Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
The doctor will then perform a physical examination.
Testing the laxity (looseness) of the ulnar collateral ligament of the thumb: This test will be done by holding the base of
the thumb in a fixed position, while applying a lateral (sideways) force on the tip of
the thumb to see how many degrees it will move. This movement will be compared to the movement of
the other, uninjured thumb. Pain may make this difficult to do immediately after the injury (in which case the injury may be treated and then reexamined in a few days).
Assessing for normal functioning of the three major nerves in the hand
Checking for point tenderness over certain bony spots of the hand that may indicate fracture
the hand to make sure no bones are broken
Examining the rest of the arm for any associated injuries to your wrist, forearm, elbow, and shoulder