A pinched nerve in any part of the body can cause uncomfortable symptoms such as pain and tingling. When it occurs in the hand, it can significantly disrupt a person’s daily activities. This was the case for a patient who sought treatment at Mandaya Royal Puri Hospital.
The patient met with Dr. Jecky Chandra, M.Kes, Sp.OT(K), CIPS, AIFO-K, an orthopedic surgeon specializing in hand, upper limb, and microsurgery at Mandaya Puri Hospital, to undergo a surgical procedure aimed at releasing the compressed nerve in the hand. How did the procedure go, and what were the results?
Contents
The Patient’s Symptoms
The patient came to Mandaya Puri Hospital with symptoms that included persistent tingling that radiated to the fingertips, reduced hand strength, and difficulty sleeping due to being unable to shift position to the left or right. These complaints had lasted for over a year. Despite trying various treatments such as medication, physiotherapy, and regular acupuncture, the symptoms persisted.
Upon recommendation from another patient, the individual consulted with Dr. Jecky, a consultant in orthopedic hand, upper limb, and microsurgery.
Further evaluation using EMG and MRI revealed an issue in the lacertus fibrosus and pronator muscle, causing nerve compression.
Although the MRI did not clearly show nerve impingement, Dr. Jecky strongly suspected compression of the upper portion of the median nerve. Based on physical examination and clinical assessment, surgery was recommended.
Surgical Results
During the procedure, Dr. Jecky discovered thickened fibrotic tissue on the muscle fascia that was compressing the median nerve. This pressure was responsible for the intense pain, especially during twisting or lifting movements. Once the nerve was decompressed, the patient experienced immediate relief.
Just hours after the surgery, the patient could move the hand freely without pain, including twisting motions (pronation and supination) and lifting objects. The tingling sensation disappeared, hand strength returned to normal, and the surgical wound healed quickly without the need for suture removal.
The patient also expressed appreciation for the post-operative care. Even though the surgery was performed at night, Dr. Jecky made follow-up visits late into the evening to ensure the patient’s stability and optimal recovery.
This experience highlights the importance of accurate diagnosis and comprehensive treatment by a specialist, especially for nerve compression cases that may not be visible through standard radiological imaging. Mandaya Puri Hospital, through specialists like Dr. Jecky, remains committed to delivering advanced orthopedic care with a focus on optimal patient recovery.
dr. Jecky’s Profile and Clinic Schedule at Mandaya Royal Puri Hospital
dr. Jecky Chandra, M.Kes, Sp.OT(K), CIPS, AIFO-K is a consultant orthopedic surgeon specializing in hand, upper limb, and microsurgery practicing at Mandaya Royal Puri Hospital. He is highly experienced in treating conditions involving the fingers, hands, elbows, and shoulders.
In addition to treating pinched nerves in the hand, dr. Jecky is skilled in managing conditions such as trigger finger, hand fractures, carpal tunnel syndrome, rheumatoid arthritis, and sports-related hand injuries.
dr. Jecky’s consultation schedule at Mandaya Royal Puri Hospital:
- Monday: 08:00 – 12:00 WIB
- Tuesday: 08:00 – 12:00 WIB
- Wednesday: 13:00 – 17:00 WIB
- Thursday: 13:00 – 17:00 WIB
- Friday: 08:00 – 12:00 WIB
- Saturday: 17:00 – 20:00 WIB
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