- Ganglion – This is the most common type of benign tumor affecting the hand and represents an attritional tear to the joint capsule. It presents with a mass on the top or bottom of the wrist and can cause pain.
- Carpal Tunnel Syndrome – Compression of the median nerve that passes through the carpal tunnel at the wrist is known as carpal tunnel syndrome. Initially it manifests as nocturnal tingling and numbness of the thumb and fingers with wrist pain. Gradually symptoms worsen, occurring at any time of the day. Weakness, discomfort and loss of manual dexterity can become permanent without treatment which consists of releasing the nerve compression with carpal tunnel surgery.
- Rheumatoid Arthritis – Rheumatoid arthritis is an autoimmune disease and one of the most destructive joint pathologies of the hand. Progression without treatment can affect ligaments and tendons. It is quite different from osteoarthritis which only involves joints. This complex condition often requires long-term rheumatologist management and is best treated in early stages with antirheumatic medications and steroids. Surgical management is reserved for severe and advance disease unresponsive to medical therapy.
Elective Hand Surgery
ELECTIVE HAND SURGERY in Houston, TX
Livingston Plastic Surgery offers elective hand surgery to diagnosis and treat various types of conditions with the goal to return to pain free daily life as soon as possible.
Elective hand surgery can be used to treat a number of conditions in which your hand is impaired in any way. There is a wide range of procedures performed at Livingston Plastic Surgery to treat diseases that cause pain in the hand, including ganglion cysts, carpal tunnel syndrome, tenosynovitis (“trigger finger”), Dupuytren’s contracture, hand osteoarthritis and rheumatoid arthritis.
To learn more about elective hand surgery or to discuss your different options, request a consultation today.
Christopher Livingston, MD
“The most important part of plastic surgery is achieving a youthful, refreshed look, with minimal downtime.”
Board-Certified Plastic & Reconstructive surgeon
Chris Livingston, MD
I believe that every design is personal. The connection we have with clients determines how the projects will look at the end of the design process. We must understand the clients and bond with them, be a part of their dream. Their dream is our dream.
Benefits of ELECTIVE HAND SURGERY
Most hand-related problems develop slowly and over a longer period of time. Patients seek medical care when the pain alters daily activities, causes sleepless nights or limits function, such as with carpal tunnel or osteoarthritis. Livingston Plastic Surgery offers elective hand surgery to diagnose and treat these types of conditions with the goal to return to work pain-free and as soon as possible.
Learn more about our elective hand surgeries by contacting Livingston Plastic Surgery today.
We offer a wide range of options for elective hand surgeries that will help enhance your quality of life, including:
- Tenosynovitis/Trigger Finger – To ensure minimal friction with tendon movement, tendons are bathed in a lubricant called synovial fluid which is produced by synovium which surrounds each tendon. Synovium may become inflamed, resulting in increased friction with tendon gliding and associated pain with finger movement. Without treatment, inflammation continues and the tendon will “catch” during movement and may only release with forced manipulation of the digit causing “triggering” of the finger.
- Dupuytren’s Disease – This is a benign but progressive palmar fibrosis common in the English and Irish during the fifth or sixth decade. Dupuytren’s disease presents as thickened cords under the skin that may be tender and eventually pull the finger towards the palm, restricting normal extension. Individuals who have diabetes, liver diseases, seizures or take certain long-term medications are more likely to develop this condition. First line treatment involves physical therapy with massage. If symptoms progress, surgical excision of the diseased and thickened tissue is indicated. Newer therapy involves injecting medications to break up the scar tissue.
Elective Hand Surgery FAQs
The recovery timeline depends on the type of surgery, the extent of the injury, and your body’s healing process. For most patients, it can take anywhere from several weeks to several months to see significant improvement.
For minor surgeries or injuries, you might regain most of your functionality within six to eight weeks. More complex procedures could take three months or longer. Follow all the advice given by Dr. Livingston and your physical therapist, as they will tailor your recovery plan based on your needs.
Your active participation, patience, and consistency are vital to a successful recovery, ensuring you restore mobility, flexibility, and strength over time.
Getting your surroundings ready for your return home from surgery starts with organization. Arrange your living space to make daily tasks easier. For instance, move frequently used items to accessible locations and keep heavier objects out of reach to avoid putting strain on your hand. Stock up on easy-to-prepare or ready-made meals to minimize cooking while ensuring you have plenty of nutritious options on hand.
Consider asking a close friend or family member to help you with daily tasks. If you work from home, set up a comfortable and ergonomic workspace and have all your necessary supplies within easy reach.
Throughout your recovery, carefully follow Dr. Livingston’s postoperative instructions. These include guidance on activities to avoid and exercises to perform, which will protect you from injury or infection that could potentially cause setbacks.
Before considering surgery, it’s always wise to speak with your primary care doctor about exploring complementary therapies that may address your condition. Some of these include custom braces or splints to stabilize and support the affected area, targeted physical therapy to improve muscle strength and range of motion, and medications like anti-inflammatories and corticosteroid injections for pain relief.
Additionally, lifestyle modifications such as switching to more ergonomic tools and adjusting your daily activities can reduce strain. Alternative therapies like acupuncture, massage, and chiropractic care may also offer relief. Consulting with your health provider can determine the best approach for your specific situation.
First, choose a skilled and experienced surgeon, like Dr. Livingston, who specializes in hand surgery. While you heal, follow all your postoperative instructions, including attending all follow-up appointments and recommended physical therapy. Keep the surgical area clean and protected, and avoid activities that could hurt your hand. Eating a nutritious diet and staying hydrated can also support your body’s healing process. Additionally, refrain from smoking and limit alcohol consumption, as these can impede recovery. Finally, stay positive and patient, allowing yourself plenty of time to heal and regain function.
It’s entirely possible for you to resume your favorite hobbies after hand surgery, but you must do so gradually under Dr. Livingston’s guidance. Initially, you’ll need to avoid strenuous activities for several weeks to prevent injuring your healing hand.
The timeline for returning to your activities depends on the type of surgery performed and your healing progress. Do gentle hand exercises as recommended in the immediate postsurgical period. More demanding hobbies, like sports, may require several months of recovery and rehabilitation. Continue doing physical therapy to safely build strength and functionality.
Consult with your surgeon or physical therapist to develop a personalized plan for easing back into your routine.
Wonderful and talented doctor, delightful staff, amazing facility. Would recommend to anyone!
– Andrew (Google Reviews)