A number of factors such as accidents, birth defects, repetitive-use injuries and aging can affect your hands. Those who suffer from these conditions know that life can be very tough with hand pain and without full hand function.
A number of advances have been made in the treatment of hand injuries, degenerative disorders, and birth defects. Dr. Haque has completed a hand surgery fellowship and has experience in treating patients with a number of hand issues.
Are You Considering Hand Surgery?
If you are considering hand surgery, contact Dr. Haque for a consultation. He will listen to your concerns, examine you and then present the methods of treatment suitable for your particular issue. If surgery is warranted, he will discuss the procedure in detail including anesthesia, surgical techniques, possible risks and complications as well as the recovery time.
The most general treatments for hand surgery are those performed to repair injured hands, including injuries to the nerves,tendons, , blood vessels, and joints; cuts,fractured bones; and burns, and additional injuries to the skin. The latest methods have greatly improved the surgeon’s skill to restore function and look, even in severe injuries.
Some of the methods include:
- Flap surgery – moving the skin along with its original fat, blood vessels, and muscle from a normal area of the body to the affected area;
- Grafting – the transmit of skin, nerves,bone or other tissue from a regular area of the body to restore the injured area;
- Replantation or transplantation – restoring amputated fingers or hands with the help of microsurgery, an accurate and sensitive surgery carried out under magnifying equipment. Certain injuries may need many operations over a long period of time.
Generally, surgery can reinstate to a considerable degree the feeling and function to injured hands. But, recovery may take a long time, and a period of hand therapy will generally be required.
Carpal Tunnel Syndrome
The carpal tunnel is a passageway through the wrist that carries tendons and one of the hand’s major nerves. Stress may build up within the tunnel as a result of ailments like rheumatoid arthritis, injury, overuse, or recurring motions. The resulting pressure on the nerve within the tunnel leads to a tingling sensation in the hand, frequently accompanied by lack of sensation, aching, and impaired hand function. It is called carpal tunnel syndrome.
Sometimes, splinting of the hand and anti-inflammatory medications will help get rid of the issue. But if doesn’t help, surgery may be needed.
During the surgery, the surgeon makes an incision from the middle of the palm to the wrist. Then, the tissue pressing on the nerve will be cut to release the pressure. In the next step, a dressing and splint will be used to limit motion and support healing. The scar will slowly lighten and become barely noticeable.
The outcome of the surgery will depend on how long the patient has had the condition and the amount of damage caused.This is why it’s good to visit your doctor as soon as possible if you feel you may have this condition.
Learn more about your treatment options for Carpal Tunnel Syndrome.
Rheumatoid arthritis is the inflammation of the joints. It is a disabling condition that may affect the look and the function of the hands and other areas of the body. It frequently deforms finger joints and pressurizes the fingers into a crooked position that affects movement.
Disabilities that result due to rheumatoid arthritis can generally be managed without surgery; for example, by putting on special splints or using physical therapy to strengthen weakened parts. Surgery can be the best solution for some patients. In consultation with your surgeon and your rheumatologist, you can decide if you should get a surgery or not.
Surgeons can help repair or rebuild almost any area of the hand or wrist by doing away with the tissue from inflamed joints, repositioning tendons, or implanting synthetic joints. Though your hand may not get its full function, you can expect considerable improvement in function and looks. Yet, it is essential to keep in mind that surgical repair doesn’t eradicate the underlying ailment. Rheumatoid arthritis can continue to cause harm to your hand, sometimes calling for additional surgery, and you’ll still have to visit your rheumatologist for medical care.
Learn more about your treatment options for Arthritis.
Dupuytren’s contracture is a disease of the skin and original tissue on the palm side of the hand. Thick, scar-like tissue forms beneath the skin of the palm and may go up to the fingers, pulling them toward the palm and limiting movement. This issue generally develops during the middle years and has no established reason.
The only solution for this condition is surgery. The surgeon cuts and separates the groups of thickened tissue, letting loose the tendons and allowing improved movement of the finger.It is essential that the operation be performed precisely, because the nerves that supply the hand and fingers are generally tightly bound up in the abnormal tissue. Sometimes, skin grafts are also required to restore tightened and furrowed skin.
The outcomes of the surgery will depend on the intensity of the condition. Generally, you can expect considerable improvement in function, especially after physical therapy.
Learn more about your treatment options for Dupuytren’s Contracture.
Congenital deformities of the hand refers to the deformities a child suffers from since birth that hinder proper hand growth and cause significant problems in the function of the hand. With the latest surgical methods most defects can be removed at a very early stage. In certain cases, during babyhood and some at 2 to3 years; enabling regular development and functioning of the hand.
Syndactylyis one of the most common congenital defects in which two or more fingers are combined with each other. Treatment involves cutting the tissue that links the fingers and grafting skin from an additional area of the body. Surgery can generally provide a full range of movement and a regular look, though the color of the grafted skin may be a little different from the rest of the hand.Missing, short, or malformed fingers, immobile tendons, and abnormal nerves and blood vessels are some additional congenital defects. These issues can generally be treated with surgery and considerable improvement can be gained.
Learn more about your treatment options for Congenital Deformities.
Recovery and Rehabilitation
As the hand is a delicate body part, you may experience mild to severe pain after your surgery. The surgeon may recommend injections or oral medication to help ease pain. How long your hand must stay immobilized and how fast you resume your regular activities depends on the kind and degree of surgery and on how quickly you recover.
To improve your recovery and give you the best possible use of your hand, your surgeon may advice a course of rehabilitation under the supervision of a trained hand therapist. It may include splinting,exercises of hand, heat and massage therapy and electrical nerve stimulation.Remember that surgery is only the foundation for recovery. It’s essential to follow the therapist’s directions and complete the full therapy in order to regain the maximum function of your hand.
Schedule A Consultation
To learn more about your options and which procedure will provide the best results for you, Contact Us to schedule a consultation.