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Orthopedic Associates of Northern Berkshire


Northern Berkshire Orthopedics offers a full range of surgical and non-surgical procedures to treat common musculoskeletal injuries and degenerative diseases that affect older adults as well as younger adults and athletes.

Your treatment will be tailored specifically to you and may include a combination of surgical and non-surgical methods to provide pain relief, reduce inflammation and swelling, restore mobility, and correct any structural problems like fractures, deformities, or severe arthritis.

We focus on minimally invasive surgeries for a variety of orthopedic conditions. Some of the most common surgeries we perform are listed below.

Hip & Knee Surgery

Shoulder & Elbow Surgery

Hand & Wrist Surgery

Non-surgical Procedures

Needle Aponeurotomy

A needle aponeurotomy is a special procedure used to treat Dupuytren's contracture, an inherited hand condition that causes the palmar fascia (tissues under the skin on the palm) to thicken and contract dramatically, making it impossible to straighten your fingers.

Dupuytren's can be treated with open hand surgery or with a minimally-invasive procedure called a needle aponeurotomy (NA), which can be performed in the office under local anesthesia with less pain and down time than traditional open surgery. Dr. Jonathan Cluett will make a tiny incision in the palm of your hand and use the tip of a needle to divide and lengthen the contracted palmar fascia so that you can extend your fingers without any trouble.

Needle aponeurotomy is typically performed in the early stage of Dupuytren's disease, although it can also be a valuable therapy for progressed stages of Dupuytren's contracture. If you are looking for relief from Dupuytren's contracture without undergoing hand surgery, ask if our in-office aponeurotomy hand procedure is right for you.

We look forward to discussing the best treatment option for you. Please call (413) 458-4452 or request an appointment online at Northern Berkshire Orthopedics in Williamstown, Massachusetts.