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Don’t let rheumatoid hand deformity limit your movement

Rheumatoid hand deformity

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    What is rheumatoid hand deformity?

    Rheumatoid hand deformity refers to the physical changes that occur in the joints of the hands due to the progression of rheumatoid arthritis (RA). In RA, the body’s immune system attacks the synovium (lining of the joints), causing inflammation that eventually leads to joint damage, deformities, and functional limitations. These deformities can severely affect a person’s ability to perform simple tasks, such as gripping, writing, or typing.

    Over time, the inflammation may cause tendon damage, joint misalignment, and muscle weakness, leading to deformities such as ulnar deviation, swan-neck deformity, boutonnière deformity, and others.

    Rheumatoid Hand Deformity, રુમેટોઇડ હાથની વિકૃતિ

    Types of rheumatoid hand deformities

    Ulnar deviation:

    • The fingers are pulled towards the little finger due to damage to the tendons and ligaments.
    • Common in the wrists and knuckles, this condition leads to misalignment of the fingers.

    Swan-neck deformity:

    • This occurs when the middle joint of the finger bends backward (hyperextension), while the tip of the finger bends downward.
    • It creates an abnormal “swan-neck” appearance and reduces the functionality of the affected fingers.

    Boutonnière deformity:

    • Characterized by the middle joint of the finger bending downward while the tip of the finger remains straight.
    • It occurs due to damage to the central slip tendon.

    Z-Thumb deformity:

    • A misalignment of the thumb joint, often caused by damage to the tendons and ligaments in the thumb.
    • The thumb may bend at a sharp angle, leading to difficulty with grasping.

    Joint instability:

    • As RA progresses, the joints may become unstable, leading to dislocation or misalignment of the bones.

    Symptoms of rheumatoid hand deformity

    The symptoms of rheumatoid hand deformity develop gradually and may worsen over time if left untreated. Common symptoms include:

    • Pain: A deep, throbbing pain in the hands, particularly during movement or after resting.
    • Swelling: Inflamed joints cause visible swelling, making the hands feel stiff and less mobile.
    • Stiffness: Especially in the mornings or after periods of inactivity, the hands may feel stiff and difficult to move.
    • Limited range of motion: Joint damage can severely reduce the ability to fully open or close the hand.
    • Numbness or Tingling: Damage to the nerves surrounding the affected joints may lead to sensations of numbness or tingling.
    • Visible deformities: Over time, the joints may become misaligned, leading to deformities such as ulnar deviation (fingers pulled towards the little finger) or swan-neck deformity (finger bends unnaturally).

    Causes of rheumatoid hand deformity

    The primary cause of rheumatoid hand deformity is rheumatoid arthritis, which itself is caused by a malfunction in the body’s immune system. In RA, the immune system mistakenly attacks healthy tissues, particularly the synovium, causing inflammation in the joints. The inflammation damages the joints and tendons, leading to deformities over time.

    Additional contributing factors include:

    • Genetic factors: A family history of rheumatoid arthritis can increase the likelihood of developing hand deformities.
    • Environmental triggers: Smoking and exposure to certain infections or toxins can trigger RA in genetically predisposed individuals.
    • Chronic inflammation: Ongoing inflammation can erode cartilage and bone, contributing to deformities and loss of joint function.

    Risks of rheumatoid hand deformity

    Several factors can increase the risk of developing severe rheumatoid hand deformities:

    • Delayed diagnosis: If rheumatoid arthritis is not diagnosed and treated early, it can progress and lead to joint damage.
    • Poor disease management: Inadequate control of inflammation through medications or therapies can result in progressive deformities.
    • Joint damage: Persistent joint damage from untreated or poorly managed RA can lead to irreversible deformities, reducing the ability to use the hands effectively.
    • Age: RA typically starts between the ages of 30 and 60, and the risk of developing deformities increases with age.
    • Gender: Women are more likely than men to develop rheumatoid arthritis and its associated hand deformities.

    How is rheumatoid hand deformity diagnosed?

    A precise and early diagnosis is critical for managing rheumatoid hand deformities effectively and preventing further joint damage. Diagnosing rheumatoid hand deformity typically involves the following steps:

    1. Medical history & Physical examination

    • Medical history: Your doctor will begin by asking about your symptoms, including the onset and duration of pain, swelling, and stiffness. They will also ask about any family history of rheumatoid arthritis (RA) or other autoimmune conditions.

    • Physical examination: The healthcare provider will examine your hands for visible signs of deformity, swelling, warmth, and tenderness in the affected joints. They will also assess the range of motion in your fingers, wrists, and thumbs, noting any limitations or stiffness. The doctor may look for characteristic deformities like ulnar deviation, swan-neck deformity, or boutonnière deformity.

    2. Blood tests

    • Rheumatoid Factor (RF): This is an antibody that is commonly found in the blood of people with RA. However, not all people with RA test positive for RF, and some individuals without RA may test positive.

    • Anti-Citrullinated Protein Antibodies (ACPA): ACPA are antibodies that are more specific to RA and can often be detected in the early stages of the disease.

    • Other inflammatory markers: Elevated levels of C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) are signs of inflammation and can help confirm the presence of an active inflammatory process.

    3. Imaging tests

    • X-rays: X-rays are often used to assess the extent of joint damage and deformity. They can reveal signs of bone erosion, joint space narrowing, and deformities caused by RA. This helps determine the severity of the condition.

    • Ultrasound: Ultrasound can be used to assess the soft tissues around the joints, identifying signs of inflammation, fluid accumulation, or tendon damage that may not be visible on X-rays.

    • Magnetic Resonance Imaging (MRI): MRI is particularly useful in detecting early joint damage, soft tissue involvement (such as tendon inflammation), and assessing the severity of inflammation.

    • Arthroscopy: In some cases, an arthroscope may be used for a detailed examination of the joint’s interior. This minimally invasive procedure allows the doctor to visualize damage to the joint surfaces and surrounding tissues.

    4. Joint aspiration & analysis

    • If there is significant swelling or fluid accumulation in the joints, your doctor may perform joint aspiration (synovial fluid aspiration) to remove fluid from the affected joint. The fluid is then analyzed for signs of infection, inflammation, or crystal deposits. This can help confirm a diagnosis of RA and rule out other conditions like gout or infection.
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    Rheumatoid hand deformity treatment in Ahmedabad

    Non-surgical treatments

    1. Medications

    • Disease-Modifying Anti-Rheumatic Drugs (DMARDs):

      • DMARDs, such as methotrexate, sulfasalazine, or leflunomide, slow the progression of rheumatoid arthritis by suppressing the immune system, reducing joint inflammation, and preventing long-term joint damage.

      • Cons: Side effects may include nausea, liver toxicity, bone marrow suppression, and an increased risk of infections. Regular blood tests are required to monitor these risks.

    • Biologic agents:

      • Biologics target specific parts of the immune system responsible for inflammation. Common biologics include TNF inhibitors (e.g., etanercept, infliximab) and IL-6 inhibitors (e.g., tocilizumab).

      • Cons: Biologic treatments are expensive and may increase the risk of serious infections, cancers, and other complications. They require regular monitoring and may not be suitable for everyone.

    • Corticosteroids (Steroids):

      • Steroids such as prednisone can quickly reduce inflammation, providing relief from pain and swelling in the hands.

      • Cons: Long-term use of corticosteroids can cause side effects like weight gain, osteoporosis, high blood pressure, diabetes, and a higher risk of infections. They are generally used for short-term flare-ups.

    • Non-Steroidal Anti-Inflammatory Drugs (NSAIDs):

      • Over-the-counter medications like ibuprofen or naproxen are commonly used to alleviate pain and reduce inflammation.

      • Cons: Chronic use of NSAIDs can lead to gastrointestinal problems (e.g., ulcers, bleeding), kidney damage, and cardiovascular issues. They are not a long-term solution for disease management.

    2. Physical therapy

    • Physical therapy involves exercises and techniques to improve joint flexibility, muscle strength, and the overall range of motion. A tailored program of exercises may help to prevent stiffness and maintain hand function.

    • Cons: Requires ongoing commitment from the patient. Overdoing exercises or incorrect movements could exacerbate symptoms or lead to new injuries.

    3. Occupational therapy

    • Occupational therapy helps individuals adapt their environment and daily tasks to minimize strain on the affected joints. It includes techniques to improve the ability to perform everyday activities and may include the use of adaptive devices and splints.

    • Cons: Adaptation to new techniques or devices may be challenging for some, and there can be a period of discomfort as the body adjusts to changes. Results may take time to manifest.

    4. Splinting & Orthotics

    • Splints and orthotic devices can support and stabilize the joints, reduce inflammation, and help in preventing deformities from worsening. These are often used for the wrist, thumb, or fingers.

    • Cons: Some people find splints uncomfortable, especially when worn for long periods. Overuse may also lead to muscle weakness or stiffness if not combined with physical therapy.

    5. Joint protection strategies

    • Educating the patient on joint protection strategies involves techniques for reducing the strain on joints during daily activities (e.g., using large muscle groups for lifting or avoiding repetitive motions).

    • Cons: Requires a proactive and consistent approach from the patient, which can be difficult to maintain. It may take time to form new habits and strategies.

    While non-surgical treatments can help manage symptoms and provide temporary relief, they don’t address the underlying structural issues caused by severe rheumatoid arthritis. Over time, joint function can worsen, and deformities may become more debilitating.

    In such cases, surgery may offer a more permanent solution by restoring function, preventing further damage, and improving quality of life. Surgical options can repair or replace damaged joints and tendons, providing lasting relief that non-surgical treatments can’t fully achieve.

    Surgical treatments

    Surgical options for rheumatoid hand deformities are generally considered when non-surgical treatments fail to provide relief or when deformities become so severe that they significantly impair hand function. The goal of surgery is to restore joint function, reduce pain, prevent further damage, and improve quality of life. Below are some of the key surgical options:

    1. Tendon repair & reconstruction

    • What it is: Tendon damage is a common complication of rheumatoid arthritis, as the inflammation can weaken or even rupture tendons that control finger and wrist movements. Tendon repair or reconstruction involves surgically repairing or reconstructing these damaged tendons to restore proper function.

    • When it’s needed: This procedure is typically required when tendon damage causes significant weakness, impaired movement, or deformities in the hand, such as a loss of finger extension or wrist instability.

    • Procedure: The surgeon may either repair the torn tendon directly or use a tendon graft (often from another part of the body or a donor tendon) to replace the damaged tissue.

    • Recovery: After tendon repair, the hand will be immobilized for a period to allow healing. Physical therapy is often required to regain movement and strength.

    2. Joint fusion (Arthrodesis)

    • What it is: Joint fusion involves surgically joining two or more bones in a joint to eliminate motion in that joint. While this procedure removes joint movement, it can relieve pain and provide much-needed stability, especially when a joint has been severely damaged by rheumatoid arthritis.

    • When it’s needed: Joint fusion is often performed when the joint is so damaged that replacing the joint is not viable, or when the pain and instability caused by movement are intolerable. It is commonly performed in the wrist, thumb, or finger joints.

    • Procedure: The surgeon will remove the damaged joint surfaces and use plates, screws, or pins to hold the bones in place until they fuse. Over time, the bones grow together, forming a stable, pain-free unit.

    • Recovery: Recovery from joint fusion can take several months, and the patient may need to wear a cast or splint to protect the joint while the bones heal. Full recovery may require rehabilitation to restore function in the surrounding muscles and tissues.

    3. Joint replacement (Arthroplasty)

    • What it is: Joint replacement involves removing a damaged joint and replacing it with an artificial implant made of materials such as metal, plastic, or ceramic. This procedure is usually reserved for joints that have undergone significant damage due to rheumatoid arthritis and cannot be repaired or fused effectively.

    • When it’s needed: Joint replacement is typically performed in cases where the joint has sustained severe damage, causing persistent pain, loss of mobility, and deformities that non-surgical methods cannot address. The fingers, wrists, and thumb joints are commonly treated with joint replacement.

    • Procedure: During the surgery, the surgeon will remove the damaged bone and cartilage, and then insert an artificial implant that mimics the natural function of the joint. The implant will be anchored to the bones using screws or cement.

    • Recovery: The recovery process can take several months, and rehabilitation is necessary to restore strength, mobility, and functionality. The implanted joint is designed to last for many years, but wear and tear may require future revisions.

    4. Corrective Osteotomy

    • What it is: Corrective osteotomy involves surgically cutting and realigning bones to improve joint function and appearance. This procedure is performed when bones become misaligned due to rheumatoid arthritis, leading to deformities that affect the hand’s function.

    • When it’s needed: Osteotomy is often used when the deformity involves joint misalignment but the joint itself is not severely damaged. It can be particularly beneficial in cases of ulnar deviation (when fingers bend toward the little finger) or swan-neck deformity (when the finger becomes hyperextended at the middle joint).

    • Procedure: The surgeon will make an incision to access the bone, then cut and reposition it to restore the proper alignment. In some cases, plates, screws, or pins may be used to stabilize the bone during healing.

    • Recovery: Post-surgery, the patient will need to immobilize the hand to allow proper bone healing. Physical therapy is essential to regain the full range of motion, strength, and function.
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    Recovery after rheumatoid hand deformity treatment

    Recovery depends on the type and extent of treatment used. After surgical interventions, patients may require:

    • Rehabilitation: Physical and occupational therapy will be crucial to regain strength and functionality in the hands.

    • Pain management: Pain relief methods such as medications, ice packs, or rest will be important during recovery.

    • Follow-up care: Regular checkups will help monitor progress and ensure proper healing.
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    Prevention of rheumatoid hand deformity

    While it’s impossible to completely prevent rheumatoid arthritis, early intervention and effective management can reduce the risk of developing severe hand deformities. Steps include:

    • Early diagnosis & treatment: Identifying rheumatoid arthritis early and starting treatment promptly can prevent long-term damage.

    • Regular monitoring: Keeping track of RA symptoms and joint health can help manage the disease more effectively.

    • Lifestyle modifications: Maintaining a healthy weight, quitting smoking, and staying active can help manage inflammation and reduce stress on joints.

    What makes us the best hospital for rheumatoid hand deformity treatment in Ahmedabad?

    We are dedicated to providing exceptional care for patients with rheumatoid hand deformity. Here’s why we are considered the best choice for rheumatoid hand deformity treatment in Ahmedabad:

    Expertise of Dr. Karn Maheshwari

    He is a highly skilled hand & wrist surgeon specialized in treating rheumatoid hand deformity. His specialized knowledge ensures that you receive the most effective treatment tailored to your individual needs.

    Personalized treatment plans

    We believe that no two patients are the same. Dr. Maheshwari tailors each treatment plan based on your specific symptoms, lifestyle, and preferences, ensuring you get the most effective and least invasive care possible.

    Minimally invasive surgery

    When surgery is necessary, we use the latest techniques to reduce scarring, shorten recovery times, and get you back to your daily activities faster.

    Comprehensive physiotherapy

    Our in-house physiotherapy team, led by Dr. Maheshwari, provides targeted rehabilitation exercises post-surgery to ensure optimal recovery and restore hand function as quickly as possible.

    State-of-the-art facility

    Our hospital is equipped with modern medical technologies, ensuring precise diagnostics and advanced treatment options for every patient.

    Patient-centric care

    From your first consultation to your follow-up care, our team is dedicated to providing a comfortable, compassionate experience. We prioritize open communication, answering all your questions and keeping you informed every step of the way.

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    Awards & Achievements

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    What our patients say about their hand treatment

    Prem Singh Rathore

    Hi, I am Prem, and I live in Naroda, Ahmedabad. Let me tell you why you should choose Dr. Karn Maheshwari and why I believe he is the best in the business for forearm and hand surgeries. At the age of 18, I broke my left hand(radius bone) in school in 2013. I remember I was in the 12th standard. It happened around teacher's day. I went to see a nearby orthopedic doctor who did my fracture and covered it with a plaster. So, there was no surgery involved. When the plaster got uncovered, I saw my hand for the first time, and I wasn't happy. It looked like my alignment(between radius and ulna bone) was messed up, and I wasn't satisfied with the result. Although the doctor kept giving me false hope about my hand, that it would get better with time, it never did. So, I started consulting with other orthopedic specialists regarding the resolution for my messed-up wrist. Until I met Dr. Karn Maheshwari, He answered all my questions, cleared all my doubts in and out regarding the possible hand surgery, and gave assurance that he'd only do the surgery, which would give me the satisfaction that I was looking forth. And after Nine years of waiting, I was convinced that this was the guy I wanted to bet my money on. Now, after the surgery, my hand looks good. The bone alignment is better, the wrist movement is better, and I feel like my hand strength is back. If you or any of your relative is looking to visit Dr. Karn, feel free to go and consult with him, and I am sure you will get the result and the answers you're looking forth. You can thank me after the surgery. My no. is available with Dr. Karn.

    Aashish thakor

    Maru name Aashish Thakor Che Mara bhai ne Cricket Ramta Finger Ma Fracture Thayu tu Mane Dr. Sulay Sachdev ne tya Batava gayo Amne Dr.Karn Maheshwari No Reference aapyo hu Krisha Hospital ma Batava aavyo. Sir nu kam saru che Hospital Staff Saro che. Thank u sir 🙏😊

    Hitendra Solanki

    He is a very nice doctor. He has good experience and knowledge. I used to have a lot of pain in the first swelling of my right hand for years. Took medicines from many doctors. But no matter Dr. Karn Maheshwari sir is completely pain free after the operation.

    Kiran Vankar

    Maru name kirti kumar che. Kakoshi.ta.shidhalur.dist.patan. Maro left hand thumb cut thai gayo hato.. Dr.kan maheshwari & aemni team ae 5hr khub mahenat kari operation kari maro thumb fari thi joint kari aapyo. Hu ane mara family aemna khub khub aabhari chhiae. Dr.karn & aemno all staff bahu j sara nature na che. Aemni hospital pn bahu sari chhe. Hu hammesh mate aemno aabhari chhu.thank u dr.karn & team

    Panchal Nehal

    Dr. Karn Maheshwari Sir Tandem Trasplantation of my arm after brachial plexus operation and tried to work as best as possible.

    Karan Vashfoda

    Maru hath Machine ma aai gyu hatu .. pachi me dr karn pase mara hath ni surgery karai Ane Mara hath ma sudharo Thai gayo che.. dr karn Maheshwari ne hu dhyanwad kru chu aemne mara hath ne bachavi didhu..

    Shruti Modi

    Dr.Karn Maheshwari the very nice ,cooperative and  so experienced doctor and surgeon  for any type of arm or hand problem ... very successful too. Two months ago my daughter was suffering with DQ problem in right hand and she couldn’t move wrist.. It was totally restricted by moving.. But in a first consultation with Dr. Karn we were so satisfied and been confident for successful surgery .. In a moments  of surgery with  perfect guidance she is now absolutely fine and can do everything with the right hand.. Thanx to Dr.Karn.. and thnx to our doctor friend who suggested this cooperative and successful doctor...Thank you…

    Kandarp Raval

    Dr Karn is one of the most amazing doctors I have ever across. Not just a great doctor, he is a very good human being with a heart of gold. While most specialists told me I had to learn to put up with my ganglion pain, Dr Karn ensured I got rid of it through a successful surgery. His behaviour, treatment and never-give-up attitude boosts patients for a speedy recovery. He listens and addresses each of his patient's complaint with utmost care and attention. A few adjectives that describe him are compassionate, respectful, attentive, dedicated, kind, empathetic and much more.....

    Jyoti Morabia

    Dr karn Maheshwari is best hand surgeon.he is polite and Very supportive Doctor. 1year ago I had the operation of carpel tunnel with him. I got very good cooperation from him. He was constantly taking care of me over the phone. So I am very satisfied with his work and nature.... Congratulations!!! Sir💐

    Nandkishore Patel

    One of the best hand and microsurgery Doctor in Gujarat. Visited his hospital and had a great experience getting treated by him. Also the staff members working with the doctor are very helpful after getting treated by him.

    Lay Shah

    Dr. Karn Maheshwari is really an expert and can tackle any hand related surgeries exceptionally well. My grandmother had an accident and got a really deep wound on her finger. She needed immediate operation to get it treated. We got spontaneous help from Dr. Karn and he consolably explained us the complete process for the hand operation. He skillfully completed the operation and comforted my grandmother during the same. Had really satisfactory experience during the entire procedure and she was discharged in the evening itself. I would totally recommend Dr Karn Maheshwari.

    Rajendra Acharaya

    Hello, friends My name is Rajendra Acharya, I am a resident of Bhilwara, Pur in Rajasthan. Friends, while playing cricket, my ring finger got completely broken in the middle due to a ball. For its treatment, I showed it to all places like Bhilwara, Ajmer, Jaipur and Udaipur, but no one got it. Any doctor at any place completely refused to fix it as before and said that there will be no movement in it and it will always remain straight. Then we talked to the person who met us in Ahmedabad and showed us 3-4 places there. We went to Dr. Rajendra ji Patel's place in Navrangpura. There Dr. Rajendra ji Patel asked us to get treatment from Dr. Karan ji Maheshwari and without any delay we met Karan sir and got the operation done and in just 45 days my finger came back. as it happened For this I thank Karan Sir very much for correcting my finger.

    Dr Sudha Yadav

    I had swelling and stiffness in fingers of my left hand for which I consulted Dr Karn Maheshwari. I found Dr Maheshwari to be with great expertise in his speciality. He explained to me in details everything and answered to all my queries with patience. He is highly professional with great skills and very kind and compassinate doctor. I am much better within short span of treatment. I thank Dr Maheshwari from core of my heart.

    Er Avadh Patel

    I am sharing my own experience. I had last finger injury of hand of them were almost amputated from distal part. I thanks to Dr. Karn maheshwari sir and his team did 2hr long surgery and made the operation successful. Right now after one and half month recovery my finger. Thanks to sir and his team

    Ritesh Desai

    Machine ma hath avi javani mari angli ma ghabhir ija thai ti ...pela biji jagaya a operation thay pan Ema kai ... Saru na thau nai ....p6i mane company na manager sir a ... Dr Karn maheshwari sir no content karvyo ... Tay mari surgery karvi ...atyray mane ghanu saru che ... finger ma movement avi gai che ... Thank you Dr Karn maheshwari..all staff

    Dhruv Raval

    I was diagnosed with DQ in my left hand wrist, It was too painful even I try to take a paper, It was a worst condition for me , Dr. Karn sir operate me wisely, After operation my wrist was good, pain was relief , Moreover Dr. Karn and hospital staff were always quick to respond and provide advice with a personal touch.

    Naresh Katara

    After the operation of branchial plexus, pain in the hand and swelling have reduced. There is pain in the hand, now it is better than before.

    Kajalba Vaghela

    Dr karn Maheshwari sir is a best orthopaedic hand surgeon  in gujrat . he treated my husband right hand finger ring surgery and result is so good after then my husband feel better good and hospital staff is very coperative and sir is very excellent hand surgen.

    Amit

    I hail from Sydney, Australia and had some severe wrist pain with a couple of lumps. I wasn’t able to get best medication in Sydney and ended up reading great about Dr Karn. So went to him and I had a wrist surgery done for a ganglion cyst and schwannoma(very painful) in March 2024. Technically, it should not be painful but due to some reason it was. Dr Karn did a great job in surgery and later told me that schwannoma was near my wrist bone which caused the pain. Bhavesh and Manisha were great nurses who helped me in my surgery and regular dressings. There was 1 another lady nurse and she was so helpful too. Best part was Dr Karn asked me to keep him updated after the stitches were taken off. Genuinely, you can’t get a better wrist surgeon than Dr Karn and his team.

    Ankita Morbia

    Dr karan maheswari is a best hand surgeon I had carpen tunnel surgery from him, back support is good staff is also good & polite the best thing of a Doctor is he gives enough time nd is of polite & kind nature Thanks to Doctor & his team. I recommend to every one .

    Hardik Soni

    **Outstanding Experience with Dr. Karna Maheshwari** I recently underwent wrist surgery performed by Dr. Karna Maheshwari, and I cannot express enough how grateful I am for the care and expertise I received. From the initial consultation to the post-operative follow-ups, Dr. Maheshwari and his team were incredibly professional, compassionate, and attentive. The surgery itself went smoothly, and Dr. Maheshwari took the time to explain each step of the procedure, alleviating my anxiety. His skill as a surgeon is remarkable, as I have experienced a significant improvement in my wrist function and pain levels. Post-surgery, the recovery process was well-guided, with Dr. Maheshwari providing a comprehensive rehabilitation plan. I appreciated his willingness to answer all my questions and his proactive approach in managing my recovery. Overall, I highly recommend Dr. Karna Maheshwari for anyone considering wrist surgery. His expertise and dedication to patient care make him an exceptional choice for orthopedic surgery.

    Ranjita Patel

    I had a injury due to cricket ball and my right thumb was fractured so I came at krisha hospital and surgery done by Dr karn Maheshwari after surgery my all movements are normal and i am fully satisfied with surgery and hospital staff was good.I highly recommended Dr karn Maheshwari for any hand related surgery.

    Harshit Patadiya

    I have undergone Finger amputation and it is performed by Mr. Karn Maheshwari at night around 2 am. He is really gem. He is so soft spoken and very polite. He is very much friendly too.  Obviously he is super specialist in Hand Surgery, so there would no doubt about surgery. My finger is recovering very fast. His care for patient is at next level. Thanks Sir.

    Rima Rajput

    I am Nagji Rajput's wife. My husband Abbarish works in healthcare. He was hit in the hand by a machine in the ongoing job. Karna Maheshwari performed the operation. And we got very good results. Thank you very much.

    Patel Rajesh

    Mare tendon repair dr Karn Maheshwari sir ae surgery kri and Hal Mane bavj saru che. Dr Karn Maheshwari very kind person.

    Bhoomi Dhanwani

    He is one of the best orthopedic surgeons i have met....i have been diagnosed with ulnocarpal impingement syndrome...he advised me to have a cast but the best thing about that is after my cast was removed i got 2 calls from his clinic to have a follow up on my condition which is the best i have reponse from a private practitioner i have ever received …

    Dhwani Shah

    I was having severe pain and restricted movement in my left wrist and was diagnosed with ganglionic cyst. Dr Karn Maheshwari got this operated very precisely and perfectly. It's been a month and now i can do all my work without pain. Also the staff was throughout so supportive. Would surely recommend this hospital for the needful.

    Jignesh Pathak

    Most caring as well as friendly doctor. Perfact diagnosis and surgery was done for carpal tunnel syndrom. Very friendly and co operative staff. Clean and tidy hospital. thanks.

    Bhaumik Patel

    All throughout my stay at Krisha hospital , we had a wonderful experience . They have the best available doctors in every field and experienced nurses too . Such a loving and caring behaviour , along with the best treatment . I would also appreciate the other subordinate staff for their prompt and efficient services ... It also ranks number one as far as the cleanliness is concerned . Overall one of the best hospital in Gujarat we can be proud of . May God bless all the doctors and the entire staff to continue their amazing service to mankind forever .

    Altaf Bhojani.

    He Is Awesome Doctor for Hand Surgery... I have Injury in Right Hand Index Finger While I Playing Cricket... Ligaments Surgery is fully Successful... Also Positive and Good Nature of Doctor..

    Parth Modh

    I am sharing my own experience. I had index and middle finger injury of  where both of them were almost amputated from distal part. Dr. Karn sir and his team did 8hrs long surgery and made the operation successful.  Right now after 1 month  recovery my fingers are healed. Thanks to sir and his team

    Jaesh Kodravi

    Maro hath machine ma aavi gyo hato sir a surgury karya pachi hath have Saro thava avyo che moment thay che sir Ane hospital staff khub Saro che thank you

    Bhavik shah

    I m writing this review after about 3 months post my tendon wrist surgery done at krisha hospital by karn maheshwari sir and I can probably say he is genuinely one of the best doctors that I Have visited . He operated my ecu tendon tear and its healing quite well now and the best part is he was always available on a phone call whenever there was any confusion Thank you karn sir

    Kuldeep sompura

    Dr karn Maheshwari sir is a best orthopaedic hand surgeon  in gujrat . he treated my sister left hand thumb surgery and result is so good and hospital staff is very coperative .

    Kuldipsinh Vaghela

    I was suffering from ganglion problem for one and a half years but even after seeing seven doctors, this problem was not resolved and I was very confused but after visiting Dr. Karn Maheshwari Saheb, my ganglion problem was discovered and it was operated by Dr. Karn Maheshwari Saheb Shri.  I am very happy and healthy, the problem that I had for one and a half years was removed by Dr. Karn Maheshwari Sahib's operation.  The entire staff of Krisha Hospital is also very humane and very nice who takes full care of the patients.  Thank you doctor Karn Maheshwari sir and entire staff.

    ShaVrma

    It's been 5 months since my mother underwent her CTS surgery at your hospital We're really thankful to the Doctor and the entire team, her hand has completely recovered There's no pain, and the scarring on the wrist is so minimal that we can't even notice.

    Nemi Modi

    Thanks to Dr. Karn and team for taking care of my husband... He had injury by cricket ball on Rt finger and was unable to do even normal movement... Operation was also difficult... Dr. Karn did New minimal surgery for that and now after 1.5 months of surgery now he is able to do total movement of That finger... We are so much thankful to such Hand surgeon at our society... You should also visit for any orthopedic issues... Best opinion best surgery best results... As a patient what we need more?

    Newkumar Printry

    4 -5 mahina pela machine ma hath avathi mara banne hath ni angadi kapayi gayeli dr karn maheshwari sir na tya surgery karavinr have mne ghanu saru che hal mne mne ghanu saru che krisha hospital and amno ghano abhari chu ............hand mate khub sari hospital che

    Pratik Panasara

    As being myself a doctor, i visited dr karn maheshwari for surgery of trigger thumb of my son. He explained me in details regarding medical condition of my child in details, regarding surgery and post-operative outcome for approx. 20-25 minutes and after surgery my child has complete improvement physically and cosmetically.. and also special thanks to entire KRISHA hospital's staff for taking care of my son during pre-operative and immediate post-operative period..

    Nidhi Phadnis Joshi

    Best Orthopedic Doctor we wisited. Fast recovery and proper response. Well attending  doctor. Best attending staff.

    Navinbhai Patel

    My son was heavily injured in the industry accident and his fingers were heavily injured. That moment we appoint specialist for this kind of injury. He maintains situation very good and give my son very best treatment. And in this phase he constantly call us and give every advice we needed. We are very grateful for their service.

    Hardikparmar111

    I recently got treated by Dr. Karn Maheshwari after injuring myself while playing cricket. I am happy with the treatment and care I received.   Dr. Maheshwari was great from start to finish. He took time to explain my cricket ball injury and all the treatment options, so I always knew what was happening. He was clear and honest throughout, which made me feel comfortable and confident. The treatment was excellent, and thanks to Dr. Maheshwari  and the staff. I’m feeling much better and back to my normal activities. I highly recommend Dr. Maheshwari for hand injuries and surgeries.

    Tehsin Luhar

    Because of machine crush ingury my tendon was cut after that I was going at krisha hospital for further management and I was operated for tendon repair by dr karn Maheshwari and It was successfully done. I am Fully recovered after this surgery. Thanks to dr Karn Maheshwari and all hospital staff.

    Hiten Thakkar

    FLEXOR CARPI RADIALIS TENDON cut by glass, su first and second finger movement hampered so tendon repair surgery done by Dr. karn maheshwari sir.

    Sandip Chunara

    I had contacted many orthopedic doctors before, but the treatment and communication with Karn Maheshwari sir was the best for me and I liked the behavior and approach of his nursing staff and his Father also, Karn Maheshwari sir is the best in his field and I think that he walks with science and humanity together. I am looking forward to the post-operative treatment with optimism and looking forward to get the best results.

    Vd. Virendra V. Modi

    Really great attention by Dr. Karn sir .. perfect diagnosis ..great advice and even advised for further... I had consulted or cricket injury....must visit clinic

    Manish Jani

    Amara bhai na bane hath machine ma aavi gaya hata Jena pasi ame dr rajan patel na referrals thi Krisha hospital ma aavya je dr Karn maheshwari ne batavyu jemne surgery kari and Hal have hath ma saru che amne ahiya bahu saru lagyu and hospital and staff bahu saru che

    Abhay Mohta

    I had vein problems in arms and legs, but the most important thing was to understand my problem, I knew Dr. Karn Maheswari through society, so I decided to take his appointment and meet him, and what I knew about him. More than that I felt better, he listened to me and my problem very carefully and then did a complete examination and gave me medicine, from which I am benefiting now. I would definitely say that anyone who has the same problem as me should definitely visit sir once.....thank you sir.

    Gajendra pavra

    I sent a patient she is employee in my company and had machine crush injury in left index finger and thumb was injured and we reached to krisha hospital and dr karn Maheshwari do successfull surgery. He is very kind and gentle person.

    Jadeja Budhubha

    Jai Mataji, I am Jadeja Rinkalba from village Makda Kutch Bhuj. About two months ago, while doing housework, I got a glass blow on the middle finger of my left hand. At that time I had a simple wound so I got it treated. After a period of 15 days my finger could not do any movement so I went to Mandvi Hospital for treatment, so I went to Bhuj Leva Patel Hospital for treatment as per doctor's opinion. Dr. Leva Patel Hospital. From the opinion of Jadeja Divyarajsingh Dr. from Ahmedabad in Leva Patel Hospital at Bhuj. Dr. Kanan Maheshwari and Leva Patel Hospital. Anand Hirani performed the operation and took care of the finger after the operation as per his advice and the operation was successful. Today, after the operation, my finger is completely straight and it can also do movement, so I Dr. Kanan Maheshwari and Dr. I am very grateful to Anand Hirani. Thank you 😊

    Salam Solanki

    My son had a bike accident or I came to Krisha hospital after surgery and now my son is recovering, thank you Krisha hospital Karn sir and all staff.

    Mukesh Patel

    Mari wife ne lamba samay thi aangalio Ane angutha ma dukhavo thato hato .Dr Karn Saheb ne malya pehla main Ghana badha doctors ne batayu hatu gani davao lidhi pan farak na padyo.etle mein Dr Karn Saheb ne malvanu nakki karyu .Saheb e Mari wife ne tapasya pachhi kahyu k aama Dr Rutvij sir pase tame jao to saru Thai jase .Ane kharekhar Dr Rutvij sir ni davao thi farak padva lagyo .aa badal hu Dr Karn Saheb Ane Dr Rutvij Saheb no khub khub aabhar vyakt Karu chhu

    Rathod Rajnikant

    I got grinder crush injury or I met Dr. Karn Maheshwari sir or I got it from my surgery, I am almost fine now.

    Naresh Patel

    After meeting Dr. Karn my faith in humanity is multiplied by many time. My brother's arm vaines was cut in an accident. I visited many hospitals but no one has the satisfactory reply. I lost my hope. But after few days I got Dr. Karn's reference from my friend. He consulted my family and as we belong from village. He also made sure that we don't get any financial burden. Today while writing this review my brother is recovered and started his normal life. The support from Dr. karn is like blessings for me.

    Arvind Singh

    It was indeed great pleasure to get the right surgical approach in case of my wrist fracture, I was confused for my displaced distal radius fracture of right hand about the operative procedures but the experience and confidence has brought the best, Dr. Karn Maheshwari with his skills and surgical expertise brought back the proper alignment of my hand by volar plate fixation for which I am thankfull to him and advocate other to seek his guidance for the prestigious hand

    Satnarain Saini

    Dr. Karn Maheshwari is the best Orthopaedics & Superspecialist in Hand & Microsurgery . My son was suffering from Elbow pain from last one year, we consulted many Doctors. But Dr. Karn Maheshwari exactly diagnosed the problem of Snapping Elbow Syndrome ( Ulna Nerve + Medial head of Triceps)  & confirmed it through MRI & sonography test. He personally guided & co-ordinated with radiology Doctors for this test. He performed surgery of Ulnar nerve transposition & muscle repair very successfully with best result.  Throughout the whole treatment he guided and clarify every aspect. He is very friendly, co-operative, patient carrying, polite ,smiling face & give sufficient time to patient. My son is fully satisfied & heartedly thankful to Dr. Karn Maheshwari sir for excellent treatment and best result.

    Dhaval Patel

    My thumb was injured by machine by Dr karn maheshwari it was good experience..thank you sir

    Ankit Patel

    Krisha hospital is specialised in hand and wrist surgeries. I was treated for my finger injury here Dr. Karn sir is the one who saved my finger from losing its movement. Sir is calm and professional who made my fear go away. All the staff members helped me with my every query.

    Rajveer Singh

    Dr. Karn maheshwari is an out or ordinarily surgeon; moreover, he is an out of ordinary human being. He sees patients  as human beings and not objects of money making. He is highly competitive, compassionate and connected to the roots.  he has cured few impossible looking cases. He is highly expressive and explains details to clients is great details . This gives the patient great comfort and confidence. I am extremely thankful to him and highly recommend Dr Maheshwari to anyone needing hand surgery.

    Rajeshkumar Barot

    Doctor Karn Maheshwari is a good doctor. My son had a finger fracture. I showed it to a big doctor but he said that 80% will be a defect. But Maheshwari showed him and told him that 90% movement will come in the finger. Many thanks to Dr. Karn Maheshwari sir for performing a normal operation and bringing him 90% movement.

    Brinda desai

    Prompt response was given to my child as I called before hand asking the staff for doctor's availability, doctor Karn provided immediate attention and care to my son who had a fracture in his right hand. The staff is very supportive. My son has recovered in 30 days, he is facing no issues related to the movement of his hand and is slowly gaining strength at the fractured bone.

    Nikunj Rathod

    I  taken online consultion appoinment at just 99 rs with krisha hospital located vaishnodevi the expriance was nice Dr karn maheshwari such good Dr with lots of knowledge ....thank you all staff and dr karn maheshwari

    Chin Tan

    Thank you for all the care that you have given me after my injury. You have made sure that I was always given the best care available. Your compassionate attention and professional care saved my finger. There are not enough words for me to express my appreciation. Because of your excellent care I have my finger. I will always be grateful for the additional years of life that your care has allowed me to enjoy.” Most trusted and reliable.

    Dr Jayantilal Rusat

    It is said that healing begins with meeting a doctor and I found it true when I met Dr. Karn Maheshwari in Krisha Hospital. He is very sober and inteligent, expert in diagnosis and method of treatment. I had an injury, which had created facture in my right foot's fingers. I have been cured by treatment in Krisha hospital very economically. I appreciate the qualities and mannerisms of paramedical and administrative staffs of Krisha hospital. I thanks Dr. Karn and all of them.

    Fk Travels

    My nephew is in uk .He had 2 surgery in right hand little finger in vadodara.But he is having severe sweeping and no movement.But sir gave bandage and sprint to wear in finger.recovery is good.sir nicely explain and heard the problem.

    Pooja Thakkar

    The service that I received from Krisha Hospital was excellent. Dr. Karn Maheshwari is an expert surgeon, he has explained me everything very clearly about my surgery, the staff was also helpful and kind. They ensured I had a smooth surgery and follow up, I am much satisfied with the post result and getting speedy recovery with the doctor's instruction. I would highly recommend to anyone.

    Nandkishore Patel

    One of the best hand and microsurgery Doctor in Gujarat. Visited his hospital and had a great experience getting treated by him. Also the staff members working with the doctor are very helpful after getting treated by him.

    Nikky Patel

    Best Doctor for Hand surgery He is very good person for nature wise very polite,also gives true information for every patient and every time connecting patient for every situation

    Arman Khan

    Pela nana ma 7age ni umar ma te padi gya hta ane hath fekcher thayi gyu hatu pachi have 38umar ni vakhate khabar padyo ke hath no opresen karovu padse to ame Ahmadabad ma krisha hospital ma opresen karva layi gya ane opresen safal rahyo

    Manjeet Singh

    Really Thx Dr. Karn Maheshwari Sir and krisha hospital Ahmedabad. My child 2 yr. old and his right Hand ring Finger total ring finger total damage. but after successfully surgery done Dr. Karn Maheshwari and now Ring proper Good Conditions and proper movement Ring Finger.. Again thx Dr. Karn Maheshwari & and krisha hospital. Dr. Karn Maheshwari is only one finger specialist he is save many people and child Finger and Hand.

    Bhavesh Mehta

    Dr. Karn Maheshwari is an expert surgeon. My mother gone through hand surgery and she is very much satisfied with the Surgery as the problem is completely solved. Krisha hospital has all the facilities in hospital ..  Even the staff is also very kind and supportive.. will definitely suggest if you have any problems with your hands ..

    Hardik Patel

    Very cool Dr., Explains in details, spends time on queries raised by patients or their families. No wrong advice, will do operation only if required. Reasonable charges. My wife had to under go wrist surgery through him which was one of the very rare preiser disease, he simplified operation and tried to save wrist bones. Now she is getting better day by day. All the best Dr. Karn for your bright future.

    Vipin kashyap

    One of the best superspecialíst Hand surgeon. I had done my mom's surgery and the results are way too good. I was fed up with the problem in mom's hand and got the best resolution at Krisha Hospital

    Sudha iyer dsouza

    Prompt diagnosis and all possible lines of treatment were explained elaborately by Dr Karn Maheshwari. The paramedics and other staff members were very polite, considerate and helpful.  Both pre-op and post-op responses from the doctor and his team have been excellent. Thank you.

    Mada Bhai

    Mara bhai Hamir Rabari no accident 3 mahina pahela thayo hato. Jema dabo hath Kam nato karto. Karn Maheshwari sire mast operation Kari apyu 6e. Ame temna abhari 6ia. Staff pan Saras 6e. Hospital ma khavani temaj rahevani suvidha pan Saras 6e. Abhar.

    Bhimji Ahir

    Dr. Thank you very much Karn Maheshwari. The hand operation done by Dr Sir was very successful. Today my brother's hand is working perfectly. We will be thankful to him for giving him a hand operation for very little money. Dr Karn Maheshwari is very helpful for common people. I pray to Lord Krishna that Dr. Karn Maheshwari Sir may make great progress in life.

    Pankaj Bhanderi

    The services that I received from Dr. Karn Maheshwari is excellent. He done treatment for hand fracture of my 4 years old daughter. Dr. Karn Maheshwari and the staff are very friendly and supportive. Received perfect treatment with very much satisfactory result.

    Ramesh Thanth

    My name is Rameshbhai my wife was suffering from pain in wrist and hand for a long time and I got the address of Krisha hospital Dr. Karn Maheshwari I came there and operated on her now she is very well

    Daya sondarva

    I really like your services n after your treatment ,I m completely recovered from my fracture n now able to move my left hand properly.all staff work also liked by me.thank u so much sir for surgery of my left hand.

    Zishan Iproliya

    I had my operation of right elbow here and I have seen massive improvement in my range of motion which was restricted and doctor provided us with regular checkups after the surgery.

    Hiren Patel

    Best hand surgeon in gujarat

    Ketan katharotiya

    Dr.karn is the best hand surgeon and microsurgeon in gujarat ahmedabad.

    Jignesh galsar

    Doctor have good nature and my broken finger fixed very quickly with his treatment .....love the nature of staff too ....

    Nidhi Patel

    Dr.karn maheshwari is best hand,wrist and micro surgeon his hospital's cleaning is best and staff nature is very good and sincerely
    • B-Wing 201 & 210, 2nd Floor, Shaligram Lakeview Commercial, Above Domino's, S.P. Ring Road, Nr. Vaishnodevi Circle (Vaishnodevi-Zundal Highway Service Road), Ahmedabad-382421
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    • +91 75677 67701
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    FAQs about rheumatoid hand deformity

    At Krisha Hand Hospital, we offer a comprehensive range of services for managing rheumatoid hand deformity. These include a thorough diagnosis, non-surgical treatments such as medication (DMARDs, biologics), corticosteroid injections, physical therapy, and splinting to manage inflammation and reduce pain. For severe deformities, we provide surgical options like tendon repair, joint fusion, joint replacement, and corrective osteotomy to restore function and improve quality of life.

    To schedule an appointment, you can call our hospital directly or book online through our website. Our team will assist you with scheduling and provide any additional information you may need regarding your consultation.

    During your first consultation, we will review your medical history and discuss your symptoms in detail. A physical examination of your hands and joints will be performed. Depending on your condition, we may recommend diagnostic tests such as blood tests (for rheumatoid factors), X-rays, or MRI scans to assess the extent of joint damage and plan appropriate treatment.

    Before your consultation, it is helpful to bring a list of any medications you are currently taking, as well as any relevant medical reports or previous imaging related to your hand or joint health. If you have experienced changes in hand function or deformities, it’s useful to track those symptoms.

    Yes, we accept a variety of insurance plans. We advise you to check with your insurance provider to confirm the coverage details for consultations, diagnostic tests, and treatments related to rheumatoid hand deformity.

    Recovery time can vary depending on the type of surgery performed. After tendon repair or joint replacement, patients may notice improvements in pain and hand function within weeks, but complete recovery might take a few months. A rehabilitation program, including physiotherapy, is essential for regaining strength and mobility. Our medical team will provide detailed post-operative care instructions tailored to your surgery.

    Yes, we offer physiotherapy services as part of our holistic treatment approach for rheumatoid hand deformity. Our experienced physiotherapists will work with you on exercises designed to improve joint mobility, strength, and function while managing pain and inflammation.

    Non-surgical treatments such as corticosteroid injections or splinting may be provided on the same day, depending on the severity of your condition. However, surgical procedures usually require a separate appointment for proper preparation and scheduling. We will discuss all available treatment options during your consultation.

    The wait time for surgery depends on the severity of your deformity, available surgical slots, and other factors. During your consultation, our team will discuss the expected timeline for surgery and guide you through the process.

    We offer a range of diagnostic tests for rheumatoid hand deformity, including blood tests (such as Rheumatoid Factor, ACPA), X-rays, MRI scans, and sometimes ultrasound. These tests help us assess the extent of joint damage, inflammation, and deformities to tailor an appropriate treatment plan for you.

    Before surgery, you may be asked to avoid smoking, alcohol, and blood-thinning medications, as they can affect the healing process. Our surgical team will provide you with personalized instructions to follow in the days leading up to your surgery.

    Patient safety is a top priority at Krisha Hand Hospital. We follow strict protocols during surgeries, including pre-operative assessments, sterilization practices, and continuous monitoring during and after surgery to minimize risks and ensure a safe and successful outcome.

    Most surgeries for rheumatoid hand deformity are outpatient procedures, meaning you can typically go home the same day. However, if there are complications or specific concerns, an overnight stay may be recommended for closer monitoring.