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Wrist and Hand Specialist in Singapore
Dr Kau is a Fellowship trained Orthopaedic Surgeon with more than 15 years of experience. He is experienced in trauma and fracture management, sports injuries, and joint replacement surgery. For patients suffering from wrist and hand conditions, Dr Kau offers a personalised wrist and hand treatment plan. Book an appointment with him today.
Dr Kau Chung Yuan (许医生)
MBBS (S’PORE)
MRCS (Ireland)
MMed (Ortho)
FRCSEd (Ortho)
What Is A Wrist and Hand Specialist
A wrist and hand specialist is a medical professional with advanced training in the diagnosis, treatment, and prevention of disorders affecting the wrist, hand, and forearm.
They possess a detailed understanding of the complex anatomy and function of the hand and wrist. This expertise enables them to address various issues, from acute injuries such as fractures and sprains to chronic conditions like arthritis and nerve compression syndromes.
Wrist and Hand
The wrist and hand are intricate and essential parts of the human body, allowing for a wide range of movements and facilitating everyday tasks. Composed of multiple bones, joints, ligaments, tendons, and muscles, the wrist and hand provide dexterity, strength, and precision.
For specialised wrist and hand care, Dr Kau offers a range of services to help diagnose, treat, and restore optimal function to your wrist and hand.
Common Conditions
Wrist and hand specialists encounter a diverse range of conditions affecting patients of all ages. These are some of the most common issues they treat:
- Carpal Tunnel Syndrome
Carpal Tunnel Syndrome arises from pressure on the median nerve as it passes through the carpal tunnel in the wrist. Symptoms include numbness, tingling, and weakness in the hand and fingers. It often arises from repetitive motions or conditions that cause swelling in the wrist. - Fractures and Sprains
Falls, sports injuries, or direct impacts can easily cause fractures and sprains in the hand and wrist bones. Treatment varies depending on the severity and type of fracture or sprain. - Trigger Finger
Trigger finger occurs when inflammation narrows the space within the sheath that surrounds the tendon of the affected finger. This condition can cause pain, stiffness, and a sensation of locking or catching when the finger is bent and straightened. - Arthritis of the Wrist and Hand
Arthritis can affect multiple joints in the hand and wrist, leading to pain, stiffness, and swelling. Osteoarthritis and rheumatoid arthritis are the most common forms that affect these areas, with treatments focusing on managing symptoms and preserving joint function. - De Quervain’s Tenosynovitis
This condition is characterised by inflammation of the tendons on the thumb side of the wrist, leading to pain and difficulty moving the thumb and wrist. It is often caused by repetitive motion or overuse.
Diagnostic Approaches
Clinical Examination
The clinical examination includes a detailed medical history and a physical examination of the hand, wrist, and forearm. This assesses the range of motion, strength, and appearance of the affected area.
Imaging Tests
- X-rays: These are commonly used to detect fractures, dislocations, and signs of arthritis in the bones of the hand and wrist.
- Magnetic Resonance Imaging (MRI): MRI scans provide detailed images of the hand and wrist’s soft tissues, including muscles, ligaments, tendons, and nerves.
- Ultrasound: This imaging technique is used to evaluate soft tissue structures and can help in diagnosing conditions such as tendon tears or inflammation.
- Computed Tomography (CT) Scans: CT scans are used to provide more detailed images of the bone structure of the hand and wrist, especially useful in complex fractures.
Wrist and Hand Conditions We Treat
- Carpal Tunnel Syndrome And Numbness In The Hand
- De Quervain’s Tenosynovitis
- Finger Fractures
- Ganglion Cysts
- Mallet Finger
- Trigger Finger Release
- Tendon Injuries
- Wrist Fractures
Treatment Options
Non-Surgical Treatments
Non-surgical treatments aim to relieve symptoms, improve function, and promote healing while minimising the need for invasive procedures. Common non-surgical treatment options include:
Splinting or Bracing: These devices are used to immobilise the affected area, allowing it to rest and heal while reducing pain and inflammation.
Physical Therapy: A customised physical therapy program can help to improve the strength, flexibility, and function of the hand and wrist.
Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and swelling. In certain conditions, corticosteroid injections may be used to decrease inflammation and alleviate symptoms.
Surgical Treatments
Surgery may be considered when non-surgical treatments fail to provide relief or in cases where severe conditions warrant a more aggressive approach. Surgical options include:
Distal Radius Fracture Fixation: A procedure to repair and stabilise fractures of the radius bone near the wrist.
Metacarpal Fracture Fixation: Surgery to repair fractures in the metacarpal bones of the hand, ensuring proper alignment and healing.
Carpal Tunnel Release Surgery: This involves cutting the ligament that forms the top of the carpal tunnel, relieving pressure on the median nerve to alleviate symptoms of carpal tunnel syndrome.
Trigger Finger Release Surgery: A procedure to release the constricted section of the tendon sheath, allowing the finger to move freely without locking or catching.
Scaphoid Fracture Fixation: Surgery aimed at repairing fractures of the scaphoid bone, one of the small bones in the wrist, to ensure proper healing and restore function.
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Wrist and Hand Treatments We Offer
- Distal Radius Fracture Fixation
- Metacarpal Fracture Fixation
- Carpal Tunnel Release Surgery
- Trigger Finger Release Surgery
- Scaphoid Fracture Fixation
- Injections for Trigger Finger and De Quervain’s Tenosynovitis
- Wrist Casting and Splinting
When To See A Hand And Wrist Specialist
- Persistent Pain and Discomfort
If you experience persistent or chronic pain and discomfort in your wrist or hand that does not improve with rest, over-the-counter pain medication, or basic self-care measures, it may be time to consult a wrist and hand specialist. - Decreased Range of Motion
If you notice a significant decrease in your wrist or hand’s range of motion, such as difficulty in bending, straightening, or rotating the joint, it is advisable to seek the expertise of a specialist. - Traumatic Injuries
If you have sustained a recent traumatic injury to your wrist or hand, such as fractures, dislocations, or severe sprains, it is essential to seek immediate medical attention from a wrist and hand specialist.
Dr. Kau Chung Yuan
MBBS (S’pore)
MRCS (Ireland)
MMed (Ortho)
FRCSEd (Ortho)
Dr Kau (许医生) is a Fellowship trained Orthopaedic Surgeon with a subspecialty interest in Hip and Knee surgery and has been in practice for more than 15 years.
He is experienced in trauma and fracture management, sports injuries, and joint replacement surgery.
- Fellow of the Royal College of Surgeons Edinburgh, Orthopaedics (FRCS, Edin) 2014
- Master of Medicine (Orthopaedics), Singapore (MMed) 2013
- Member of the Royal College of Surgeons Ireland (MRCS, Ire) 2009
- Bachelor of Medicine and Surgery (MBBS, Singapore) 2004
Patient Journey with Dr Kau
Consultation
During the initial consultation, Dr Kau will evaluate your medical history, assess your condition and advise you on the next course of action.
Investigation
After consultation, Dr Kau will decide which tests are needed. Most conditions will benefit from an X-ray and MRI of the affected region to aid in your diagnosis.
Treatment
After diagnosis, Dr Kau will recommend a personalised non-invasive or surgical treatment plan, depending on your condition.
Partnered Programs & Insurance Plans
For Singaporeans, Singapore Permanent Residents and Foreigners.
Please speak to our friendly clinic staff about using your insurance plans.
Patient Feedback
Send Us An Enquiry
If you have any enquiry, please do get in touch. Leave us a message and we will get back to you shortly.
Visit Us Today
1
Mount Elizabeth Novena
Specialist Centre
Specialist Centre
2
Mount Alvernia
Hospital
Hospital
3
Farrer Park
Hospital
Hospital
1, #02-01 Farrer Park Station Rd,
Connexion, Singapore 217562
Connexion, Singapore 217562
Frequently Asked Questions (FAQs)
How do I know if my wrist pain is serious?
Severe or worsening pain, swelling, deformity, inability to bear weight or use the wrist, numbness or tingling, and limited range of motion may suggest a serious wrist problem. Seek medical attention from a healthcare professional or wrist specialist for evaluation and appropriate treatment.
What are the first signs of arthritis in the wrist?
Early signs of wrist arthritis include persistent pain, tenderness, stiffness, and swelling in the wrist joint. There may be a decrease in range of motion and noticeable weakness or instability in the wrist. Seek medical attention for a proper diagnosis and treatment.
How long does it take to recover from hand and wrist surgery?
Recovery time after hand and wrist surgery varies but can take several weeks to months. Following post-operative instructions and engaging in rehabilitation are crucial for optimal recovery.
What are the signs that I should see a wrist and hand specialist?
Signs include persistent pain, swelling, stiffness, numbness, or weakness in the hand and wrist, difficulty performing daily tasks, and injuries that do not improve with basic home care.
Can carpal tunnel syndrome be cured without surgery?
Yes, in many cases, non-surgical treatments such as wrist splinting, physical therapy, and corticosteroid injections can effectively alleviate the symptoms of carpal tunnel syndrome.
How long is the recovery after hand surgery?
Recovery times can vary widely depending on the type of surgery performed and the individual patient. Generally, recovery can range from a few weeks to several months.
Is physical therapy necessary after wrist surgery?
Yes, physical therapy is often a critical component of the recovery process, helping to restore strength, flexibility, and function to the affected wrist and hand.
How can I prevent hand and wrist injuries?
Preventive measures include using ergonomic tools and workspaces, taking regular breaks during repetitive tasks, wearing protective gear during sports, and performing hand and wrist exercises to improve strength and flexibility.