Medical Services

Hand and wrist disorders are a heterogeneous group of traumas and chronic ailments that affect function, cause pain, and inhibit the activities of daily living. Common problems include: Carpal tunnel syndrome – compression of the median nerve causing numbness, tingling and weakness Tendonitis and tenosynovitis – repetitive overuse De Quervain’s tenosynovitis – on the thumb side of the wrist Trigger finger – locking or catching Ganglion cysts – palpable lumps Sprains, fractures and dislocations – due to trauma Osteoarthritis or inflammatory arthritis – stiffness and damage to joints Initial symptoms include localised discomfort and swelling, a decrease in grip strength, morning stiffness, or an altered sensation in the fingers.

The diagnosis is based on a clinical examination with specific tests (Tinel, Phalen, etc.), imaging where needed, and nerve conduction studies in case of neuropathies. Initial management focuses on activity modification, splinting, ice, nonsteroidal anti-inflammatory drugs, and structured hand therapy to regain range of motion and strength. Injections of corticosteroids can help reduce inflammation in certain situations, although surgery may be required in chronic or severe cases to alleviate pressure on nerves, loosen tendons, remove cysts or stabilise fractures. Prevention with ergonomic changes, gradual strengthening, and frequent breaks from repeated activities can help reduce recurrence and improve long-term hand health.