Hand Surgery – Carpal Tunnel Release – Trigger Finger Surgery (Metro Dallas/Fort Worth, TX Area)

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About Hand Surgery

How would your life be affected if you lost the functionality of your hands? Not favorably. Our hands are essential to our livelihood. When they don’t function properly or a chronically painful, life can be challenging. Dr. Naveen Setty completed a one-year fellowship in hand surgery at the world-renowned Institute of Reconstructive Plastic Surgery at the New York University Medical Center. Setty Plastics & Aesthetics is proud to offer patients surgery for the fingers, hands, and wrists at this practice with the touch of a plastic surgeon. We want to help you repair your hands and increase their functionality, so you can be confident and self-assured. Some common hand conditions that require the special skills of a surgeon trained in microsurgery includes carpal or cubital tunnel syndrome, trigger finger, and other defects. Let Dr. Setty guide you through the process of hand surgery with better functionality and a natural appearance. He can consult with you in our Allen, McKinney, or Dallas, TX locations.

Common Hand Conditions

Carpal Tunnel Syndrome

Numbness, tingling, weakness, and pain in the fingers and/or hand are all characteristics of carpal tunnel. Pressure on the median nerve in the wrist causes this condition (where the nerve and the tendons connect from the forearm to the hand and the carpal tunnel in the wrist). This condition is caused by repetitive stress on the hands and wrists, injury, working conditions that require the handling of objects with force or vibration, and medical conditions (like diabetes, obesity, and arthritis). When symptoms (pain, numbness in the hand and fingers, tingling sensations, and more) are severe, then surgery will be needed to release the pressure on the nerve.

Pressure on the nerve is decreased by cutting the ligament that forms the roof (top) of the tunnel on the palm side of the hand. Incisions for this surgery may vary, but the goal is the same. Following surgery, soreness around the incision may last for several weeks or months. The numbness and tingling may disappear quickly or slowly. It may take several months for strength in the hand and wrist to return to normal. Carpal tunnel symptoms may not completely go away after surgery, especially in severe cases.

Cubital Tunnel Syndrome

Cubital tunnel is similar to carpal tunnel syndrome. It involves increased pressure on the ulnar nerve. Patients who experience this syndrome experience pain from the inner portion of the elbow down to the tips of the fingers. As is resides right next to the "funny bone," bumping the ulnar nerve or putting pressure on the medial epicondyle can be very painful. Cubital tunnel syndrome can too cause numbness, tingling, and sharp pain from the elbow through the forearm, hand, and fingers. When this syndrome because severe, it will interfere with all aspects of arm movement. A surgical intervention will be needed to release the pressure of the ulnar nerve.

Trigger Finger

Trigger finger (stenosing tenosynovitis) is visually easier to diagnose as this painful condition causes the fingers to be set in a bent, fixed position. A patient with trigger finger cannot relax or release the fingers from the fixed position, which may be caused by a medical condition like rheumatoid arthritis, gout, or diabetes. Surgery is an effective way to release trigger finger, so the fingers can return to their normal position and become functional again.

Diagnostics & Evaluations

During your evaluation and consultation, Dr. Setty will collect detailed information in regard to your health. He will want to know your past and current medical conditions, medications you are taking, and what symptoms you are experiencing. Also, he may have specific questions about how your hands have been used throughout your life and if you have ever had an injury or fracture in your arm, hand, or fingers. He may also order an x-ray to check for the other causes such as arthritis or a fracture. In some cases, laboratory tests may be done if there is a suspected medical condition that is associated with your symptoms. Nerve conduction velocities (NCV) testing and an electromyogram (EMG) are part of an electrodiagnostic study to confirm the diagnosis of carpal tunnel syndrome and other nerve problems. 

Surgical Techniques

Handy surgery is performed in an accredited, outpatient surgery center. The number of hours in the surgical suite and level of anesthesia will be dependent on the patient and severity of the case. Once in recovery, each patient will be advised on wound care and how to clean and bandage the area. It is best to keep all appointments following the procedures for optimal results.

Endoscopic surgery for carpal tunnel can provide more space for the nerve, which is accomplished by cutting the ligament at the top of the tunnel (palm side of the hand). The incision will be made within the wrist crease. The incision point will be sutured closed once the ligament has been cut. Surgeries of the past have included a large incision across the palm of the hand.

Surgery for cubital tunnel syndrome will involve moving the nerve within the elbow (under a layer of fat or muscle, within a muscle, or to the front of the elbow to relieve the pressure. The incision will be closed with a suture. Physical therapy may be necessary to rehabilitate the arm.

Trigger finger release surgery can be performed with a local anesthetic in our office. An incision will be made in the palm of the hand with a sterile needle. Dr. Setty will cut the sheath tunnel to widen it and allow the tendon to move more freely. It will be closed with sutures and bandaged before discharge.

What to Expect

As our hand surgery patients are unique, which makes it difficult to give an estimate on healing and recovery time for future patients. We will educate you on how to care for your incisions to prevent infection and promote the growth of healthy skin tissue. Your rate of recovery depends on how well you respond to the treatment. You can expect to have mandatory follow-up appointments with Dr. Setty to monitor your recovery, pain management, and progress in physical therapy.

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Plan Your Procedure

Recovery Time  
1 – 2 Weeks
Average Procedure Time  
1 Hour
Post-op Follow-up  
10 – 14 Days
Procedure Recovery Location  
At Home
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Get Beautiful Results

Dr. Setty is dedicated to the functionality and the aesthetics of your hand in the treatment of hand conditions. He sees patients with carpal or cubital tunnel, and trigger finger conditions. Our team will also consult with patients with De Quervain’s tenosynovitis, Dupuytren’s disease, extensor and flexor tendon injuries, ganglion cysts, osteoarthritis. or thumb arthritis. If you select Dr. Setty to be your hand surgeon, you can rest assured you will be in good hands. Call and schedule your consultation today.

*Individual results are not guaranteed and may vary from person to person. Images may contain models.