Dr. Girish Gupta
23 A, Manav Ashram Colony (Opp.Suresh Traders), Gopalpura Mod, Tonk Road, Jaipur
+91 9828058480

Category: Recent Advancements

Top 5 Ankle Surgeons in Jaipur

Posted on by bonesandnerves

Ankle problems are easy to ignore at first. A small twist while walking. A dull pain after work. Some swelling that comes and goes. Most people think it will heal on its own. Days pass. Then weeks. Slowly, walking becomes painful. Standing feels tiring. Even short distances feel long. This is when daily life starts to change. Finding the right Ankle Surgeons in Jaipur at this stage can save months of pain

I have seen people stop morning walks. Some avoid stairs. Others sit more and move less. The ankle carries body weight every day. When it hurts, everything feels harder. At this stage, finding the right ankle specialist becomes important, as proper care at the right time can prevent months of ongoing pain and discomfort.

Jaipur has become a strong center for orthopedic care. Many doctors here focus only on bones and joints. Some specialize in foot and ankle cases. That focus matters. Experience matters. That’s why choosing a trusted Ankle Doctor in Jaipur makes a big difference. Below is a simple and honest look at the top ankle surgeons in Jaipur.

List of 5 Ankle Surgeons in Jaipur

 

1. Dr. Girish Gupta – Bones & Nerves

Dr. Girish Gupta is widely trusted among Ankle Surgeons in Jaipur for effective and patient-focused ankle care. He treats ankle injuries daily and has strong hands-on experience with different ankle conditions. His clinic, Bones & Nerves, is known for its calm environment and supportive care. Patients often share that he listens carefully and never rushes consultations.

He treats ankle fractures, ligament tears, nerve-related pain, and accident injuries. Long-term ankle stiffness and loss of movement are also commonly managed at his clinic. Dr. Gupta explains problems in simple language without using complex medical terms, which helps patients feel comfortable and confident about their treatment.

Ankle Surgeons in Jaipur

Many people consider him one of the reliable Ankle Surgeons in Jaipur due to his focused approach, clear guidance, and consistent results.

Contact Details:

  • Website:  https://bonesandnerves.in/
  • Clinic Address: 23 A, Manav Ashram Colony, Gopalpura Mod, Tonk Road, Jaipur 
  • Phone Number:  +91 9828058480

 

2. Dr. S.S.Soni

Dr. Vikalp Vashishtha is an experienced orthopedic doctor in Jaipur who treats ankle and joint problems. He helps with pain, ligament injuries, and trauma care. Patients appreciate his gentle approach. He provides safe treatment and focuses on strengthening patients’ walking and movement.

He is often chosen by families seeking safe, consistent care from a trusted foot and ankle specialist known for a patient-focused and reliable treatment approach.

Contact Details:

 

3. Dr. Ishwar Meena

Dr. Ishwar Meena is an experienced foot and ankle surgeon in Jaipur. He treats ankle pain, fractures, sprains, and sports injuries. Patients appreciate his gentle demeanor and clear explanations. Using modern techniques, he speeds recovery and helps restore mobility. People rely on him for difficult cases.

People who want slow and steady healing often prefer her care. She is recognized as an Ankle Specialist in Jaipur.

Contact Details:

  • Website: https://drishwarmeena.com/foot-and-ankle/ 
  • Hospital Name: Shanti Hospital
  • Address: Plot no B-3, Ashish Vihar, RBI colony, opposite Canara bank,RBI staff colony, Jagatpura, Jaipur 302017
  • Phone Number: 077374 38398

 

4. Dr. Chirag Jain

Dr. Chirag Jain is an orthopedic surgeon who specializes in ankle and foot problems. He treats ankle pain, injuries, fractures, and foot/ankle replacement surgery. Patients appreciate his friendly nature and clear guidance. Using the latest techniques, he helps reduce pain and improve movement.

Many patients trust him during emergencies and severe injuries. He is considered a skilled Best Ankle Surgeon in Jaipur. 

Contact Details:

  • Website: https://www.drchiragjainorthosurgeon.com/ 
  • Clinic Name: Jaipur Trauma & Orthopedic Centre
  • Address: Sparsh Hospital, New Sanganer Rd, Ramdara Colony, Dada Gurudev Nagar, Sanganer, Jaipur, Rajasthan, 302029
  • Phone Number: 08048035352

 

5. Dr. Abishek Gupta

Dr. Abhishek Gupta is a well-known orthopedic surgeon in Jaipur who specializes in arthroscopy and joint/ankle injuries. He provides treatment for sprains, fractures, and pain relief. Patients report that he listens patiently and explains each step in simple terms. His aim is to provide fast recovery and strong movement.

His hospital is popular among active patients. Athletes often call her a reliable Ankle Specialist in Jaipur.

Contact Details:

  • Website: https://www.arthroscopyjaipur.in/ 
  • Address: 130, Krishan Path, Rajender Nagar, Sirsi Road, Vaishali Nagar, Jaipur, Rajasthan- 302021
  • Phone Number: +91-8824300943

 

Common Ankle Problems Treated

Ankle problems appear in many forms. Some happen suddenly, while others develop slowly over time. Each condition needs proper evaluation and timely care.

Sprains are very common, and ligament tears can lead to long-term instability if ignored. Fractures usually occur after falls or accidents. Tendon injuries often cause pain and restrict movement. Heel pain makes daily walking uncomfortable, while arthritis leads to stiffness that increases with age.

Nerve pressure may cause tingling or numbness, and swelling can last for weeks without proper treatment. Experienced Ankle Surgeons in Jaipur first assess ankle movement and physical symptoms carefully. Scans and tests are recommended only when truly necessary.

Early diagnosis and treatment by skilled Ankle Surgeons in Jaipur often reduce recovery time, prevent complications, and help patients return to normal activities more comfortably.

 

Choosing the Right Ankle Surgeon

Choosing the right Ankle Surgeons in Jaipur takes time and careful thought. It should never be rushed. The right specialist can make a big difference in your recovery and long-term comfort.

Experience in treating ankle conditions is important, but clear communication matters just as much. Skilled Ankle Surgeons in Jaipur explain the problem in simple words and answer questions patiently. You should fully understand what is happening to your ankle and how the treatment will help.

Clinic location also plays an important role. A nearby clinic makes follow-up visits easier and less stressful, especially during recovery. Most importantly, trust your comfort level with the doctor. The right ankle specialist will guide you step by step through treatment and healing, helping you regain confidence and mobility with proper care and support.

Patient Experiences

Patient stories feel real. They tell more than advertisements.

Some patients share how ankle pain reduced within weeks. Others avoided surgery with timely care. Many speak about guided rehab after surgery that helped them walk again.

One patient spoke about returning to work after months of pain. Another shared how confidence returned after proper ankle treatment. Such experiences build trust and hope.

 

Why Jaipur Is a Hub for Ankle Care

Jaipur has grown fast in medical care. Hospitals are well-equipped. Scans and therapy services are easily available.

Doctors here train at reputed centers. Treatment costs are reasonable. Travel and stay are convenient. Patients come from nearby states for care.

A good Ankle Doctor in Jaipur often works with physiotherapists. That teamwork improves recovery and comfort.

Read also: Top 10 Hand Surgeons in Jaipur 

 

Conclusion

Ankle pain can slowly take over daily life. At first, it feels minor, but over time it affects walking, balance, and confidence. Many people delay treatment, hoping rest will solve the issue. In most cases, it does not. Timely care from experienced Ankle Surgeons in Jaipur can make recovery faster and more effective. Proper medical guidance helps patients return to normal movement with confidence.

From sports injuries to accident-related trauma, the right treatment plan matters. When diagnosis is clear and recovery is well planned, outcomes improve significantly. Professional care ensures pain does not become a long-term problem.

Choosing trusted Ankle Surgeons in Jaipur helps prevent complications and reduces stress. Accurate diagnosis saves time and supports better healing. With expert care, patients can regain mobility, move freely, and enjoy daily activities without pain or limitations, leading to a better and more comfortable quality of life.

FAQs

1. Who is the best Ankle Surgeon in Jaipur?

Dr. Girish Gupta is a highly trusted Ankle Surgeon in Jaipur, known for advanced ankle treatments and patient-focused care.

2. Who should consult an Ankle Specialist in Jaipur?

Anyone with ankle pain, sports injuries, ligament tears, arthritis, or fractures should consult an Ankle Specialist in Jaipur.

3. Who is an experienced Ankle Doctor in Jaipur for ankle injuries?

Dr. Girish Gupta is an experienced Ankle Doctor in Jaipur, treating ankle injuries with modern surgical and non-surgical methods.

4. How do I choose the right Ankle Surgeon in Jaipur?

Choose an Ankle Surgeon in Jaipur based on experience, specialization, patient reviews, and advanced treatment options like those offered by Dr. Girish Gupta.

5. How early should I visit an Ankle Specialist in Jaipur for pain?

You should visit an Ankle Specialist in Jaipur as soon as ankle pain, swelling, or movement difficulty starts to avoid complications.

 

Top 5 Hand Surgeons in India – Why Dr. Girish Gupta Leads the List

Posted on by bonesandnerves

Discovering the top 5 hand surgeons in India might get overwhelming at times and especially when you are looking for a specialist who combines his precision, compassion, and skills. Hand surgeries are delicate- for that, expertise is required in nerves, tendons, bones, and micro-reconstructive techniques. Due to these reasons, picking the best surgeon has a direct impact on your recovery, long-term comfort, and mobility.

Among the top 5 Hand Surgeons in India, the one who stands out in the list as a highly trusted and respected name is Dr. Girish Gupta. He has a deep specialization not only in advanced trauma, but also in peripheral nerve care, reconstructive surgery, and crush injuries, which makes him the most chosen one by the patients who seek expert lower and upper limb treatment.

In this blog, the main reasons behind his ranking as one of the best hand surgeons are mentioned, along with other renowned hand surgeons across India are also mentioned.

Top 5 Hand Surgeons in India

 

  1. Dr. Girish Gupta- Leading Hand Surgeon in Jaipur (Top Recommendation)

While discussing the top 5 Hand Surgeons in India, one major name that clearly shines is Dr. Girish Gupta. He is known for his unmatched expertise not only in managing the complex hand conditions but also in wrist, elbow, lower limb, and shoulder conditions.

Why Does He Stand Out?

One of the main names while talking about the highly trusted and respected Hand Surgeons from Jaipur is Dr. Girish Gupta. He has years of specialised experience in his field. The main focus of his practice is exclusively on the advanced orthopedic trauma and reconstructive procedures, which ensures that the patients are receiving the treatment that is:

  • Scientifically planned
  • Precise
  • Long-term recovery-oriented
  • Focused on restoring movement
  • Patient-centric

Dr. Girish Gupta handles a few of the most challenging orthopedic cases, so here are the areas of expertise of Dr. Girish Gupta :

  • Peripheral nerve injuries
  • Congenital anomalies
  • Tendon injuries
  • Crush and cut trauma
  • Upper and lower limb deformities
  • Micro-reconstructive procedures
  • Compressive neuropathies
  • Trauma-related tumor management

He is one of the most trusted orthopaedic experts in Rajasthan because of his steady hand, advanced surgical planning, and compassionate approach.

Specialized Services of Dr. Girish Gupta

 

  1. Hand and wrist Surgeries

He offers treatment for tendon damage, fractures, and crush injuries, focusing on the restoration of mobility.

  1. Elbow and Shoulder Procedures

Personalised treatments are offered by him for repetitive strain injuries, degenerative issues, and trauma.

  1. Foot and Ankle Surgery

Repairing of the ligament damage, tendon injuries, and the complex lower limb features.

  1. Peripheral Nerve Surgery

The treatments that are precision-based are offered by him for the nerve compressions and the injuries that directly affect the sensation and movement.

  1. Congenital Deformity Correction

He helps the children in gaining their normal function back through the delicate and reconstructive procedures.

  1. Advanced Trauma Care

For crush, cut, and nerve injuries, he provides expert and immediate treatment.

 

Why Do Patients Choose Him?

Due to the following reasons, he is chosen by the patients:

Ethical and accurate diagnostic approach

Highly specialised in lower and upper limb reconstruction

Trusted all across Jaipur and the neighborhood regions

Detailed recovery guidance after surgery

 

His meticulous surgical skills, along with his compassionate care, are the reasons that he leads the top 5 hand surgeons in India list.

Contact Details: –

Address – 23 A, Tonk Rd, opposite Cake World (Suresh Traders, Manav Ashram Colony, Vasundhara Colony, Gopal Pura Mode, Jaipur, Rajasthan 302018

Phone Number – 098280 58480

Webite – https://bonesandnerves.in/

  1. Dr. Abhishek Srivastava- Mumbai

Dr. Abhishek is a renowned name in microvascular and hand surgeries. He is mainly known for his nerve repair, trauma care, and wrist reconstruction. He has his association with the major hospitals of Mumbai, and he also handles the complex microsurgeries with exceptional success.

Contact Details –
Website –

  1. Dr. Bhaskaranand Kumar – Bangalore

He is well known for his excellence and expertise in reconstructive hand surgeries, congenital deformities, and nerve injuries. Dr. Bhaskaranand has decades of expertise and experience and is also a senior faculty member in orthopedic microsurgery.

  1. Dr. S. Raja Sabapathy- Tamil Nadu

He is one of the most prominent microsurgeons in India and is being recognised globally for his limb replantation, trauma care and replantation. He made remarkable contributions to the education of hand surgery.

 

  1. Dr. Praveen Bhardwaj – Chennai

He has done his specialisation in brachial plexus injuries, nerve repair, and tendon transfers. Dr. Praveen is trusted and respected all across India for his innovative approach in hand surgery and reconstructive procedures.

 

Why the List of Top 5 Hand Surgeons in India is led by Dr. Girish Gupta?

While in India, there are a lot of accomplished specialists, there are Several other factors that set Dr. Girish Gupta apart from others in the top 5 hand surgeons in India:

 

  1. Exclusive Focus on lower and upper limb trauma

Dr. Girish Gupta is not a henetal orthopedic surgeon from Jaipur. The practices of Dr. Girish are dedicated to the hand, elbow, wrist, Good, and ankle reconstruction.

  1. Expertise in Crush and Cut Injuries

The Crush and cut cases required quick judgment and micro-precision to save the limb of the patient. For such emergencies, Dr. Girish is one of the most reliable names in India.

  1. Advanced Skills in Peripheral Nerve Surgery

Immense accuracy is demanded by the Nerve Surgery. The successful outcomes achieved by Dr. Girish in Nerve Surgery made him one of the most preferred specialists for nerve damage and neuropathies.

 

  1. Congenital Deformity Management

Parents all across Rajasthan believe that he is the best for treating children with orthopedic anomalies.

 

  1. Ethical Practices and Compassionate Care

His honesty, guidance, and genuine nature are appreciated by patients, and for these reasons, he is often the first choice of the patients.

 

How to Choose the Best Hand Surgeons for Yourself?

A lot of attention is required while choosing a specialist from the top 5 hand surgeons in India:

  • Specialization of the Surgeon
  • His experience with similar cases
  • Microsurgery training
  • Views of the patients
  • Success rate in the recovery from the trauma
  • Post-surgery rehabilitation guidance

All the above-mentioned criteria are met by Dr. Girish Gupta, which makes him one of the most reliable choices for patients all across India and mainly in Rajasthan.

Read Also – Top 10 Hand Surgeons in Jaipur

Conclusion

It is essential for you to find the top 5 Hand surgeons in India and look for the one who has specialized care for upper and lower limb conditions. Among all of the above-mentioned specialists, the one who stands out in the list is Dr. Girish Gupta from Jaipur due to his dedication, precision, and highly specialised focus on reconstructive surgeries, along with trauma surgeries.

There is a consistent dependence of patients across Rajasthan and its neighbouring states on Dr. Girish Gupta for his advanced treatment, accurate diagnosis, and full recovery support.

If you are looking for a reliable, expert, and compassionate car,e then probably Dr. Girish Gupta will be the top recommendation.

 

FAQs

  1. Who is the top hand surgeon in India?

There are a lot of renowned existing surgeons, but Dr. Girish Gupta is the one who is known and trusted widely by the patients for advanced trauma, congenital anomalies, reconstructive procedures, and peripheral nerve injuries.

  1. In what kind of hand conditions, a specialist require?

In conditions like tendon injuries, fractures, crush injuries, nerve compressions, birth deformities, and nerve cuts, expert care is required.

  1. Are hand surgeons risky?

Basically, hand surgeries are delicate but are quite safe when performed by an experienced surgeon who has specialized in micro-reconstructive techniques.

  1. How long does it take to recover after a hand surgery?

Basically, it completely depends on the type of injury. With proper rehabilitation along with expert surgical care, a lot of patients easily regain their functionality within a few weeks to months

Top 10 Hand Surgeons in Jaipur- Trusted Experts for Hand, Foot, and Ankle Care

Posted on by bonesandnerves

Are you looking for the most qualified Hand Surgeon in Jaipur? This guide highlights the top 10 specialists in Jaipur, led by Dr. Girish Gupta, and provides verified details below to help you choose the right expert for hand, wrist, foot, and ankle conditions. Read this blog to find out the clinic details, areas of expertise, and why each of these surgeons is being trusted for limb trauma and reconstructive care.

List of Top 10 Hand Surgeons in Jaipur

  1. Dr. Girish Gupta- Leading Hand Surgeon in Jaipur

Dr. Girish Gupta is one of the most experienced, leading, and highly regarded Hand Surgeons in Jaipur. He has an especiality in advanced orthopedic trauma and reconstructive surgery. His practices are completely focused on the complex injuries along with the conditions of the upper and lower limbs, which include hand, elbow, wrist, tendon problems, shoulder, crush and cut injuries, peripheral nerve injuries, congenital anomalies, tumors, and compressive neuropathies.

Dr. Girish Gupta is renowned for his meticulous surgical techniques and a patient-centered approach, focusing deeply on restoring the function and mobility of his patients.

Phone number: +91 9828058480

Address: 23 A, Manav Ashram Colony (Opp. Suresh Traders), Gopalpura Mod, Tonk Road, Jaipur

Website: https://bonesandnerves.in

Dr. Girish Gupta Consultations at:

  • EHCC (Eternal) Hospital, Jawahar Circle, Jaipur
  • Khandaka Hospital, Kailashpuri, Tonk Road, Jaipur
  • Bones and Nerves – Dr. Girish Gupta

Top 10 Hand Surgeons in Jaipur

Why do Patients seek treatment from Dr. Girish Gupta?

Basically, Dr. Girish Gupta is a specialist in both hand and nerve reconstruction, which are followed by his crush and cut injuries, and performs complex tendons and nerve repairs that are capable of restoring dexterity.

Compressive neuropathies, along with performing the decompression surgeries, are treated by him, which are supposed to relieve the pain and restore the function.

Both pediatric congenital anomalies and adult trauma are covered in his years of experience and expertise, which makes him a versatile Hand Surgeon in Jaipur who is capable of managing a wide spectrum of limb conditions.

If you are looking for the special personalized hand, foot, or ankle care, then Dr. Girish Gupta is probably the right choice for patients who are seeking the Best Orthopedic Surgeon in Jaipur for limb trauma and reconstructive needs.

  1. Dr. Amit Vyas- Hand and Microsurgery Specialist in Jaipur

Dr. Amit Vyas is known as an experienced Hand Surgeon and microsurgeon practicing in Jaipur. The profiles of Dr. Amit are available on the directories of the clinic and Practo, which show his practice locations in Gopalpura and Durgapura. Hand injuries and microsurgical cases are treated by him.

Address: 137, Himmat Nagar, Bajaj Nagar, Jaipur, Rajasthan 302018

 

  1. Dr. Narender Saini- Orthopedic and Hand Surgeon in Jaipur

In Jaipur, Dr. Narender Saini is being recognized as a microsurgeon and hand surgeon with clinical and academic experience. On the professional directories, the profiles and affiliations of Dr. Narender are mentioned, including his past academic roles. Ligament, tendon, and nerve issues of the hand and upper limb are managed by him.

Phone number: 094133 43705 

Address: Suryanagar near Airport, 71, behind Aabkari Police Thana, Sanganer, Jaipur, Rajasthan 302033

Website: https://www.lybrate.com/jaipur/doctor/dr-narender-saini-orthopedist 

  1. Dr. Satyabrata Mohanty- Plastic and Hand Surgery Expertise in Jaipur

The expertise of Dr. Satyabrata Mohanty is in plastic surgery with training that is relevant to the hand and reconstructive procedures. His practices across the hospitals of Jaipur have been shown in the clinical listings. Also, he manages the soft tissues along with the reconstructive issues, which involve the limbs.

 

  1. Dr. Amit Mittal- Hand and Orthopedic Specialists in Jaipur

The profile of Dr. Amit Mittal indicates that he practices at a dedicated and specific hand and orthopedic clinic in Vaishali Nagar. Dr. Amit Mittal treats a wide variety of hand injuries, which include complex traumas, too. His practice details are mentioned in the clinic directories and Practo.

 

  1. Dr. Dipesh/ Deepesh Goyal- Reconstructive and Hand- Relevant Care in Jaipur

Dr. Deepesh Goyal is a reconstructive and hand-experienced surgeon operating on his patients in Jaipur as per the listings of the directory. According to the clinic directories, he has been listed as a hand, microsurgery, and trauma expert.

 

  1. Dr. Ambrish Gupta – Plastic/ Reconstructive and Hand Surgery in Jaipur

The listings of Dr. Ambrish Gupta have been done with the Rukmani Birla and Fortis listings. Dr. Ambrish Gupta is an expert and is experienced in microvascular and hand reconstructive surgery, with affiliations with the clinic and hospitals in Jaipur.

 

  1. Dr. Abhay Choudhary – Orthopedic Surgeon in Jaipur

The next practicing Orthopedic Surgeon in Jaipur is Dr. Abhay Choudhary, and his clinic listings show that he has work experience in ligament, trauma, and limb injuries. Clinic address and visiting hours of Dr. Abhay are given in the local directory entries.

 

  1. Dr. Laxmi Narayan Jajoriya – Jaipur Orthopedics

Through the directory sources, Dr. Laxmi Narayan has been listed among the local Orthopedic specialists in Jaipur whose primary focus is on managing the upper and lower limb traumas. Before visiting, it is necessary to verify her clinic timings through local listings.

 

  1. Dr. Himanshu Khichar- Orthopedic and Hand Care in Jaipur

In the local directories of Jaipur, Dr. Himanshu Khichar has been listed among the Orthopedic Surgeons with their expertise in limb injuries and reconstructive procedures. You can verify his current clinic location and timings through his clinic page.

 

How Should One Choose the Right Hand Surgeon in Jaipur?

While looking for the Hand Surgeons in Jaipur, it is better for you to consider the surgical experience with the hand and peripheral nerve cases. Laying special focus on the tendon, nerve, and crush-injury reconstruction, along with the affiliations of the hospital for advanced trauma treatment and clear pathways. A lot of patients prefer those surgeons who combine the microsurgical ability with the practical experiences in hand and lower limb reconstruction, such as the qualities that are highlighted in the profile of Dr. Girish Gupta and several other specialists.

Final Note and Tips regarding your Appointment

The above list of the top 10 Hand Surgeons in Jaipur highlights the verified Jaipur-based specialists and also provides a starting point for choosing the best fit for you among the top Hand Surgeons of Jaipur. To get your appointments booked, it is necessary to confirm the clinic hours and contact numbers on the hospital’s or the directory pages. For more about Dr. Girish Gupta, you may refer to the listings of the hospital for the exact timings of the consultation and for booking details.

Carpal Tunnel Myths and truths

Posted on by bonesandnerves

The Silent Struggle of the Carpal Tunnel

Our bodies are extraordinarily complex yet beautifully crafted, with every structure serving a specific purpose. The carpal tunnel is no exception. Though infamous for causing carpal tunnel syndrome, this natural marvel is a hypothetical tunnel, a narrow passageway thats formed by a ligament and two bones and 10 structures pass through this tunnel including 9 tendons and a nerve – Median Nerve. This nerve provides sensation to the thumb, index, middle, and part of the ring finger, while also controlling some of the small muscles at the base of the thumb that allow for fine motor movements.The ligament which is specifically called Transverse carpal ligament is a part of the flexor retinaculum which is a thick band under wrist on the side of palm to make the wrist stronger and keep underlying structures in place.

Carpal tunnel syndrome often begins insidiously, with symptoms so subtle that patients remain unaware of the problem until it becomes severe. Left untreated, it can progress to a point where surgical intervention becomes the only option. Many patients delay seeking specialized care, often consulting a general physician or neurologist. However, carpal tunnel syndrome is best treated under the expertise of an orthopaedic surgeon—and even more effectively, by a specialist in hand surgery.

Understanding the Pressure Within: The Origins of Carpal Tunnel Syndrome

The symptoms of carpal tunnel syndrome arise due to a narrowing of the canal, which can occur for two main reasons. Primary causes involve thickening of the transverse carpal ligament, while secondary causes stem from conditions that encroach upon the tunnel. These might include soft tissue changes from arthritis leading to synovitis, enlargement of the nerve, tendons, or tendon sheaths, or even bony issues like tumors, fractures, or implants.

Our bodies are incredibly adaptive and always strive to heal. In carpal tunnel syndrome, the tendons within the tunnel try to adjust to the increased pressure caused by the narrowing. However, the Median Nerve, being far more sensitive, struggles to cope. This results in classic symptoms such as tingling in the fingers, numbness, and weakness.

Interestingly, this is not unlike our own lives. We constantly adjust to the pressures of daily existence, adapting to the push and pull of circumstances. But sometimes, like the Median Nerve, we reach a breaking point. The strain catches up with us. And just as in life, there comes a moment when we must step back, assess the situation, and take corrective action to heal.

And so, let’s delve into how we identify, address and fix this remarkable yet challenging condition: the journey from discomfort to recovery.

 

The Progression of Carpal Tunnel Syndrome

Carpal tunnel syndrome often begins innocuously—a fleeting tingle in the fingers while holding a phone or performing everyday tasks. At first, it seems harmless, but as the condition progresses, it can disrupt sleep, with patients waking up due to severe tingling. Over time, symptoms escalate to include a weakening grip, difficulty holding objects, and even frequent dropping of items.

To diagnose and assess the severity of this condition, we typically perform a Nerve Conduction Study (NCS)—a noninvasive test that measures how quickly electrical impulses travel through the nerves. The results help us grade the severity of the syndrome on a scale of 1 to 6, with higher grades indicating more advanced disease and the need for more intensive intervention.

There is a theory that conservative treatments, such as steroid infiltration or hydrodissection, can provide relief for carpal tunnel syndrome. While these methods may work in mild to moderate cases, my experience has shown that for more severe cases—typically with an NCS grade greater than 3—surgical intervention becomes necessary. A surgical release effectively decompresses the nerve, providing a lasting solution to alleviate symptoms and prevent further damage.

Advancements in Carpal Tunnel Surgery: Precision and Recovery

Over the years, carpal tunnel surgery has seen significant advancements in precision and technique. I feel privileged to have performed hundreds of these surgeries, each one a learning experience shaped by the feedback and outcomes of my patients. The procedure I now perform involves a remarkably small incision—smaller even than those used in endoscopic techniques.

This refined approach not only minimizes scarring but also accelerates recovery. Most patients are able to resume dry activities as early as the day after surgery, and by the 12th day, they are typically back to their normal routines without complications or morbidities. It’s a testament to how far we’ve come in providing effective and patient-friendly solutions.

 

Nature’s Unexpected Miracle in Carpal Tunnel Syndrome

I often marvel at the wonders of nature, especially when it comes to carpal tunnel syndrome. Interestingly, most patients experience the condition on both hands, but one side is usually more severe. What’s fascinating—and deeply satisfying—is that after performing surgery on the more affected side, the symptoms on the opposite hand often resolve on their own within 3-4 months.

Many patients, thrilled by the relief they feel after surgery, are eager to undergo the procedure on the other hand as well. However, I usually counsel them to wait and allow time for nature to work its magic. More often than not, their symptoms improve without further intervention, reaffirming the body’s incredible ability to heal itself when given the chance.

Healing in Harmony with the Body

As a surgeon, I believe our role extends beyond simply performing procedures—it’s about working in harmony with the body’s remarkable ability to heal itself. Every time I step into the operating room, my goal is not only to treat but to support and amplify the body’s natural defenses and healing mechanisms. By striving to align my efforts with this innate resilience, I aim to deliver the best possible outcomes for my patients. It’s this synergy, this partnership with nature’s design, that brings me fulfillment and makes every day in this profession deeply rewarding.

The Mystery of the Blue Finger

Posted on by bonesandnerves

This particular case involved a girl in her late teens who came to me with her father, seeking help for a bluish discoloration of the ring finger on her right hand—a condition she had lived with since early childhood. Logic might suggest that health concerns should be addressed as soon as they appear, but reality often tells a different story. Whether it’s the fear of medical procedures or a hopeful belief that time will heal all, I frequently encounter cases where patients delay seeking treatment. This was one such instance, and it underscored how important it is to approach every case with empathy and a readiness to address long-standing issues

Now, let’s dive into some technical details. Upon examining her clinically and reviewing her MRI and other reports, I diagnosed her condition as a slow-growing vascular malformation, most likely a hemangioma. Treating this type of case is anything but straightforward—it’s a risky procedure with significant challenges.

As doctors, our ultimate aim is always to achieve the best outcomes, but the truth is, we can’t always guarantee them. In this case, the malformation was entwined with the neurovascular bundle and surrounding tissues, making complete excision potentially impossible. There was also a remote but real risk of finger loosing its blood supply and eventually losing the finger altogether. While patients often perceive these warnings as routine, the risks are very real. For surgeons, the delicate balance between ensuring the best possible outcome and preventing worst-case scenarios is what makes this work so compelling—and, admittedly, nerve-wracking. It’s this intersection of precision, uncertainty, and responsibility that defines the art and science of surgery

We prepared the patient for surgery with the necessary investigations, premedication, and consent. Once in the operating room, our anesthetist administered a supraclavicular regional block to ensure effective analgesia and temporary paralysis of a sort. The surgical area was prepped and draped, and a tourniquet was applied to create a bloodless field—though, paradoxically, this is more of a surgery dealing with blood vessels and small pools of blood(sinuses),to be specific and one needs to see the vessels feeding the lesion.

A zigzag incision was made along the palmar side of the finger to explore the lesion. I often marvel at how medical techniques evolve. How did someone figure out that a zigzag incision is not only elegant but also preserves better function. It must have been the result of countless trials by some dedicated doctor or an entire generation of doctors who tested and refined their methods. As continuous learners, we take pride in mastering these techniques, but I also feel immense gratitude toward those who innovate and pave the way for progress. In my practice, I strive to contribute my own small innovations, hoping to improve patient outcomes and leave a positive impact.

 

Returning to this case, the lesion was intricately wrapped around the radial neurovascular bundle and other tissues, presenting a delicate challenge causing no damage to these vital structures and also to remove abnormal tissue as much as possible to avoid recurrence. The abnormal tissue extended through various layers, spanning from the middle phalanx to the distal palmar crease. During the procedure, we also encountered several ‘phleboliths’—calcified clots that had formed into hard,

pearly-white, oval or round structures. These phleboliths, found at specific intervals, helped us trace the path of the abnormal tissue and further confirmed the diagnosis. After excising all visible tissue, we achieved hemostasis and carefully closed the wound using fine sutures to preserve the skin creases. The excised tissue was sent for histopathological evaluation to further confirm the findings.

Hemangioma Overview: A hemangioma is a condition where the cells of the veins begin to multiply abnormally, leading to the formation of large, blood-filled vessels called sinuses. These vessels tend to grow tortuously, winding around the normal soft tissues. It’s a very slow-growing lesion, often taking years to develop, and it is reducible in nature. While this explanation may sound a bit technical, the key takeaway is simple: if you notice any bluish discoloration under the skin, particularly over palm or a finger, it could be a sign of such a condition.This is often coupled with pain, abnormal sensation or decreased sensation, feeling of heaviness etc.

Blog: Ruminations of a hand surgeon

Posted on by bonesandnerves

Hand surgery is the art and science of restoring the delicate functions of the hands and upper limbs, which are central to our daily lives. Whether it’s repairing fractures, treating nerve injuries, tumors or addressing congenital deformities, the goal is always the same: to return functionality and improve quality of life.

As a Hand Surgeon, My job is endlessly fascinating because no two days are ever the same. Every surgery presents a unique challenge, an opportunity to solve complex problems of hand and make a tangible difference in someone’s life. Whether it’s restoring function to an injured hand, making unresponsive digits move again, or alleviating pain, I witness the incredible resilience of the human body—and the profound impact of precision and care. This ever-changing, deeply rewarding journey is what drives me every day

Through this series, I will be chronicling a few of my experiences to share with others, but also, in my heart, to thank the Almighty for allowing me to be His instrument in making a difference in people’s lives.

This Patient was Operated elsewhere for wrist Fractures in 2016

Posted on by bonesandnerves

This patient was operated elsewhere for wrist fractures in 2016. He came after 5 years to us with a thumb falling in palm and not being able to lift it or extend it. On clinical examination we found that there is chronic rupture of the important tendon of the thumb which is called EPL(Extensor Pollicis Longus) in medical terms, due to continuous rubbing over a prominent screw end on the dorsal side of bone.
As this was a chronic case and the original muscle got atrophied, we did a Tendon Transfer(Taking an extra tendon and making it do the function of EPL) from EIP to EPL. Now he’s absolutely fine and his thumb is working normally after 3 years of surgery.

 

This Girl had Polydactyly (extra toe in right foot)

Posted on by bonesandnerves

This girl had polydactyly (extra toe in right foot). Operated her & reconstructed her foot & now she is having a normal foot like her left foot & very happy as she got rid of daily harassment & difficulties in wearing shoe wear & running/walking.
NB: These surgeries should be done preferably at an early age of 11/2 to 3 years for few reasons namely
1. when a child is innocent and not going to school
2. ⁠This prevents harassment by peers
3. ⁠Tissues are soft and more adaptive and scars of surgeries also go away.
4. ⁠if a child later on requires an admission to Army or getting married it doesn’t show off anywhere.