Hand or wrist surgery may be considered when nerve compression, arthritis, tendon injury, or fracture causes persistent pain, weakness, numbness, loss of motion, or difficulty using the hand. Many conditions can first be treated with splinting, activity modification, hand therapy, medication, or injection.
Procedures Offered
Carpal tunnel release relieves pressure on the median nerve by dividing the ligament forming the tunnel roof. Surgery may be considered when numbness persists or evaluation shows weakness or nerve damage. Open and endoscopic techniques are both accepted.
Trigger-finger release opens the narrowed pulley restricting tendon movement when splinting or injection fails to provide sufficient improvement.
Thumb CMC arthroplasty may be considered when arthritis at the thumb base continues to impair pinching and gripping despite nonsurgical treatment.
Tendon repair and fracture fixation may be necessary after lacerations, traumatic injuries, displaced fractures, or unstable fractures.
Planning and Recovery
The provider assesses motion, grip, tendon function, circulation, and sensation. Same-day X-rays may be completed in the office. MRI or nerve-conduction studies may be ordered externally. Some operations allow early movement, while tendon repairs and fractures may require longer protection and structured hand therapy.
Locations
Surgical consultations and follow-up visits are available through our clinics in New Braunfels, Seguin, Cuero, Kenedy, Hallettsville, and Yoakum. Surgery may be performed at affiliated facilities, including Resolute Health and Guadalupe Regional Medical Center, depending on the surgeon, procedure, and patient needs.