5 Hand Problems That May Require Surgery

5 Hand Problems That May Require Surgery

Your hands are vital to your life, for tasks as simple as tying your shoes or typing an email. But when you have pain, even the easiest activities become nearly impossible. It makes life pretty difficult, and surgery may be your best option for relief.

At Mehling Orthopedics, our professionals are experts in a number of orthopedic issues that routinely affect your life. 

Leading our team are Dr. Brian Mehling and Dr. Pavel Yufit; they’re both board-certified orthopedic surgeons. They offer a variety of surgical options when you can’t take your hand pain any longer.

Symptoms of hand trouble

Your hand has a number of different bones, ligaments, and tendons that all work together to allow movement. Three types of bones make up your hands, and they include your phalanges, carpal bones, and metacarpal bones.

Muscles, tendons, and ligaments work with your bones to allow dexterity of your fingers and wrist, which allows you to perform many different tasks. Unfortunately, a number of conditions can affect these structures, causing problems in both your hands and your wrists.

Symptoms of hand trouble may vary, depending on what’s causing the problem. Pain is often one of the signs that something’s wrong. Other symptoms include:

It can get especially hard to do things such as opening a jar or buttoning your shirt when you’re suffering from these symptoms. You may experience them all the time, or the pain and other symptoms may come and go.

Whether it’s arthritis, carpal tunnel, or trigger finger, it’s important that you get treatment as soon as you notice symptoms. This helps prevent further damage to your hand and wrist.

5 hand conditions that may need surgery

A number of different problems can affect your hands, each causing specific issues that disrupt your life. In some cases, conservative measures can lessen your symptoms. However, if you have any of the following, surgery may be needed for permanent relief:

1. Carpal tunnel syndrome

This condition occurs because of excess pressure on your median nerve. The nerve is located in the carpal tunnel, which is a small passageway in the wrist. This condition leads to pain in your hands, along with numbness and problems with your grip. 

Surgery is known as carpal tunnel release, and it relieves the pressure on the median nerve to alleviate your symptoms.

2. Trigger fingers

This condition causes your finger to become bent, and sometimes stuck in that position. It’s caused by inflammation around the tendon in the affected finger. This inflammation narrows the sheath around the tendon, making it stick when you try to move it. In severe cases, your finger can become locked in the bent position.

Surgery aims to release the sheath around the tendon, allowing your finger to move properly again.

3. Dupuytren’s contracture

This condition affects the palm of your hand and your fingers. Your hand contains fascia, which is a fibrous type of tissue that encases your nerves, tendons, and muscles. However, if you have Dupuytren’s contracture, the fascia isn’t normal, instead thickening and resembling a cord in texture. 

This fascia is unable to move, and it can be accompanied by bumps and nodules as well. This makes it hard to move the area of the contracture, including your fingers. Surgery involves releasing the contracture in a fasciotomy, to allow for normal movement again.

4. Fractures

Broken bones can occur in your fingers or in the many bones in your hand. If the fractures are displaced, they likely won’t heal correctly. In this case, our team may recommend surgical repair of the fracture, through either a closed reduction and percutaneous pinning, or through an open reduction internal fixation procedure. 

5. Thumb arthritis

This is actually the second-most common type of arthritis that affects your hand, and is also referred to as basal joint arthritis. It can happen from both osteoarthritis and rheumatoid arthritis. If you have thumb arthritis, you may notice pain with activities such as grasping objects or with a pinching motion.

Several surgical options can alleviate the symptoms of thumb arthritis. Dr. Mehling and Dr. Yufit discuss your options based on the severity of your arthritis and your symptoms.

For all of these conditions, the team attempts conservative treatments first. However, if your symptoms continue, our team may recommend surgical options to get you long-term relief.

If you’re tired of suffering from hand pain, call one of our offices in Hackensack, New Jersey, or West Islip, New York, to schedule a consultation today. You can also send the doctors a message here on our website any time.

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