Hand and Wrist Surgery in Delhi
Hand and Wrist Surgery in Delhi covers Carpal Tunnel, Trigger Finger, TFCC tears, De Quervain’s, ganglion cysts, small‑joint arthritis, and more. We provide precise diagnosis and goal‑oriented treatment—nerve releases, tendon procedures, wrist arthroscopy, and small‑joint solutions—so you can grip, type, lift, and return to work sooner. We do not provide in‑house physiotherapy; we share written protocols and coordinate with your physiotherapist for criteria‑based recovery.
Nerve releases • Tendon procedures • Wrist arthroscopy • Small‑joint solutions • WALANT/regional anesthesia
About Hand and Wrist Surgery in Delhi
Your hands power everyday life—typing, lifting, cooking, caring. Pain, numbness, catching, or weakness can derail confidence at work and at home. Hand and Wrist Surgery in Delhi focuses on accurate diagnosis and tailored interventions that balance quick recovery with durable outcomes. Non‑operative options are considered first; when surgery is indicated, we use minimally invasive techniques where possible and clear home programs to restore strength and dexterity.
We combine a careful clinical exam with targeted imaging and, when needed, nerve tests. As Orthopedic Surgeons, we lead decisions on conservative care versus surgery, incision strategy, tendon/nerve handling, and post‑procedure protection—with a priority on scar comfort, glide, and early safe motion.
Conditions We Treat
Carpal Tunnel Syndrome
Night numbness/tingling, hand clumsiness; treated with splints, injections, and when needed, mini‑open release.
Trigger Finger/Thumb
Painful catching/locking; options include steroid injection or A1 pulley release through a small incision.
De Quervain’s
Radial wrist pain with thumb motion; splinting/injection, then compartment release if persistent.
TFCC Tears
Ulnar‑sided wrist pain and clicking; arthroscopic debridement or repair depending on tear type and stability.
Ganglion Cysts
Common dorsal wrist or mucous cysts; aspiration or surgical excision with stalk treatment to reduce recurrence.
Thumb CMC Arthritis
Basal thumb pain with pinch; splints/injections initially, surgical options include trapeziectomy with suspensionplasty.
Dupuytren’s
Progressive finger contracture; needle aponeurotomy vs limited fasciectomy based on pattern and goals.
Tendon & Ligament Injuries
Mallet/jersey finger, sagittal band, scapholunate sprains; indicated repairs, reconstructions, or splint protocols.
We also manage distal radius/scaphoid fractures, ECU subsheath injuries, and small‑joint arthritis of the fingers.
Evaluation & Diagnostics
- Clinical exam: Provocative maneuvers (Phalen, Tinel, Finkelstein, TFCC load), tendon glide, and stability tests.
- NCS/EMG: Nerve conduction and electromyography for suspected compression neuropathy or overlap with cervical radiculopathy.
- Ultrasound: Dynamic tendon/nerve imaging; useful for cysts and tenosynovitis.
- X‑rays: Rule out arthritis, fractures, carpal alignment issues.
- MRI/Arthrogram: TFCC/ligament tears and cartilage injuries when exam is inconclusive.
- Diagnostic injections: Targeted anesthetic injections can clarify pain sources and guide treatment.
Clear diagnosis helps us choose the least invasive option with the best chance of lasting relief.
Nerve Releases: Carpal, Cubital & Guyon’s Canal
Nerve compression causes numbness, night pain, dropping objects, and sometimes muscle wasting. When splints, activity changes, and injections fail—or nerve studies show significant compression—surgery can protect function.
Carpal tunnel release
Mini‑open or endoscopic approaches decompress the median nerve. Many return to desk work in 3–7 days; grip strength improves over weeks. Persistent numbness can take months to recover if compression has been long‑standing.
Cubital tunnel (elbow)
In‑situ decompression or transposition for ulnar nerve symptoms; night‑time elbow extension splints help early.
Guyon’s canal
Targeted release for ulnar nerve compression at the wrist, often related to cysts or repetitive pressure.
Tendon Procedures & Repairs
Tendon problems limit dexterity, grip, and push/pull strength. We match the procedure to your goals and job demands while protecting glide and minimizing scar sensitivity.
- Trigger finger release: A1 pulley release through a small incision; immediate finger motion encouraged to prevent adhesions.
- De Quervain’s release: First dorsal compartment release; identify and protect tendon sub‑sheaths to prevent subluxation.
- Tendon repair/tenolysis: Flexor/extensor repairs with protected mobilization protocols; staged tenolysis for adhesions after healing.
- Tendon transfers: Address nerve palsies to restore pinch or wrist/finger extension as needed.
We do not provide physiotherapy in‑house; we share written tendon protocols and coordinate splinting and progression with your physiotherapist.
Wrist Arthroscopy & TFCC Solutions
Wrist arthroscopy uses tiny cameras and instruments to diagnose and treat cartilage, ligament, and TFCC injuries with minimal soft‑tissue disruption. It’s particularly helpful for ulnar‑sided wrist pain and mechanical symptoms.
TFCC debridement/repair
Central tears often debrided; peripheral tears with instability may be repaired; post‑op splinting and protected rotation are key.
Ulnar variance solutions
Arthroscopic wafer procedure for ulnar impaction in select cases; ulnar shortening osteotomy for structural overload when indicated.
Ligament evaluation
Assess scapholunate/LT injury pattern; staged reconstruction if instability persists.
Small‑Joint Arthritis & Reconstruction
Arthritis at the thumb base or finger joints can make simple tasks painful. We tailor options based on age, activity level, joint pattern, and expectations.
- Thumb CMC arthritis: Trapeziectomy with suspensionplasty or LRTI; alternatives include implant arthroplasty in select cases.
- PIP/MCP/DIP: Joint fusion for painful instability or arthroplasty for motion preservation depending on digit and demand.
- Wrist salvage: Proximal row carpectomy (PRC) or four‑corner fusion for specific arthritis patterns to balance pain relief with function.
- Cysts & masses: Ganglion/mucous cyst excision with stalk and capsule attention to reduce recurrence.
Non‑operative care—splints, activity changes, injections—remains first‑line where effective.
Anesthesia & Pain Strategy
For many procedures we use WALANT (Wide‑Awake Local Anesthesia No Tourniquet) or regional blocks (axillary/brachial plexus) to avoid general anesthesia, reduce nausea, and enable rapid discharge. We follow an opioid‑sparing plan with clear dosing schedules.
- WALANT/regional: Well suited for carpal tunnel, trigger finger, De Quervain’s, small joint work.
- Simple schedules: Paracetamol ± anti‑inflammatories as appropriate; ice, elevation, hand‑above‑heart positioning.
- Coordination: We do not provide physiotherapy in‑house; we supply written protocols and coordinate with your physiotherapist.
Recovery & Rehabilitation
We provide written, procedure‑specific protocols and coordinate with your physiotherapist; we do not provide physiotherapy in‑house. Early, protected motion reduces stiffness and improves glide.
- Carpal tunnel release: Light use within days; desk work 3–7 days; grip/pinch strengthen over 4–6 weeks.
- Trigger finger/De Quervain’s: Immediate finger/thumb motion; avoid forceful gripping for 2–3 weeks.
- TFCC arthroscopy: Splint 1–3 weeks depending on repair; gradual rotation and strengthening by 6–10 weeks.
- Tendon repair: Splinting and guided early passive/active motion per protocol; strengthening after 8–12 weeks.
- Thumb CMC surgery: Immobilization 3–4 weeks; hand therapy for pinch/strength; functional gains over 3–6 months.
Scar care, edema control, and adherence to splint schedules are essential to avoid adhesions and sensitivity.
Risks & Safety
Stiffness & scar sensitivity
Reduced with early motion, edema control, and scar management.
Nerve/vascular injury
Uncommon with meticulous technique; symptoms are monitored closely.
Infection
Low risk; reduced with sterile technique and wound care.
CRPS
Rare pain/amplification syndrome; early recognition and therapy pathway improve outcomes.
Recurrence or incomplete relief
Possible with cysts, tendinopathies, or severe nerve damage; we set expectations up‑front.
Cost & Insurance
Costs vary by diagnosis (e.g., Carpal Tunnel vs TFCC repair), anesthesia (WALANT/regional vs GA), implants (anchors/plates), and whether arthroscopy is required. Many procedures are day‑care with quick return to function. Most insurers cover medically necessary hand and wrist procedures. We verify benefits and provide a transparent estimate before scheduling your Hand and Wrist Surgery in Delhi.
- Insurance pre‑authorization & benefits check
- Clear estimate of surgeon, anesthesia, hospital, and implant costs
- Cashless/financing options where applicable
How to Prepare
Records & tests
Bring prior notes, X‑rays/MRI/ultrasound, and any NCS/EMG reports; videos of catching/locking can help.
Medications
Share blood thinners and diabetes meds; some require timed pauses. Ask about fasting if sedation is planned.
Work planning
Arrange modified duties for 1–2 weeks after most day‑care procedures; heavy work requires longer.
Home setup
Stock easy‑open bottles, prep meals, and arrange help for chores during the first few days.
Physiotherapist contact
We do not provide physiotherapy in‑house; share your physiotherapist’s details so we can align written protocols and splint plans.
Where to Consult Dr. Neelabh
BLK Hospital
A-4-6, Pusa Rd, Near Rajendra Place Metro Station, New Delhi-110005
🕓 4:00 PM – 6:00 PM
Timings may vary—please call +91‑9810117204 to confirm.
FAQs
Do all patients with carpal tunnel need surgery?
How soon can I drive after carpal tunnel or trigger finger release?
What is the recovery after TFCC arthroscopy?
Will scars be noticeable?
Do you provide physiotherapy?
Need Hand and Wrist Surgery in Delhi?
Book a consultation. We’ll confirm your diagnosis, outline conservative options, and plan precise procedures that get you back to life—fast.