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The hand and wrist are complex structures with bones, tendons, nerves, ligaments, and joints all packed into a small area β so when something goes wrong, it can seriously affect daily function. Surgery is often a last resort after non-surgical treatments, but it can be highly effective when needed. π§ Common Conditions Requiring Hand or Wrist Surgery: 1. Carpal Tunnel Syndrome π₯ Caused by pressure on the median nerve π οΈ Carpal tunnel release cuts the ligament to relieve pressure π Recovery: 2β6 weeks (sometimes longer if nerve damage was advanced) 2. Trigger Finger π₯ Finger locks in a bent position due to tendon sheath inflammation π οΈ Tendon sheath is released to restore movement π Recovery: A few weeks 3. De Quervainβs Tenosynovitis π₯ Pain/swelling at the base of the thumb π οΈ Release of tendon compartment to allow freer movement π Recovery: 2β6 weeks 4. Ganglion Cyst Removal π₯ Fluid-filled bump on wrist or hand π οΈ Surgically removed if painful or recurrent π Recovery: Usually fast β 1β3 weeks 5. Fracture Repair (Hand/Wrist/Thumb) π₯ Common in falls or sports π οΈ May require pins, plates, or screws π Healing: 4β8 weeks (depends on bone and injury type) 6. Tendon or Ligament Repair π₯ From cuts, sports injuries, or overuse π οΈ Surgical repair followed by intensive hand therapy π Recovery: 6β12+ weeks 7. Arthritis Surgery π₯ For advanced osteoarthritis or rheumatoid arthritis π οΈ Options include joint fusion or joint replacement (e.g., thumb CMC joint) π Recovery varies; often includes splinting and rehab 8. Dupuytrenβs Contracture π₯ Fingers (usually ring/little) get pulled inward π οΈ Tissue is surgically removed or released (fasciectomy) π Recovery: 2β8 weeks or longer π Surgical Methods: Open surgery: Traditional incisions, often used for more complex repairs Minimally invasive (endoscopic): Smaller cuts, quicker healing Microsurgery: For delicate nerve/tendon repairs under a microscope π§ What to Expect Before & After: β Pre-op: Imaging (X-rays, MRI) Possible nerve testing (EMG for carpal tunnel) Discuss work/activity limitations post-surgery π©Ή Post-op: Splinting or casting Physical/Occupational therapy is crucial (especially for tendon/nerve surgeries) Keep the hand elevated to reduce swelling Pain is manageable with meds, ice, and rest β οΈ Risks/Complications: Infection Nerve injury or numbness Scar tissue or stiffness Recurrence (e.g., ganglion cysts or Dupuytrenβs) Prolonged swelling or weakness πͺ Quick Recovery Tips: Donβt skip hand therapy Keep up with motion exercises as prescribed Avoid heavy lifting or gripping too soon Monitor for numbness, excessive swelling, or signs of infection