Hand & wrist surgery

Carpal tunnel syndrome occurs when the median nerve is compressed as it passes through the carpal tunnel in the wrist, a narrow passage formed by the carpal bones and the transverse carpal ligament. This can cause symptoms such as tingling, numbness, pain, finger swelling, and weakness in the hand, often worsening at night. Treatment depends on the severity of symptoms and may include splinting, steroid injections, exercises, workstation modifications, or surgery to relieve pressure on the nerve.

De Quervains syndrome is a painful condition affecting the tendons on the thumb side of the wrist, most commonly caused by overuse and repetitive movements. Symptoms include pain and swelling near the base of the thumb, along with difficulty moving the thumb or wrist, particularly during gripping or pinching activities. Treatment may include applying ice or heat, taking anti-inflammatory medications (NSAIDs), resting and avoiding painful activities, wearing a splint, or surgery to widen the tendon sheath and improve tendon movement.

Dupuytrens contracture is a condition in which the tissue beneath the skin of the palm thickens and tightens, causing one or more fingers—most commonly the ring and little fingers—to gradually bend towards the palm. Although the exact cause is unknown, it is thought to have a hereditary component and may be associated with smoking, excessive alcohol consumption, epilepsy, or diabetes. Symptoms often begin with a lump, dimples, or ridges in the palm before progressing to finger contracture. Treatment may include a needle fasciotomy, a procedure in which a needle is used to divide the tightened tissue and help straighten the affected finger.

Mucoid cysts are a benign bump that typically shows up on the fingers, and sometimes on the toes. It usually appears close to the nail. Minor surgery can be done to remove the cysts. Removal of soft tissue, such as lipoma, is also available.