When To See an Orthopedic Hand Surgeon
Orthopedic hand surgery is a specialist area of the bone and joint medical field. Thai Hand Surgeons are experts in diagnosing problems with the hand, wrist, and arm.
If a problem occurs in the wrist or hand, you may turn to hand surgeon for help. A qualified hand surgeon will pay special attention to all areas of the hand wrist and the upper extremities (from the tip of the hand to the shoulder) and recommend the appropriate treatment. Not every visit to a hand surgeon results in hand surgery. Depending on the diagnosis, hand surgeons often recommend non-surgical treatments too.
Hand surgery is a specialist area of the medical field which started during WWII. During this time it became obvious that having one surgeon to handle all problems of the hand and wrist was far more effective than having different surgeons attend to different components. In 1945 the American Society for Surgery of the Hand was established, now there are more than 1,400 members of the Hand Society who are fully qualified to diagnose and treat all problems.
Surgeons must complete residency in orthopedic, plastic or general surgery, then must undergo sophisticated training in hand surgery for 1-2 years. It is this in depth training which enables the surgeon to deal with all aspects of the hand and wrist.
When Should I Visit A Hand Surgeon?
Of course some problems are more obvious than others and it may be clear that you need medical attention. However the hand is very complicated organ, even if a minor injury or disease occurs in the hand, wrist or arm; it is wise to visit a hand surgeon as soon as possible before more complications arise.
Common diagnoses of hand and wrist injuries
Tennis Elbow
Know in medical terms as lateral epicondylitis, tennis elbow is a condition where the outer part of the elbow becomes painful and tender, usually as a result of a specific strain or overuse.
Tennis Elbow Symptoms:
- Pain on the outer part of elbow (lateral epicondyle).
- Gripping and movements of the wrist hurt, especially wrist extension and lifting movements.
- Tenderness to touch, and elbow pain on simple actions such as lifting up a cup of coffee or throwing a baseball.
- Pain usually subsides overnight.
- If no treatment is given, can become chronic and more difficult to eradicate
Carpal Tunnel Syndrome
Carpal tunnel syndrome (CTS) or Median Neuropathy at the Wrist is a medical condition in which the median nerve is compressed at the wrist, leading to pain, paresthesias, and muscle weakness in the forearm and hand.
Carpal Tunnel Syndrome Symptoms:
- The first symptoms of CTS may appear when sleeping, and typically include numbness and paresthesia (a burning and tingling sensation) in the fingers, especially the thumb, index, and middle fingers.
- Difficulty gripping and making a fist, dropping objects, and weakness.
- In chronic cases, there may be wasting of the thenar muscles (the body of muscles which are connected to the thumb).
It is important to note that most pain felt in the wrist is not likely to fall under this diagnosis unless there is significant numbness and paresthesia.
Dupuytren’s Contracture
Dupuytren’s contracture (also known as Morbus Dupuytren) is a fixed flexion contracture of the hand where the fingers bend towards the palm and cannot be fully extended (straightened).
Dupuytren’s Contracture Symptoms:
- The tough connective tissue within one’s hand becomes abnormally thick, which can cause the fingers to curl, and can result in impaired function of the fingers, especially the small and ring fingers.
- Gradual onset, often beginning as a tender lump in the palm.
- Over time, pain associated with the condition tends to go away, but tough bands of tissue may develop.
Peripheral Nerve Disorders
Nerves are fragile and can be damaged by pressure, stretching, or cutting. An Injury to a nerve can stop signals to and from the brain causing muscles not to work correctly; this may also cause loss feeling in the injured area.
Peripheral Nerve Disorder Symptoms:
- Pain and discomfort.
- Loss of feeling.
- Muscles may not work correctly.
- Severe cases in which the patient has a nerve scar or neuroma may be extremely painful and cause an electrical feeling when touched.
Trigger Finger
Trigger finger, or trigger thumb, is a type of stenosing tenosynovitis in which the sheath around a tendon in a thumb or finger becomes swollen, or a nodule forms on the tendon. It is called trigger finger because when the finger unlocks, it pops back suddenly, as if releasing a trigger on a gun.
Trigger Finger Symptoms:
- The affected digits may become painful to straighten once bent, and may make a soft crackling sound when moved.
- More than one finger may be affected at a time, though it usually affects the thumb, middle, or ring finger.
- Trigger finger is usually more pronounced in the morning, or while gripping an object firmly.
Ganglion Cysts
A ganglion cyst (also known as a bible bump) is a swelling that often appears on or around joints and tendons in the hand or foot.
Ganglion Cyst Symptoms:
- The size of the cyst can vary over time, often becoming more inflamed if irritated.
- Are most frequently located around the wrist and on the fingers.
Thailand Orthopedic Surgery offers a wide range of orthopedic medical services, including hand surgery, performed by highly qualified hand orthopedic surgeons. If you are interested in orthopedic medical tourism in Bangkok, Thailand and would like to find out more, please click here >>>
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can i schedule carpal tunnel surgery immediatley with you? I want to do asap. do you perform ENDOSCOPIC technigue type of carpal tunnel surgery?
what is the cost?
thanks,
Dear sir
Iam from kuwait and ihave aproblem with My daughter was born on 21 November 2006 and is suffering from congenital deformity in her hands, both right and left. She also has bilateral thumbs. I wonder if you could treat her. I will be faxing/emailing you with copies of her x-rays and medical report from the Ministry of Health in Kuwait, if you request so. Kindly look into the matter and reply to me as soon as possible. And please inform me whether her bilateral thumbs will be extracted or not and what will be the cost of the treatment.
Regards,
Fatima Husain Mohammed Ahmed
Hello,
I sent you an e-mail last week asking about the cost and procedure of the problem of Trigger ffinger problem on my left hand It is my index and middle finger that I have the problem wit. I am coming in May and I need to get my agenda together . I also need the time that I need to spend in Bangkok plus I would ask if you could help finding me a hotel that is close. I also would like to know if you provide pick-up service from the airport. Thank you and I wait for my answers
Mr. Bonyai
Hello,
I’ve been diagnosed as having a trigger thumb (stenosing tenosynovitis). I plan to be in Bangkok in November. Please quote me a price for surgery to correct the thumb.
Thank you.
Paul K
Dear Sir,
i am Ahmed, from OMAN. By this mail, i just want to know the diagnosis of the problem related to orthopedics and whether it requires sergery or treatment only. That is, for my father, from long time ago he has been complaining and suffering right now from his legs especially knees mostly affect him at night when he comes to rest at the end of the day. He is around 65 years old and has no other illnesses except this only which worries him alot and i was afraid that this sickness will have side effect later on the heart. I will be faxing/e-mailing you at your request of X-ray or medical reports. I kindly appreciate if you could help me find the treatment for my father or to guide me to some special hospitals there. Please kindly look to the matter and reply as soon as possible.
Regards;
Ahmed
OMAN
Hello,
I have done buisness with you before with my hair last year. I have a finger on my rite hand that was broken and never healed write so When I try to close my hand it bends in the middle preventing it from closeing. Also, when I wake up the finger is swollen. It has been broken for a few years now.
I am 59 years old white male with dupytrons. It affects my right little finger. I would not worry but I swim in Ocean Swimming events and my bent finger is becoming painful. Is there any surgery that might help and if so what would it cost and how long would it take.I am hooping to be in Thailand in December. I look forward to hearing from you.
Regards James Martin
i have PANCA autoantibodies positive and hashimotothyrodites (TPO POSITIVE)
LDH enzyme high 620 , ESR :55 , CRP: 22 , Aldolase enzyme High 9.7
bilirubin 1.3(norm:up to 1.0) ,Total protiens 8.9 , Albumin normal ,Alkalin phosphatase 128 high , muscle weaknes skin rash in my buttock and in the back of my legs , Diarrhea ,pitting Edema in my legs and hands with fever in the site of edema and redish skin ,joint pain,difficult to clump stairs ..and ihave tenosynovitis
What possiple diagnosis may ihave please answer me give me any possiblety