaged arteries in the hand with vein or artery grafts. This procedure helps regulate blood flow to the tissues of the hand. Wake Forest is one of only a few institutions in the nation that offers this approach for severe otherwise unreconstructable vascular disease. 

Request an appointment online. 


Quick Reference

Orthopaedic Services

New Patients 336-716-WAKE
Toll-Free 888-716-WAKE
Returning Patients
Returning Pediatric Patients

Contact the Department

Main 336-716-8200
Fax 336-716-8018

For assistance after hours, please call 336-716-2011 and ask for the Orthopaedic Surgeon on call.
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Last Updated: 12-21-2015
Wake Forest Baptist Ranked among Nation’s ‘Best Hospitals’  25 Years in a Row by U.S. News & World ReportComprehensive Cancer Centers National Designation is Renewed2017-2018 Best DoctorsNursing Magnet StatusJoint Commission Report

Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.

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