Bones, joints, ligaments, tendons, muscles, nerves, skin and blood vessels come together to frame the anatomy of the hand enabling it to perform multiple activities. The relationship between these structures is delicate and complex and an injury to even one of these structures can impair the functioning of the hand.
Fractures, Dislocations, Ruptured Ligaments, Osteoarthritis, Tendinitis, Ganglion Cysts and other complications, resulting in restricted movement, stiffness, swelling, pain and weakness to the part of hand affected and need to be looked over by diligent hand doctor to relieve the patient of complex trauma.
Dr. Vikas diagnoses the conditional problems in the hand with advanced technology methods, treats all disorders with corrective treatment plan accordingly to provide maximum relief and insistently stresses on after care procedural methods to bring back rejuvenation in the patient.
There are various injuries that affect the hand to impair its functionality. Once an injury is sustained by the hand, the hand doctor strives to treat them quickly to prolong or eradicate possibility of loss of mobility and strength in the hand. Some of the injuries or conditions that are taken up for treatment by the hand doctor are-
- Fractures - Dislocations - Soft tissue injuries - Finger injuries - Wrist injuriesThe initial treatment techniques taken up by the hand doctor comprise of conservative and nonsurgical techniques. They help the doctor to provide initial relief to the patient and prepare the base for surgical release if required. Various techniques of conservative treatment are:
Anti Inflammatory Medications: The hand doctor initially prescribe a small dosage of over the counter medicines to relieve the pain as they have fewer side effects. In cases where the pain is aggravated the hand doctor switches on to stronger non steroidal anti inflammatory medicines which help in subsiding the pain. Pain killers should be taken strictly under the medical prescription of the hand doctor.
Medication also comes in as skin cream / gel which causes a stinging sensation at first but gradually goes away after a few days of application. It takes 1 to 2 weeks for the pain to subside after the application of gel.
Sterios Shots: The hand doctor prescribe corticosteroid injections as a more powerful alternative if the pain has not subsided in spite of NSAIDs. They are injected into the joint to relieve the patient of enervating pain and swelling. The injections provide temporary and short relief and usually given by the hand doctor at the clinic.
Physiotherapy: Accurate assessment and beginning the treatment early makes hand injuries respond quickly and helps the patient to resume pain free and normal activities. Physiotherapy exercises are the best proven technique of restoring strength and mobility into the weak and stiff joints or muscles. It is the physiotherapist who assesses the pain and cause and accordingly decides on the exercise program and its dosage comprising of yoga, pilates, acupuncture, dry needling, massages or with the help of machines.
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Before the hand doctor decides on the technique that would be best applicable to the condition of the patient, an in depth evaluation of his past medical history, his reactions to certain chemical and saline compositions are taken into account. The patient has a long discussion with the hand doctor and is updated on the exact cause of his traumatic condition and which treatment is ideal for him. The hand doctor then proceeds on to the treatment.
The patient is prescribed medications and injections along with physiotherapy to relieve the pain and a regular check up is scheduled by the hand doctor to keep a check on the symptoms. The hand doctor either continues with the treatment or refers the case to hand surgeon, if deemed essential.
Non surgical techniques are ideal for mild hand injuries and disorders but they fail to provide relief in severe conditions. Oral medications or injections prescribed by the hand doctor can cause allergic reactions or result in side effects which may cause discomfort to the patient. The relief provide by conservative techniques are not permanent.
The patient is relieved of mild pain and trauma with the help of nonsurgical techniques. They help in holding the condition from getting worse till it can be treated by surgical techniques. Thus, simply put the benefit of these techniques is that they act as base for either preparing the patient for surgery or reduce his pain and inflammation by regular prescriptions.
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Dr. Vikas Gupta an MBBS and MS in Orthopedics has been in the field of upper extremity for the last 25 years and has provided relief to more than 6000 patients by surgical releases and innumerable with nonsurgical techniques. He is well renowned for his sharp and accurate diagnosis with equally deft hand in surgery. His intuitive and evaluating skills make patients seek his consultation steadfastly.
The various hospitals from where he has delivered his professional services are AIIMS, Fortis, Medanta-The Medicity and at present he is an integral part of Max Healthcare- The super specialty hospital in Saket and Gurgaon.
There is no debilitating condition of the hand that hand doctor, Dr. Gupta, is not skilled to treat. Fractures, dislocations, ligament tear, soft tissue injuries or any other condition that affects the hand are effervescently treated by him.
Max Healthcare is the best hospital in the Delhi-NCR region that has joined hands with Dr. Gupta and made him one of their ingenious team of professional as head of the hand and shoulder division. Max Healthcare strives to bring revolutionary, cost effective and painless techniques to India and their belief in Dr. Gupta’s visionary approach to bring complete relief to each patient by facilitating aftercare rehabilitation has added an extra edge of finesse to their deliverance.