Hand and Wrist Problems in Surat: Assessment and Treatment
Dr. Aman Khanna, M.S. Orthopaedics, assesses and treats hand, wrist and elbow problems in Surat: numbness from carpal tunnel syndrome, a catching finger, pain at the thumb side of the wrist, wrist swellings, tennis elbow, and broken bones of the hand and wrist. Many settle without an operation.
Hand, wrist and elbow problems seen at the OPD
The hand, wrist and elbow are packed with small tendons, nerves and joints, so a problem in one place often shows up as pain, stiffness or numbness a little further along the arm. At the first visit the doctor works out whether the trouble comes from a nerve, a tendon, a joint or a bone, because the treatment differs for each.
Carpal tunnel syndrome
Numbness and tingling in the thumb, index and middle fingers, often worse at night. A night splint comes first. Release surgery is considered if numbness is constant or the muscle at the base of the thumb is thinning.
Carpal tunnel page FractureWrist and hand fractures
Distal radius and scaphoid fractures, treated in a cast or with fixation, depending on the break.
Wrist fracture page TendonTrigger finger
A finger that catches, clicks or locks when it bends.
Read article TendonDe Quervain's tenosynovitis
Pain on the thumb side of the wrist, brought on by gripping and thumb movements.
Read article SwellingGanglion cyst
A soft lump on the wrist or hand. Many are watched without treatment; some are removed.
Read article ElbowTennis elbow and golfer's elbow
Pain on the outer or inner side of the elbow from overloaded forearm tendons.
Read articleHow a hand, wrist or elbow problem is assessed
The history matters as much as the examination: which fingers are affected, whether symptoms wake you at night, which hand you write with, your work and hobbies, and conditions such as diabetes or thyroid disease. The examination checks sensation, grip and tendon movement.
An X-ray shows bone and joint problems. Ultrasound can show a tendon problem or a cyst. A nerve conduction study is added when a nerve problem is suspected and the diagnosis is unclear, or before surgery. Because a pinched nerve in the neck can also cause tingling in the hand, the neck is examined as well.
Treatment: non-surgical care first, surgery where indicated
Many hand and wrist problems improve without an operation, particularly when they are seen early. The usual first steps are:
- a splint or a change in how the hand is used, to rest the irritated nerve or tendon
- hand exercises, guided by a physiotherapist where needed
- treating a linked condition such as diabetes or an underactive thyroid
Surgery is discussed when symptoms persist despite this, when a nerve or tendon is at risk, or when a bone is out of position. The operations in this area include carpal tunnel release, trigger finger release, removal of a ganglion and fixation of fractures of the wrist and hand.
Carpal tunnel and trigger finger release are done as open releases, usually awake under local anaesthesia as day-care procedures, with stitches usually removed at about two weeks. Fracture fixation may need an arm nerve block or general anaesthesia. The fingers are usually moved early to avoid stiffness, and a splint or dressing is kept for a period that depends on the procedure. Risks in general terms include stiffness, a tender scar, infection, bleeding, injury to a nerve or tendon (uncommon), and symptoms that persist or return.
Tennis elbow and golfer's elbow
Tennis elbow causes pain on the outer side of the elbow, felt when lifting, gripping or turning the forearm. It comes from the tendons that straighten the wrist and fingers. Golfer's elbow is the same kind of problem on the inner side.
Most cases improve with rest from the activity that provokes it, a forearm strap and a graded exercise programme over weeks to months. Platelet-rich plasma (PRP) injection is used where indicated. Surgery is considered for the few who do not improve with this, usually after about six months of non-operative care, and an arthroscopic release is offered. More detail is in the article on tennis elbow and golfer's elbow.
When to see a doctor
Book an OPD visit if you notice:
- numbness or tingling in the fingers that wakes you at night or has not settled over a few weeks
- a weak grip, dropping objects, or thinning of the muscle at the base of the thumb
- a finger that locks in a bent position
- a lump or swelling at the wrist that is growing or painful
See a doctor the same day for a hand that is hot, red and swollen with fever, a deep cut over the hand with a finger that will not bend or straighten, fingers that are pale, cold or numb after an injury, or an obvious deformity after a fall. These can mean infection, a cut tendon or nerve, or a fracture.
Who will see you
People often search for a hand doctor in Surat. Hand and wrist problems are part of Dr. Aman Khanna's general orthopaedic practice, which also covers joint replacement, arthroscopy and fracture care. Credentials are listed on the About page.
Where to find Dr. Khanna
Mahavir Hospital — Athwa
Mahavir Health Campus, Ring Rd, Athwa Gate, Surat 395001OPD: Mon–Sat 4:00–6:00 PM · By appointment
To book an appointment, message on WhatsApp at +91 89808 22922. Booking and OPD timings only; diagnosis and treatment advice are given at the consultation, not over chat. Patients also come to the Athwa Gate OPD from Navsari, Valsad, Vapi, Bardoli and Vyara.
Frequently asked questions
Which doctor should I see for hand and wrist pain?
An orthopaedic surgeon. Orthopaedic surgeons can assess most hand, wrist and elbow problems, including nerve compression, tendon problems, swellings and fractures. Dr. Aman Khanna sees these patients at the Mahavir Health Campus OPD, Athwa Gate, Surat, Mon to Sat 4 to 6 PM. The first visit decides whether treatment can be non-surgical.
Do you treat carpal tunnel syndrome and trigger finger?
Yes. Both are assessed first and then treated with non-surgical measures or, where advised, an open release done awake under local anaesthesia as a day-care procedure. Carpal tunnel syndrome has its own page: carpal tunnel syndrome and release surgery.
Does every hand problem need surgery?
No. Early carpal tunnel symptoms, tennis elbow and many ganglion cysts are managed without surgery first. Surgery is advised when symptoms persist, when a nerve or tendon is at risk, or when a bone is out of position.
What should I bring to the first visit?
Bring earlier X-rays, scans and nerve test reports, a list of your medicines, and details of conditions such as diabetes or thyroid disease. Note which hand you write with and which activities bring on the symptoms.
Do you treat broken bones of the hand and wrist?
Yes. A broken wrist or hand bone is treated in a cast or with fixation surgery, depending on the break. Distal radius and scaphoid fractures are covered on the wrist fracture surgery page.
Do you treat tennis elbow?
Yes. Tennis elbow is first treated with rest from the provoking activity, a forearm strap and exercises, and a PRP injection is used where indicated. Surgery, including an arthroscopic release, is usually discussed after about six months of non-operative care.
Where is the hand and wrist OPD in Surat?
At Mahavir Health Campus, Ring Rd, Athwa Gate, Surat 395001, Mon to Sat 4 to 6 PM, by appointment. To book an appointment, message on WhatsApp at +91 89808 22922.
Related pages
Carpal Tunnel Syndrome and Release Surgery
Symptoms, assessment, splinting and release surgery for carpal tunnel syndrome.
Carpal tunnel FractureWrist Fracture Surgery in Surat
Distal radius and scaphoid fractures: when a cast is enough and when fixation is advised.
Wrist fracture TraumaFracture Treatment in Surat
Fracture assessment, casting and fixation for limb and joint-area fractures.
Fracture treatment ServicesFull range of orthopaedic services
Joint replacement, arthroscopy, sports injuries and trauma care in Surat.
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