Dr. Chintan GujarathiPlastic, Cosmetic & Reconstructive Surgeon

Hand Surgery✦ in Pune

(Carpal Tunnel Release, Tendon & Nerve Repair, Hand Trauma)

Microsurgical Carpal Tunnel Release, Flexor/Extensor Tendon Repair & Complex Hand Reconstruction

✦Clinical Overview & Approach✦

The human hand represents an extraordinary convergence of delicate tendons, intricate nerve branches, and microvascular arcades that enable both fine pinch precision and powerful grasp. When injury, repetitive strain, or compression strikes the hand, surgical intervention demands the highest level of microsurgical finesse. Dr. Chintan Gujarathi brings subspecialty plastic surgery expertise to treat everything from nocturnal carpal tunnel numbness to critical tendon lacerations and complex post-traumatic deformities.

Operated personally by Dr. Chintan Gujarathi (MCh Plastic Surgery, Tata Memorial Hospital Fellow) at accredited tertiary centers (Ruby Hall Clinic, Sassoon Rd & Manipal Hospital Kharadi), utilizing sub-millimeter precision, concealed micro-incisions, and advanced tissue-handling for natural, permanent outcomes.

98.5% — Nerve Relief Rate

Instant decompression

30-45m — Day-Care Release

Local / WALANT

8-0/9-0 — Micro-Sutures

Epineural fascicular

14 Days — Guided Rehab

Early active motion

Hand Surgery & Carpal Tunnel Release clinical illustration
✦ Hand & Peripheral Nerve • Clinical Framework

Surgical Approaches & Precision Techniques✦

Minimally Invasive Open Carpal Tunnel Decompression

Precision 1.5 cm palmar crease release dividing the transverse carpal ligament to completely relieve median nerve ischemia.

Key Surgical Advantages:
✓Immediate, permanent relief of nocturnal hand tingling, burning, and numbness
✓Concealed 1.5 cm incision in natural palm crease prevents tender pillar pain
✓Fast walk-in, walk-out day-care procedure under local anesthesia
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Best Suited For:Patients with severe carpal tunnel syndrome, nighttime hand waking, dropping objects, or thenar atrophy
Minimally Invasive Open Carpal Tunnel Decompression
✦CLINICAL ROADMAP • RECOVERY PHASES✦

Your Healing Journey & Recovery Timeline✦

A straightforward clinical timeline of what to expect and how your results mature week by week.

Days 1–3Phase 01

Limb Elevation & Pain Relief

Operated hand is kept elevated above heart level in a comfortable sling. Mild aching is well-managed with oral medication.

💡 Surgeon Guidance:

Elevating your hand on two pillows while sleeping is the single most effective way to eliminate throbbing and swelling.

Week 1–2Phase 02

First Review & Supervised Hand Therapy

Initial dressing change at clinic. For carpal tunnel, light computer typing and fork holding resume. For tendons, guided therapy begins.

💡 Surgeon Guidance:

For carpal tunnel patients, nighttime tingling typically disappears within 24 to 48 hours following surgery.

Weeks 3–6Phase 03

Progressive Active Motion & Grip Strengthening

Splints are gradually weaned. Active tendon gliding exercises increase in intensity as tensile strength builds.

💡 Surgeon Guidance:

Do not attempt heavy lifting, carrying full grocery bags, or using power tools until week 6 clearance.

Months 2–6Phase 04

Full Functional Recovery & Nerve Regeneration

Full power grip returns. Sensation in repaired digital nerves continues to advance down the fingertip at 1 mm per day.

💡 Surgeon Guidance:

Sensory nerve re-education exercises (differentiating smooth vs. textured surfaces) enhance fine fingertip touch recovery.

✦POST-OPERATIVE CARE • PATIENT SAFEGUARDS✦

Recommended Best Practices & Precautions✦

Essential surgical safeguards and post-operative instructions recommended by Dr. Chintan Gujarathi to protect your incisions and ensure smooth recovery.

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Recommended Best Practices (Do's)

  • Keep your hand elevated on pillows or in a sling above heart level to rapidly minimize post-op swelling.
  • Keep the surgical dressing completely dry until Dr. Gujarathi examines the wound at your first follow-up.
  • Perform your prescribed gentle finger motion or splint exercises strictly according to the hand therapist’s schedule.
  • Take your prescribed oral antibiotics and pain relievers on time with meals.
  • Attend scheduled follow-up evaluations at Ruby Hall Clinic or Manipal Hospital Kharadi.
Verified clinical protocols • Dr. Chintan Gujarathi
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Precautions & Safeguards (Don'ts)

  • Do not lift heavy objects (groceries, buckets, children) with the operated hand during the initial 4 to 6 weeks.
  • Do not remove protective thermoplastic splints prematurely without explicit clearance from Dr. Gujarathi.
  • Do not smoke or use nicotine products, as vasoconstriction severely impairs microvascular nerve and tendon healing.
  • Do not allow the hand to hang down at your side while walking during the first week.
  • Do not perform unguided aggressive stretching that could rupture newly repaired tendon suture lines.
Important precautions to safeguard tissue microcirculation

Frequently Asked Questions✦

Essential clinical answers on surgical safety, scars, and recovery in Pune.

For open carpal tunnel decompression, the procedure takes about 30 to 45 minutes under local anesthesia. Nighttime pain and numbness typically resolve within the first 48 hours. The small 1.5 cm skin stitches are removed around day 10 to 12. Most patients resume light computer typing, writing, and daily household activities within 7 to 10 days, while heavy manual lifting and vigorous gripping are resumed by week 4 to 6.

Schedule Your Consultation with Dr. Chintan Gujarathi

Available for personal clinical consultations and surgical assessment at premier accredited tertiary hospitals in Pune:

Sassoon Road CenterMap ↗
Ruby Hall Clinic

102, 1st Floor, Cancer Bldg, Sasoon Rd, Pune 411001

Kharadi CenterMap ↗
Manipal Hospital

22/2A, Mundwa -Kharadi Rd, nr Nyati Empire, Kharadi 411014

Call: 079774 29688Inquire Online →
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