Surgery for Arthritis in Fingers

Arthritis, particularly in the fingers and hands, can severely impact your daily life, limiting your movement and causing chronic pain. 

The surgery for arthritis in fingers offers a viable solution for those who have not found relief through conservative treatments. This surgical procedure involves various approaches, including arthroplasty surgery and synovectomy, to restore function and relieve symptoms in the affected joints.

At The Nerve Surgery Centre, our expert surgeon Mr Madura specialises in reconstructing or fusing the affected joints, ensuring that the chosen surgery aligns with your specific condition. Whether it’s osteoarthritis or rheumatoid arthritis (RA), our goal is to provide treatment that alleviates pain, improves movement, and enhances your overall quality of life.

If you’re considering surgery for arthritis in fingers, we invite you to share your concerns with us during a consultation, where we can explore the best treatment options for you.

To book your initial consultation with us simply click here email info@nervesurgery.uk or call 07340 651908

Understanding Surgery for Arthritis in Fingers: Treatment Options and Outcomes

When dealing with arthritis in the fingers, understanding the available surgical options is important for making an informed decision about your treatment. The surgery for arthritis in fingers typically involves various procedures designed to alleviate pain, restore movement, and improve the overall function of the hands. The choice of surgery largely depends on the severity of the arthritis and the specific joints affected.

Treatment Options

There are three types of surgical procedures for arthritis in the fingers: denervation, arthroplasty and joint fusion.

• Denervation of arthritic joints (Also called Neurectomy): Denervation of small joints in the hand is a surgical procedure aimed at alleviating chronic pain caused by conditions such as osteoarthritis or rheumatoid arthritis. Denervation provides an option for pain relief by targeting the sensory nerves that transmit pain signals from the affected joint to the brain.

• Arthroplasty surgery: This involves replacing the arthritic joint with an artificial one. This procedure is particularly effective for those who suffer from rheumatoid arthritis or osteoarthritis in the fingers. Arthroplasty aims to restore movement and reduce pain, allowing you to regain function in your hands. It is commonly performed on the finger joints, thumb, and wrist.

• Joint fusion: This surgical procedure involves fusing the ends of the bones in the affected joint to eliminate movement in that area. While this may limit movement, it is highly effective in relieving pain and stabilising the joint. Joint fusion is often recommended for severe cases where arthroplasty might not be suitable.

Other procedures such as synovectomy—the removal of the inflamed tendon sheaths—or reconstructing or fusing the affected joints might be recommended depending on the extent of the disease and the specific problems you’re experiencing.

When facing arthritis in the hands and fingers, two commonly recommended surgical procedures are arthroplasty and synovectomy. These procedures are designed to address the debilitating symptoms of arthritis, such as pain and restricted movement, helping patients regain the function of their hands.

Denervation: Effective Pain Relief by Blocking Pain Signals in Arthritic Joints

Denervation, also known as neurectomy, is a surgical technique that provides relief from arthritis symptoms by interrupting the sensory nerves responsible for transmitting pain signals from the affected joint to the brain. In cases where arthritis primarily causes chronic pain in the hands and fingers, denervation effectively blocks these pain pathways, allowing patients to experience substantial relief. By targeting only the nerves associated with pain, this procedure leaves other hand functions intact, enabling patients to use their hands more comfortably without the constant discomfort associated with arthritis. Denervation is especially beneficial for those seeking pain management without altering joint movement or requiring joint replacement.

Arthroplasty: Restoring Function with Artificial Joints

Arthroplasty surgery involves replacing the arthritic finger joints with artificial ones, typically made of durable plastic or other materials. This procedure is particularly beneficial for those with rheumatoid arthritis or advanced osteoarthritis, where the bones within the joint have deteriorated significantly. By replacing the damaged joint, arthroplasty aims to reduce pain and restore a greater range of movement to the fingers.

Joint Fusion: Stabilising and Relieving Pain through Fusion

Although joint fusion limits motion in the fused joint, it offers significant pain relief and improves hand function by stabilising the joint. Patients often find this procedure ideal for managing pain in the fingers, thumb, and wrist when other surgeries, such as arthroplasty, may not be suitable. This stability can help with performing daily tasks comfortably, giving individuals a practical solution to regain function despite the arthritis.

The surgical procedure usually involves the removal of the damaged parts of the bones and joints, followed by the insertion of the artificial joint. This operation can be performed on various joints in the hand, including the thumb and wrist, depending on the severity and location of the arthritis. The goal of arthroplasty is to allow patients to regain enough function in their hands to perform daily tasks without discomfort.

Recovery from arthroplasty or synovectomy involves a combination of physical therapy and careful post-operative care. Our multidisciplinary team will work with you to create a personalised rehabilitation plan that ensures a smooth recovery. This plan may include targeted exercises to restore movement, pain management strategies, and regular follow-up appointments to monitor your progress.

If you’re considering surgery for arthritis in fingers, a thorough consultation with our expert surgeon will help determine the most appropriate treatment for your specific condition. We invite you to schedule an appointment to discuss how arthroplasty or synovectomy can help you regain the function and comfort of your hands. To book your initial consultation with us simply click here email info@nervesurgery.uk or call 07340 651908

Recovery from hand surgery is a critical phase in regaining function and movement in your fingers. After the operation, our multidisciplinary team will guide you through a personalised rehabilitation program. This often includes a combination of physiotherapy to restore movement and strengthen the tendons and joints, as well as pain management strategies to ensure a smooth and comfortable recovery.

Patients recovering from arthroplasty or joint fusion typically follow a structured rehabilitation plan designed to maximise function and minimise pain. The success of your recovery is closely monitored with regular follow-up appointments, where we assess your progress and make any necessary adjustments to your treatment plan.

Denervation

Denervation, or neurectomy, aims to relieve chronic pain by targeting the sensory nerves that transmit pain signals from the affected joint. By disrupting these pain pathways, denervation can provide effective relief for patients with arthritis in the fingers, particularly when pain is the primary concern.

Post-op and Outcomes: After denervation, patients may experience mild swelling and discomfort, which generally subsides within a few days. Physiotherapy isn’t typically required after this procedure, but follow-up appointments will be scheduled to monitor progress. Most patients report a noticeable reduction in pain, allowing for improved hand use without discomfort.

Arthroplasty

Arthroplasty replaces the damaged joints in the fingers with artificial ones to improve mobility and reduce pain. This procedure is highly effective for individuals with advanced arthritis, aiming to restore movement and allow for greater freedom in daily tasks.

Post-op and Outcomes: After an arthroplasty, patients can expect some initial stiffness and swelling, which typically diminishes over time. A structured rehabilitation programme will help regain strength and flexibility in the hand, enabling patients to gradually resume everyday activities. Many patients report significantly reduced pain and enhanced function, with follow-up appointments ensuring optimal recovery.

Joint Fusion

Joint fusion is particularly beneficial for those with severe arthritis, as it stabilises the joint and reduces pain by fusing the bones in the affected area. Although movement in the fused joint is eliminated, this procedure provides lasting relief for individuals with chronic pain.

Post-op and Outcomes: Following joint fusion, patients may experience swelling and limited movement, but these side effects generally improve over time. Physiotherapy will focus on strengthening surrounding joints to compensate for the fused area. Most patients achieve substantial pain relief, with improved hand stability allowing them to manage daily tasks comfortably. Follow-up appointments will monitor healing and adjust the rehabilitation plan if needed.

The success of surgery for arthritis in fingers depends on various factors, including the type of arthritis (such as RA or osteoarthritis), the specific joints involved, and your overall health. For example, individuals with conditions like heart disease or diabetes might face additional challenges in recovery.

Patients who undergo arthroplasty surgery or joint fusion generally experience significant improvements in pain relief and hand function. However, the extent of movement regained can vary. Some patients may find that they won’t need surgery again, while others might require follow-up operations to address new or recurring issues.

It’s essential to have a detailed consultation with your surgeon to discuss your specific situation, the expected outcomes, and the potential risks associated with each procedure. At The Nerve Surgery Centre, our expert surgeon. Mr Madura will guide you through the entire process, ensuring that your treatment plan is tailored to your needs.

We encourage you to schedule an appointment to discuss your options further. During your consultation, we’ll share detailed information on the surgery and follow through with the necessary steps to help you regain the function of your hands and fingers.

To book your initial consultation with us simply click here email info@nervesurgery.uk or call 07340 651908

The long-term outcomes of surgery for arthritis in fingers vary depending on the type of surgery and the severity of the arthritis. Many patients experience significant relief from pain and a marked improvement in hand function, allowing them to return to their daily activities. While some patients may require additional treatment in the future, many find that surgery provides long-lasting relief from their symptoms.

It’s important to discuss your expectations and concerns with your surgeon during your initial consultation. At The Nerve Surgery Centre, our goal is to provide you with a clear understanding of what to expect before, during, and after surgery, ensuring that you feel confident and informed throughout your treatment journey.

If you’re considering surgery for arthritis in your fingers, we encourage you to make an appointment with our expert team to explore your options and start on the path to recovery.

At The Nerve Surgery Centre, our team of highly skilled surgeon Mr Madura specialises in denervation,  arthroplasty. Each surgery is tailored to the individual patient’s needs, ensuring the best possible outcome. Whether you require reconstructing or fusing the affected joints or removing inflamed tissue, our experts are committed to restoring the function and quality of life that arthritis may have taken away.

Our consultation process is thorough, starting with a detailed history and examination of the problem. If required, further tests such as imaging and neurophysiological studies will be conducted to pinpoint the exact cause of your discomfort. Once a clear diagnosis is made, our team will discuss the most suitable surgical options with you, be it arthroplasty, joint fusion, or other surgical procedures.

The success of the surgery not only depends on the operation itself but also on the follow-up care, which includes targeted physiotherapy and pain management. Mr Madura is dedicated to ensuring that your finger and hand regain as much function as possible, allowing you to return to your daily activities with minimal disruption.

At The Nerve Surgery Centre, we understand that the decision to undergo surgery is significant. That’s why we ensure that every aspect of your care is handled with the utmost precision, from your initial consultation to the final stages of your recovery. If you’re considering surgery for arthritis in fingers, we invite you to share your concerns with us during a consultation, where we can explore the best treatment options for you.

To book your initial consultation with us simply click here email info@nervesurgery.uk or call 07340 651908

How successful is hand surgery for arthritis?

Hand surgery for arthritis is generally successful in reducing pain and improving function, though outcomes vary based on the severity of the condition and the type of surgery performed.

Can you stop arthritis from deforming my fingers?

Surgery can help prevent further deformity in arthritic fingers, especially if performed early. Techniques like joint fusion or arthroplasty can stabilise joints and reduce progression.

Can arthritic fingers be surgically repaired?

Yes, arthritic fingers can be surgically repaired through procedures such as arthroplasty, joint fusion, or synovectomy, depending on the extent of the damage and symptoms.

How to get rid of arthritis bumps on fingers?

Arthritis bumps, or nodules, can sometimes be removed surgically, especially if they cause pain or restrict movement. However, surgery is typically considered when conservative treatments fail.

Mr Tomas Madura MD(Hons), PhD, FRCS(Plast), is a highly experienced Consultant Plastic Surgeon specialising in hand and peripheral nerve surgery, with over two decades in the medical field. He has been a Consultant at the Birmingham Hand Centre and Brachial Plexus and Peripheral Nerve Injury Service at the Queen Elizabeth Hospital in Birmingham since 2017. Mr Madura’s distinguished career includes a PhD in Neurobiology from Osaka University, multiple fellowships in reconstructive microsurgery and peripheral nerve surgery, and numerous contributions to research in the field of nerve injuries and paralysis.

He is a Fellow of the Royal College of Surgeons of Edinburgh and a full member of several prestigious organisations, including the British Association of Plastic Reconstructive and Aesthetic Surgeons and the British Society for Surgery of the Hand. Mr Madura has been recognised with the Syme Medal for outstanding contributions to surgical research.

For more information, please visit his About page.

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