Hands & Wrists Solutions
Hand and wrist surgery encompasses a specialized field of orthopaedic surgery focused on treating injuries, disorders, and degenerative conditions affecting the intricate structures of the hand and wrist. These complex anatomical regions contain 27 bones, numerous joints, tendons, ligaments, nerves, and blood vessels that work together to provide the remarkable dexterity and function that makes human hands unique. Dr. Sanesh V. Tuteja, with his extensive international training including fellowships at Cardiff and Vale University Health Board (UK), EWHA University Medical Centre (South Korea), and Centre Orthopédique Santy (France), brings world-class expertise to hand and wrist surgery in Mumbai. His Fellowship of the Royal College of Surgeons (FRCS) in Trauma and Orthopaedics, combined with training in leading upper limb units in London, ensures that patients receive the highest standard of specialized care.
Conditions Treated
Dr. Tuteja’s specialization in hand and wrist conditions encompasses a comprehensive range of problems affecting individuals across all age groups and activity levels.
Carpal Tunnel Syndrome
The most common nerve compression condition affecting the hand. The median nerve becomes compressed causing numbness, tingling, and pain in the thumb, index, middle, and half of the ring finger. Dr. Tuteja’s expertise in carpal tunnel release Mumbai procedures ensures optimal relief with minimal scarring.
Wrist Fractures
Particularly distal radius fractures, among the most common bone injuries. These can range from simple undisplaced fractures to complex intra-articular injuries requiring specialized surgical techniques. Dr. Tuteja’s trauma surgery training ensures excellent functional outcomes.
Trigger Finger & De Quervain’s
Trigger finger involves inflammation causing fingers to catch or lock during bending. De Quervain’s tenosynovitis affects thumb-side tendons, causing pain with grasping and twisting movements. Surgical release provides excellent relief when conservative treatments fail.
Dupuytren’s Contracture
Involves thickening and contracture of the fascia in the palm, causing fingers to bend toward the palm and limiting hand function. Surgical treatment can restore finger extension and improve hand function significantly.
Tendon Injuries & Arthritis
Cuts or ruptures of tendons significantly impact function requiring specialized surgical repair techniques. Degenerative arthritis affecting various hand and wrist joints causes pain and limits function, with treatment ranging from conservative management to joint replacement.
Surgical and Conservative Treatments
Dr. Tuteja’s approach to hand and wrist care emphasizes comprehensive evaluation and individualized treatment planning. Many conditions can be effectively managed with conservative treatments, while others require surgical intervention for optimal outcomes.
Conservative Treatment
Splinting, bracing, anti-inflammatory medications, targeted injections, physical therapy, occupational therapy, and activity modifications. Custom-fitted splints provide support and reduce symptoms while specialized hand therapy restores function.
Carpal Tunnel Release
Releases the transverse carpal ligament to relieve pressure on the median nerve. Can be performed through traditional open or endoscopic methods. Dr. Tuteja’s expertise ensures optimal relief with minimal scarring and rapid return to function.
Wrist Fracture Fixation
Complex wrist fractures require surgical reduction and fixation using plates, screws, or external fixation devices. Dr. Tuteja’s trauma surgery training ensures fractures are treated with appropriate techniques to restore normal anatomy and function.
Tendon Repair & Reconstruction
Injured tendons require specialized surgical techniques for optimal healing. Primary repair is preferred when possible, while tendon transfers or grafts may be necessary for more complex injuries requiring microsurgical skills.
Nerve Release Surgeries
Nerve compression syndromes affecting the hand and wrist require specialized surgical techniques for optimal outcomes. Dr. Tuteja’s expertise in nerve release surgery Mumbai encompasses various compression conditions.
Carpal Tunnel Release
The most common nerve release procedure, involving dividing the transverse carpal ligament to relieve median nerve pressure. Excellent success rates for symptom relief.
Cubital Tunnel Release
Addresses ulnar nerve compression causing symptoms in the hand, particularly numbness in the ring and little fingers with associated weakness.
Guyon’s Canal Release
Less common procedure addressing ulnar nerve compression at the wrist level, which can cause numbness and weakness in the hand.
First Dorsal Compartment Release
Treats De Quervain’s tenosynovitis by releasing the tight tendon sheath on the thumb side of the wrist for excellent symptom relief.
Recovery Timeline
Recovery from hand and wrist surgery varies significantly depending on the procedure performed and individual patient factors. Dr. Tuteja provides detailed post-operative instructions and works closely with specialized hand therapists to optimize recovery.
Immediate Post-Operative Phase
Pain management and wound care are primary concerns. Many procedures allow for early gentle motion to prevent stiffness while protecting healing tissues.
Early Recovery (1-6 weeks)
Range of motion exercises are gradually introduced. Some procedures may require immobilization for several weeks, while others allow immediate motion.
Intermediate Recovery (6-12 weeks)
Strengthening exercises are introduced as healing progresses. Return to light activities and work may be possible during this phase for many procedures.
Advanced Recovery (3-6 months)
Full strengthening and functional activities are typically possible. Return to heavy lifting, sports, and demanding activities depends on the procedure and individual healing.
Long-term Recovery
Most patients achieve excellent long-term outcomes with proper treatment and rehabilitation. Dr. Tuteja provides ongoing guidance to optimize long-term function.
Patient Testimonials
“Dr. Tuteja’s carpal tunnel surgery has completely eliminated my numbness and pain. I can work on my computer all day without problems now.”
“After breaking my wrist in an accident, Dr. Tuteja’s surgical skill restored perfect function. You can barely see the surgical scars.”
“The trigger finger surgery was quick and effective. Dr. Tuteja’s expertise made the whole process smooth and comfortable.”
Frequently Asked Questions
Q: How do I know if I need surgery for carpal tunnel syndrome?
A: Surgery is typically considered when conservative treatments fail to provide relief and nerve conduction studies show significant compression. Dr. Tuteja will thoroughly evaluate your condition to determine the best treatment approach.
Q: Will I regain full sensation after nerve release surgery?
A: Most patients experience significant improvement in symptoms, though recovery depends on the duration and severity of compression before surgery. Early treatment typically results in better outcomes.
Q: How long will I be off work after hand surgery?
A: This varies greatly depending on the procedure and your type of work. Office workers may return within days for some procedures, while manual laborers may need several weeks or months.
Q: What are the risks of hand and wrist surgery?
A: While complications are rare, risks may include infection, bleeding, nerve injury, stiffness, and incomplete symptom relief. Specific risks vary by procedure and will be discussed during consultation.
Q: Is minimally invasive surgery available for hand conditions?
A: Many hand procedures can be performed through minimally invasive techniques, including endoscopic carpal tunnel release. Dr. Tuteja will determine the most appropriate approach for your condition.
Q: When can I drive after hand or wrist surgery?
A: This depends on which hand is involved, the procedure performed, and your ability to safely control the vehicle. Most patients can drive within 1-2 weeks for simple procedures.
Contact Dr. Tuteja’s clinic today to benefit from internationally trained expertise in hand and wrist surgery Mumbai, carpal tunnel release Mumbai, and wrist fracture treatment Mumbai. His Fellowship of the Royal College of Surgeons (FRCS) and extensive international training provide access to world-class hand and wrist care with optimal functional outcomes.