What Types of Hand Conditions Need Surgery?

What Types of Hand Conditions Need Surgery?

Think about your hands for a moment. You use them for just about everything – to type, cook, clean, and express yourself. They’re crucial to daily life, which is why when something is off, it can be more than just inconveniencing; it can be life-altering. From nagging aches to sharp pains and limited movement, hand conditions can seriously hinder your ability to function. 

Common Hand Conditions That Lead to Surgery

Some individuals might only need rest or physical therapy to manage their hand issues, but others are not so lucky. Various conditions, injuries, and diseases can lead to the recommendation of surgery. 

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Here are a few of the most common culprits:

1. Arthritis

Osteoarthritis and rheumatoid arthritis are leading causes of hand pain and disability. When the cartilage that cushions the joints deteriorates, bones can rub together, leading to pain and swelling. Surgery can range from joint fusion to total joint replacement, depending on the severity and location of the arthritis in your hand.

2. Carpal Tunnel Syndrome

A condition where the median nerve, which runs from the forearm into the palm, becomes pressed or squeezed at the wrist. This can lead to numbness, tingling, weakness, or muscle damage in the hand and fingers. Surgery is often the recommended treatment for carpal tunnel syndrome after conservative treatments fail.

3. Trigger Finger

Trigger finger or stenosing tenosynovitis, is a condition where one of your fingers gets stuck in a bent position. It may bend or straighten with a snap — like a trigger being pulled and released. If non-surgical methods don’t help, surgery to release the tendon may be necessary.

4. Dupuytren’s Contracture

This is a hand deformity that usually develops slowly over the years. The layer of tissue underneath the skin of your palm contracts and toughens, causing one or more fingers to curl and pull toward your palm. Surgical procedures can remove or release this tough tissue to improve movement.

5. Ganglion Cysts

The wrist is a common place for ganglion cysts to pop up. These fluid-filled lumps can be painful and cause joint mobility issues. Surgery is an option when other treatments or cyst drainage hasn’t provided relief or if the cyst is interfering with hand movement.

Non-Surgical Treatments to Consider Before Surgery

Surgery might be a powerful tool in the battle against hand conditions, but it’s not always the first line of defense. Healthcare providers often recommend less invasive treatments before taking the surgical route:

  • Physical Therapy: A skilled physical therapist can help increase the strength and mobility of your hand with targeted exercises.

  • Splinting or Bracing: Immobilizing a troubled joint can sometimes alleviate pain and prevent further damage, particularly with conditions like carpal tunnel syndrome or arthritis.

  • Medications: From anti-inflammatory drugs to steroid injections, medications can often provide significant relief of hand pain and swelling.

What to Expect in Surgery

Deciding on surgery is significant, and knowing what to expect can help ease some of the anxiety associated with the process. Most hand surgeries are outpatient procedures, meaning you’ll likely go home on the same day. Recovery times can vary based on the type of surgery and your overall health, but expect some downtime and a period of hand therapy to regain full function.

Preparing for Surgery

Before surgery, you’ll meet with your surgeon to go over the details of the procedure and get instructions on how to prepare. This might include fasting, medication adjustments, and arranging for help post-surgery.

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During the Procedure

Hand surgeries can be performed under local, regional, or general anaesthesia, depending on the complexity of the procedure. Your surgeon will use specialized tools to correct the problem while causing as little disruption as possible to surrounding tissues.

After the Operation

Right after surgery, the focus is on managing pain and preventing infection. Your hand may be bandaged, and you may need to wear a splint. Following your surgeon’s aftercare instructions is essential for a swift and successful recovery.

Treating Your Hands Post-Surgery

Lifestyle changes and rehabilitation play critical roles in your hand’s recovery post-surgery. Here’s what may be in store for you:

  • Physical Hand Therapy: You’ll likely be referred to a hand therapist who’ll guide you through exercises to restore movement and strength.

  • Medication Management: Pain relief will be a priority, and your doctor will prescribe medication as needed to help manage discomfort.

  • Home Care: Your daily routine might need to change to include new hand exercises, wound care, and temporary avoidance of certain activities.

Caring for Your Hands to Avoid Future Surgery

Maintaining hand health is key to avoiding future surgeries. This includes regular exercise, proper ergonomics when using your hands, and managing chronic conditions that could affect hand health, like diabetes or arthritis. If you feel pain or notice changes in your hand function, don’t hesitate to consult a healthcare provider.

Final Thoughts

Every hand condition is unique, and treatment plans will differ. Whether you’re considering minor adjustments or more major interventions, educate yourself on the options. Consult with professionals, weigh the risks and benefits, and remain proactive in your hand health. With advancements in medical techniques and a greater understanding of the hand’s intricate anatomy, there is a high success rate for those who undergo hand surgeries.