Punta de Mita Hand and Wrist Surgery
Pain, numbness, stiffness or loss of strength in the hand and wrist. We review your case to define if it can continue with conservative management or if it requires a surgical evaluation.
When is a hand and wrist assessment appropriate?
Not all hand pain requires surgery. But an orthopedic assessment is appropriate when the problem is no longer temporary and begins to affect function, work, rest or daily activities.
It is usually time to consult when:
- Pain persists or worsens.
- Tingling, numbness or weakness appears.
- You notice stiffness or difficulty closing your hand.
- You feel snapping or locking in a finger.
- You have previous studies and need to interpret them clearly.
- Or you seek a second opinion before deciding on the next step.
Frequent problems we evaluate
Wrist or hand pain
Persistent discomfort when carrying, turning, leaning, writing or grasping objects.
Carpal tunnel syndrome
Numbness, tingling or a sensation of current, especially in the thumb, index and middle fingers, especially at night or upon awakening.
Finger on trigger
Finger that sticks, clicks or is difficult to extend after flexing.
Stiffness or loss of strength
Difficulty in grasping objects, closing the hand or making movements that were normal before.
Lumps or swelling in wrist
Increased volume, cysts or inflammation requiring clinical correlation and, when necessary, imaging studies.
Sequelae of injury or trauma
Pain, stiffness or functional limitation that persists after a fall, blow or initial treatment.
If the main problem is a recent fracture or more extensive bone trauma, the correct pathway may require assessment within Fractures.
Treatment options
The plan depends on the cause of the problem, the function that is already affected and the clinical course.
- Pain and inflammation control.
- Splints or temporary immobilization.
- Physiotherapy or rehabilitation.
- Infiltrations in selected cases.
- Or surgical assessment when the case requires it.
How we approach your case
The consultation is not limited to seeing an X-ray. The real value lies in integrating symptoms, examination and studies in order to make informed decisions.
Clinical assessment and examination: We check pain, mobility, strength, sensitivity, stability and function of the hand and wrist.
Review of studies: If you already have X-rays, ultrasound, MRI or other studies, it is convenient to bring them. If you do not have enough studies, during the evaluation we will define which ones are more useful according to your case.
Conservative management: In many patients, the first route includes temporary immobilization, activity modification, medications, physical therapy or other non-surgical measures.
Surgical evaluation: When conservative management does not offer sufficient results or there is a structural lesion that requires correction, a surgical route is evaluated.
Second opinion: If surgery has already been proposed or it is not clear to you why the problem remains the same, we will review your case to help you make an informed decision.
What to bring to your practice
To make the assessment more useful from the very beginning, we recommend you to bring:
What to bring to the consultation (ideal):
- X-rays, MRI, ultrasound or previous studies.
- Previous medical reports.
- List of medications you are taking.
- And a brief note of your symptoms: when they started, what makes them worse and what activities are already limiting.
Warning signs
Some hand and wrist problems can be assessed on a scheduled basis. Others should be reviewed more quickly.
Seek prompt medical attention if you present:
Sudden loss of movement in one or more fingers.
Significant deformity after an injury.
Very pale, cold or purple hand or fingers.
Deep wound with tendon or bone exposure.
Progressive loss of strength.
Severe pain after trauma.
Costs, insurance and payment options
Financial Transparency
Spine treatment and procedures are highly specialized. The budget is customized according to the diagnosis, the treatment route (conservative, interventional or surgical) and the hospital site. For private patients, we provide a clear proposal of the process and budget. If you have medical insurance, we guide you through the medical documentation and administrative process.
Attention in Punta de Mita and Riviera Nayarit
The main site of attention for this page is Punta de Mita, with natural outreach to Riviera Nayarit. We also see patients from Banderas Bay and Puerto Vallarta when they require hand and wrist orthopedic evaluation.
Frequently asked questions about hand and wrist
Which specialist treats hand problems?
A traumatologist or orthopedist can assess pain, numbness, lesions and functional limitation of the hand and wrist, and define the most appropriate treatment route.
When is it considered hand surgery?
Surgical assessment may come into conversation when there is a relevant structural lesion or when conservative management does not offer sufficient results. The decision is made on a case-by-case basis.
Does carpal tunnel always need surgery?
Not always. The indication depends on the intensity of symptoms, loss of function, clinical examination and, when applicable, complementary studies.
What studies should I bring?
If you already have X-rays, ultrasound, MRI or electromyography, it is advisable to bring them with you. If you do not have studies, the consultation will define what is needed.
Can I treat wrist pain without surgery?
In many cases yes. Treatment depends on the cause, the time of evolution and the functional impact.
Is it worth getting a second opinion before having surgery?
Yes, if surgery has already been proposed and you want to confirm if this indication is reasonable, the evaluation is precisely to review studies, exploration and alternatives.

Dr. Francisco Rafael Hernández Pérez
Specialist in Orthopedics and Traumatology
- Prof. Card 8042876
- Cédula Esp. 10625160
- Punta Mita Hospital, Nayarit
Read reviews on Google
Do you have specific questions?

Dr. Francisco Rafael Hernández Pérez
Specialist in Orthopedics and Traumatology
- Prof. Card 8042876
- Cédula Esp. 10625160
- Punta Mita Hospital, Nayarit
Read reviews on Google