Wrist and hand pain is a widespread issue among adults, affecting approximately 19.1% of the population. Deciding whether to pursue surgery can feel overwhelming. Knowing the pros and cons is key to making an informed choice.
At Pittsburgh Hand and Nerve, we treat hand conditions and peripheral nerve issues in the Pittsburgh area. With years of experience, Alexander Spiess, MD provides personalized care for each patient. If you’re dealing with hand numbness, pain, or limited mobility, we’ll help you find the right solution. Schedule an appointment today to improve your hand health.
Read on as we break down the benefits and considerations of hand surgery to help you make the best decision for your care.
When Is Hand Surgery Necessary?
Symptoms and Signs Indicating Surgery Might Be the Next Step:
- Persistent pain that doesn’t improve with non-surgical treatments like rest, splinting, ice, or anti-inflammatory medications.
- Numbness or tingling, particularly in the thumb side or index finger, interfering with everyday activities
- Severe pain or swelling in one or more fingers that limits function
- Loss of strength or inability to grip small objects or perform certain tasks
- Visible deformities in the finger joints, bent positions, or irritated tendons causing pain
- Symptoms tied to underlying causes like carpal tunnel syndrome, trigger finger, rheumatoid arthritis, or peripheral neuropathy
Common Conditions That May Require Hand Surgery
Hand surgery may be necessary for painful conditions like carpal tunnel syndrome, tendon inflammation, or joint pain from arthritis. Other treatments like steroid injections, topical anti-inflammatory medications, heat or cold therapy, and occupational therapy may be tried first to ease pain and reduce swelling.
If these treatment options fail, surgery may be considered to relieve pain, restore blood flow, or correct connective tissue damage. Common surgeries include releasing the tendon sheath for the trigger finger, repairing irritated tendons, or addressing median nerve compression.
Doctors use physical exam findings, blood tests, imaging (like X-rays or MRIs), or nerve tests to identify the underlying cause and determine the best treatment options for severe cases.
Risks and Benefits of Hand Surgery
Risks:
- Bleeding or Infection: A possibility after surgery, requiring proper care and monitoring.
- Nerve Damage: Potential for numbness or weakness in the affected area.
- Incomplete Results: Surgery may not fully resolve pain or restore functionality.
Benefits:
- Pain Relief: Surgery can address chronic pain caused by irritated tendons, blood vessel issues, or injuries, providing relief.
- Restored Mobility: Procedures can help with thumb trouble, finger joints, and connective tissues, making everyday activities easier.
- Improved Quality of Life: Surgery can reduce discomfort, allowing patients to handle small objects and perform certain tasks with ease.
However, hand surgery carries risks like bleeding, infection, nerve damage, or incomplete relief. It's essential to consult specialists to create a personalized plan that fits your needs.
Post-Surgery Recovery and Rehabilitation
Recovery from hand surgery can include pain, swelling, and stiffness. Occupational therapy plays a key role in rebuilding strength and flexibility.
Recovery Tips:
- Follow Post-Op Instructions: Follow your surgeon’s advice to avoid post operative complications.
- Attend Occupational Therapy: Therapists help rebuild function and ensure that you regain the ability to perform daily tasks.
- Protect the Hand: Avoid lifting heavy objects or overusing the hand while healing.
- Practice Hygiene: Keep the post-surgical dressing intact to prevent infections.
- Monitor Other Symptoms: Report redness, warmth, or worsening pain to your doctor promptly.
- Stay Consistent: Do the prescribed exercises to improve motion and flexibility.
Alternative Treatments Before Considering Surgery
Conservative Treatments for Hand Pain Relief
Before opting for surgery, there are many common treatments to ease pain and manage hand conditions:
- Heat or Cold Therapy: Heat or ice packs to reduce pain and swelling.
- Anti-inflammatory creams: Over-the-counter anti-inflammatory creams can help with minor joint pain or irritated tendons.
- Splints: These stabilize the area, to allow for tendon or joint rest.
- Steroid Injections: Reduce inflammation and provide relief for painful conditions like tendonitis or arthritis.
- Occupational Therapy: Helps improve mobility, function, and the ability to grip objects.
- Lifestyle Adjustments: Ergonomic tools, avoiding repetitive hand movements, and addressing the underlying cause can make a big difference.
In severe cases where treatments like anti-inflammatory creams or heat/cold therapy don’t provide relief, surgery might be the next step to restore function and reduce pain. Consult your doctor to explore all treatment options for your specific condition.
Start Your Journey to Hand Pain Relief
Effective hand and wrist pain treatment combines expert care, personalized solutions, and a focus on lasting recovery. At Pittsburgh Hand and Nerve, we guide you every step of the way to better comfort and functionality.
Don't wait to regain control of your daily life—schedule an appointment with Pittsburgh Hand and Nerve today. Our specialists are ready to provide comprehensive evaluations, discuss surgical and non-surgical options, and create a tailored treatment plan to address your needs. Visit us to learn more about our hand surgery and recovery programs.
