Upper Limb Surgery in Malaysia – Dr Sashi, SD Clinic

Upper limb surgery is a subspecialty of orthopaedics that focuses on the diagnosis and treatment of conditions affecting the shoulder, arm, elbow, wrist, and hand. Whether caused by repetitive stress, nerve compression, trauma, or degenerative changes, these conditions can significantly limit mobility and quality of life. At SD Clinic, led by Dr Sashi, an experienced orthopaedic specialist in Malaysia, we provide advanced surgical and non-surgical solutions tailored to patients who suffer from persistent upper limb pain and functional limitations.

Patients often seek care when pain interferes with their ability to work, carry out daily activities, or enjoy hobbies. Common symptoms include tingling, numbness, stiffness, weakness, or deformity in the hand, wrist, or elbow. Left untreated, many of these conditions worsen over time, making early consultation with a qualified orthopaedic surgeon essential.

Dr Sashi at SD Clinic combines evidence-based techniques with modern surgical approaches to ensure safe and effective treatment outcomes. From minimally invasive procedures such as carpal tunnel release to complex trauma surgery for the elbow, our clinic is committed to restoring mobility, relieving pain, and improving quality of life.

Table of Contents

Carpal Tunnel Release


Carpal tunnel syndrome is one of the most frequent nerve compression disorders affecting the hand. It occurs when the median nerve is compressed at the wrist, causing numbness, tingling, weakness, and pain. If conservative treatments such as splinting, physiotherapy, and steroid injections fail, carpal tunnel release surgery is recommended.

At SD Clinic, Dr Sashi performs both open and minimally invasive techniques, relieving pressure on the median nerve to restore hand function. Patients often report significant improvement in grip strength and a reduction in night-time symptoms. Early surgical intervention is crucial to prevent permanent nerve damage.

Trigger Finger Release

Trigger finger, also known as stenosing tenosynovitis, causes the fingers to lock or catch when bent. This condition arises when the tendon sheath in the finger becomes inflamed, preventing smooth movement. Non-surgical approaches may include rest, splints, or corticosteroid injections, but persistent cases require surgical release.

During trigger finger release surgery, Dr Sashi carefully releases the constricted tendon sheath, allowing free and painless finger movement. It is a short, effective procedure performed under local anaesthesia, enabling most patients to resume normal activities within days.

Ganglion Cyst Removal

Ganglion cysts are fluid-filled lumps that commonly develop along the tendons or joints of the wrist and hand. While benign, they can cause discomfort, interfere with grip strength, or restrict wrist mobility. Aspiration may provide temporary relief, but cysts often recur.

For patients experiencing recurring cysts or functional limitations, surgical ganglion cyst removal provides a permanent solution. At SD Clinic, the procedure is carried out with precision to reduce recurrence rates while protecting surrounding structures. Patients are usually able to return to daily tasks with minimal downtime.

De Quervain’s Tenosynovitis Release

De Quervain’s tenosynovitis affects the tendons on the thumb side of the wrist, leading to pain, swelling, and difficulty with gripping or twisting movements. It is commonly seen in new mothers, office workers, and individuals with repetitive wrist motions.

When conservative treatments such as splinting and injections fail, De Quervain’s release surgery can relieve symptoms by opening the tight sheath around the tendons. Dr Sashi’s approach prioritises minimal scarring and faster recovery, ensuring patients regain full thumb and wrist function.

Cubital Tunnel Release Surgery

Cubital tunnel syndrome is caused by compression of the ulnar nerve at the elbow, often referred to as the “funny bone.” Symptoms include tingling, numbness, and weakness in the ring and little fingers. Prolonged compression can lead to muscle wasting in the hand.

At SD Clinic, cubital tunnel release surgery involves relieving pressure on the ulnar nerve through decompression or transposition. Dr Sashi carefully selects the most suitable surgical method depending on the patient’s condition, preventing further nerve damage and restoring normal hand function.

Trauma Surgery for the Elbow

Elbow injuries are common in sports, falls, and workplace accidents. Fractures, dislocations, and ligament injuries can severely limit movement and strength if not treated promptly. Trauma surgery for the elbow may involve fixation with plates, screws, or wires to restore joint stability and alignment.

Dr Sashi specialises in both acute and complex elbow trauma cases, offering tailored treatment plans that combine surgical expertise with structured rehabilitation. The goal is to return patients to their pre-injury level of activity while preventing long-term stiffness or arthritis.

Mallet Finger Release

Mallet finger occurs when the tendon at the tip of the finger is damaged, typically due to sports injuries. This results in the inability to straighten the fingertip. While many cases respond well to splinting, some require surgery to repair the tendon or bone fragment.

At SD Clinic, mallet finger release surgery is performed to restore proper finger alignment and function. Dr Sashi uses advanced techniques to ensure stable tendon healing and prevent long-term deformity.

Why Choose Dr Sashi and SD Clinic for Upper Limb Surgery?

Patients in Malaysia often search for an orthopaedic specialist who combines experience, precision, and patient-focused care. At SD Clinic, Dr Sashi provides comprehensive orthopaedic services with a special emphasis on upper limb surgery.

Key reasons patients trust our clinic:

  • Expertise in Orthopaedic Surgery – Years of experience managing complex upper limb conditions.
  • Minimally Invasive Options – Whenever possible, smaller incisions are used for quicker recovery.
  • Personalised Care – Each treatment plan is tailored based on the patient’s diagnosis and lifestyle needs.
  • Advanced Facilities – SD Clinic is equipped with modern orthopaedic surgical tools for safety and precision.
  • Comprehensive Rehabilitation – Post-operative care includes physiotherapy guidance to ensure long-term recovery.

Recovery and Rehabilitation After Upper Limb Surgery

Recovery varies depending on the type of surgery performed. Some procedures, such as trigger finger release, allow patients to return to work within days, while others, such as elbow trauma surgery, may require weeks of physiotherapy.

Typical recovery guidelines include:

  • Early mobilisation under medical supervision
  • Use of splints or braces when required
  • Pain management with medication and cold therapy
  • Hand and physiotherapy exercises to restore range of motion and strength

Dr Sashi and his team provide detailed post-surgical instructions and regular follow-ups to ensure optimal healing and functional restoration.

Frequently Asked Questions (FAQs)

1. How do I know if I need upper limb surgery?

If you experience persistent pain, tingling, numbness, weakness, or loss of hand or elbow function despite non-surgical treatments, it may be time to consult an orthopaedic surgeon.

Modern techniques and anaesthesia ensure patient comfort. Post-operative pain is usually well-managed with medication and physiotherapy.

Most patients notice symptom relief within days. Full recovery of grip strength may take several weeks.

Yes, most upper limb surgeries, including carpal tunnel and trigger finger release, are performed as outpatient procedures.

Patients choose SD Clinic for the combination of surgical expertise, advanced technology, and a personalised approach that prioritises recovery and long-term function.

Conclusion

Upper limb conditions can greatly impact daily life, from typing on a keyboard to lifting objects or even shaking hands. With the right diagnosis and treatment, many of these issues can be resolved effectively. At SD Clinic, Dr Sashi, a trusted orthopaedic specialist in Malaysia, provides a full range of upper limb surgeries including carpal tunnel release, trigger finger release, ganglion cyst removal, De Quervain’s tenosynovitis release, cubital tunnel release surgery, elbow trauma surgery, and mallet finger release.

Our commitment is to restore mobility, reduce pain, and help patients return to their normal routines with confidence. If you are struggling with hand, wrist, or elbow conditions, book a consultation with SD Clinic today and take the first step toward recovery.

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