Posted on 18 Feb 2025

Dealing with hand pain or a debilitating hand condition can significantly impact your daily life. At Neaman Hand Therapy | Hand Surgery, we understand the complexities of hand and upper extremity issues. A common question we hear is: “Do I need hand therapy, or is surgery my only option?” Let’s explore the differences between these two approaches to help you understand which might be right for you.

Understanding Hand Therapy

Hand therapy is a specialized field focused on rehabilitating the hand and upper extremities through non-surgical methods. It’s often the first line of defense for many hand conditions. The goal of hand therapy is to restore function, reduce pain, and improve your overall quality of life.

What does hand therapy involve?

  • Customized Exercise Programs: Tailored exercises to improve strength, range of motion, and coordination.
  • Manual Therapy: Hands-on techniques to mobilize joints and soft tissues.
  • Splinting and Orthotics: Providing support and protection to injured areas.
  • Pain Management Techniques: Strategies to reduce pain and inflammation.
  • Education: Teaching you how to protect your hand and prevent future problems.

Hand therapy can be effective for conditions like carpal tunnel syndrome (in some cases), tendonitis, arthritis, sprains, and post-operative rehabilitation.

When is Hand Surgery Necessary?

While hand therapy is beneficial for many, some conditions require surgical intervention to achieve optimal results. Hand surgery addresses problems that cannot be resolved through conservative treatments.

Common scenarios where hand surgery might be recommended:

  • Severe Nerve Compression: Advanced carpal tunnel syndrome or cubital tunnel syndrome where nerve damage is present.
  • Fractures: Broken bones in the hand or wrist that require stabilization.
  • Tendon or Ligament Tears: Significant injuries that impair hand function.
  • Severe Arthritis: When joint damage is extensive and causing debilitating pain.
  • Dupuytren’s Contracture: A condition causing the fingers to bend towards the palm.
  • Trigger Finger: When non-operative treatments have failed.

Hand Therapy vs. Hand Surgery: Key Differences

The primary difference lies in the approach. Hand therapy is non-invasive and focuses on rehabilitation, while hand surgery is an invasive procedure aimed at correcting anatomical problems.

Hand TherapyHand Surgery
ApproachNon-InvasiveInvasive
GoalRestore function, reduce painCorrect anatomical issues
Recovery TimeTypically shorterCan be longer, with post-operative therapy
RiskLower riskHigher risk (infections, complications)

How to Determine the Right Course of Action

The best way to determine whether you need hand therapy or surgery is to consult with a qualified hand specialist. At Neaman Hand Therapy | Hand Surgery, our experienced team will conduct a thorough evaluation, considering your medical history, symptoms, and functional limitations. We’ll then develop a personalized treatment plan tailored to your specific needs.

Common Questions

Q: Can I try hand therapy after surgery?

A: Yes, hand therapy is often a crucial part of post-operative rehabilitation to regain strength, range of motion, and function.

Q: How long does hand therapy typically last?

A: The duration of hand therapy varies depending on the condition and individual progress. It can range from a few weeks to several months.

Q: What if hand therapy doesn’t work?

A: If hand therapy doesn’t provide sufficient relief, surgery may be considered as the next option.

Advanced Treatment Options at Neaman Hand Therapy | Hand Surgery

We offer a comprehensive range of advanced treatment options for both hand therapy and hand surgery. Our skilled therapists and surgeons are dedicated to providing the highest quality care to help you regain optimal hand function and live pain-free.

Ready to Take the Next Step?

Don’t let hand pain hold you back. Contact Neaman Hand Therapy | Hand Surgery today to schedule a consultation. We’ll help you determine the best course of action to get you back to doing the things you love. Book your consultation now!


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