Orthopedic surgeons specialize in treating a variety of musculoskeletal injuries, including those affecting the wrist and hand. These injuries can stem from sports activities, accidents, or degenerative conditions. Understanding how orthopedic surgeons approach treatment can empower patients and help them make informed decisions about their care.

When a patient presents with a wrist or hand injury, the orthopedic surgeon typically begins with a comprehensive evaluation. This includes taking a detailed medical history and conducting a physical examination to assess the extent of the injury. Imaging studies, like X-rays or MRIs, are often ordered to visualize bone and soft tissue damage, ensuring an accurate diagnosis.

After assessing the injury, orthopedic surgeons discuss treatment options, which can generally be categorized into non-surgical and surgical methods.

Non-Surgical Treatments

Non-surgical interventions are often the first line of treatment and may include:

• Rest: Allowing the injured area to heal is crucial. Surgeons may recommend a period of rest, avoiding activities that could exacerbate the injury.
• Icing: Applying ice packs can help reduce swelling and relieve pain.
• Bracing: A splint or brace may be used to immobilize the wrist or hand, which can facilitate healing.
• Physical Therapy: Once initial healing has occurred, physical therapy may be recommended to restore range of motion and strengthen the muscles around the joint.
• Medications: Over-the-counter pain relievers or anti-inflammatory medications may be prescribed to manage pain and swelling.

Surgical Treatments

If non-surgical treatments fail to provide relief, or if the injury is severe, an orthopedic surgeon may recommend surgery. Common surgical procedures include:

• Carpal Tunnel Release: This procedure is performed to relieve pressure on the median nerve, often resulting in reduced pain and improved function.
• Tendon Repair: In cases of torn tendons, surgical repair may be necessary to restore function to the hand.
• Fracture Fixation: Bones in the wrist or hand that are fractured may require surgical intervention to realign and stabilize them using plates, screws, or pins.
• Joint Replacement: In cases of severe arthritis affecting the hand or wrist joints, joint replacement surgery may be an option to alleviate pain and restore function.

Post-Operative Care and Recovery

Post-surgery, patients are typically placed in a splint or cast to protect the surgical site. Follow-up visits are critical to monitor healing and make adjustments to the treatment plan if necessary. Rehabilitation programs may also be implemented to facilitate recovery.

Throughout recovery, patients should adhere to their orthopedic surgeon’s instructions, including any prescribed physical therapy sessions. These sessions are designed to improve flexibility, strength, and overall function, ensuring a successful return to daily activities.

Conclusion

Orthopedic surgeons employ a comprehensive approach to treat wrist and hand injuries, utilizing both non-surgical and surgical techniques depending on the nature and severity of each injury. Early intervention and appropriate treatment are essential for achieving the best possible outcomes. If you're experiencing wrist or hand pain, consult an orthopedic surgeon who specializes in these types of injuries to explore your treatment options.