Hand surgery is the field of medicine that deals with problems of the hand, wrist, and forearm. Hand surgeons care for these problems with and without surgery. Plastic surgeons actually have extensive hand training including microsurgical techniques to restore form and function.

Our hands serve many purposes. Hands help us eat, dress, write, earn a living, create art, and do many other activities. To do these activities, our hands require sensation and movement, such as joint motion, tendon gliding, and muscle contraction.

When a problem takes place in the hand, care must be given to all the different types of tissues that make function of the hand possible. Plastic surgeons are trained to deal with complex bone, nerve and tendon problems in the hand - we are ready to help - we accept most PPO insurance.

A loss of function in the hands can make day-to-day life exponentially more difficult. Board-certified and highly respected plastic surgeon Dr. Steven Williams at Tri Valley Plastic Surgery can restore function in the hands with hand surgery in the Oakland & Dublin area so you can enjoy your passions with comfort and mobility.

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Carpal Tunnel Syndrome

Carpal tunnel syndrome is a collection of symptoms caused by nerve compression in your wrist. Severity can range from light tingling in the thumb, index finger or middle finger. More severe cases can lead to permanent numbness or weakness of the hand.

Diagnosis relies on symptoms, medical history, and examinations, with nerve conduction tests conducted when necessary. In our Oakland clinic, hand surgery for carpal tunnel syndrome is generally swift, and recovery is typically rapid. Whenever feasible, Tri Valley Plastic Surgery opts for endoscopic carpal tunnel release to achieve both the speediest recovery and the least noticeable scar.

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Dupuytren’s Contracture

Dupuytren’s contracture is a disorder that occurs within the hand, severely disabling mobility. Thick bands of scar-like tissue develop in the palm and may also extend into the fingers, forcing the fingers into unusual positions. While there is no cure for Dupuytren’s contracture, surgery may be used to restore movement in the hand. Fasciotomy and subtotal palmar fasciectomy are two surgeries that are most commonly used to treat Dupuytren’s contracture. Dupuytren’s contracture hand surgery Pleasanton:

  • Fasciotomy separates the bands to allow the hand to move more freely. This surgery is performed under local anesthesia.
  • Subtotal palmar fasciectomy involves the removal of as many of the tissue bands within the hand as possible. Sometimes a “zig-zag” incision pattern is used to provide access to more tissue. This procedure sometimes involves skin grafting. This method is more involved and requires a more significant recovery, including physical therapy.

While these surgeries can drastically improve function within the hand, there is a chance of the redevelopment of banding. This issue becomes significant in about 20% of Dupuytren’s contracture patients. However, years or decades may pass before surgery is needed again, if at all.

Rheumatoid Arthritis

‍Rheumatoid arthritis is a common disease that attacks joints throughout the body. It can be especially painful in the hand, causing deformation and a lack of function. Rheumatoid arthritis is a progressive disease, causing symptoms to progressively worsen over time. Plastic surgery can dramatically improve symptoms and function. There are several types of hand surgery plastic surgeons commonly use to treat symptoms of rheumatoid arthritis.

Rheumatoid arthritis hand surgery Oakland:

Arthroplasty involves the replacement of damaged joints within the fingers with silicone prosthetic joints. This procedure improves both the appearance and function of the hands. Arthrodesis involves the fusion of joints to realign the hand’s structure and restore function.


Arthroscopy is a less invasive rheumatoid arthritis surgery in which only bone and tissue fragments that cause inflammation are removed. This procedure requires only small incisions, and recovery is easier than with other surgeries used to treat rheumatoid arthritis.

Tendon transfer surgery

Tendon transfer surgery involves the transfer of a working tendon from one side of the wrist to the other. The working tendon is attached to the tendon of the muscle which has been damaged by rheumatoid arthritis, restoring function.

Tendon release surgery

In tendon release surgery, tendons and ligaments are disconnected or split to restore movement, treat pain, and improve function.


A synovectomy is an effective surgical treatment for patients with early-stage rheumatoid arthritis. It can protect against the rupture of tendons by removing inflamed tissue in the lining of the joints. Mobility is also improved.

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Hand Reconstruction After Injury

Reconstructive hand surgery can also treat immobility, pain, loss of function, and cosmetic issues in the hand which are due to trauma or injury. Many things can be done to improve the function of bones and soft tissues in the hand, as well as the hand’s appearance.

During your consultation with Dr. Williams, he will thoroughly examine the condition of your hand’s structure and appearance, ask you about your symptoms, and discuss your hand surgery goals. From there, he will explain what procedures can most effectively resolve your specific complaints, and what you can expect from surgery.

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Tri Valley Hand Surgery

Hand surgery in the Oakland & Dublin CA area at Tri Valley Plastic Surgery can be a life-changing experience for those who have limited function in the hands. It is possible to live without the pain, frustration, and constant burden of hand immobility, dysfunction, or disfigurement.

Tri Valley Plastic Surgery is here to help you restore your hands’ function, and embrace life without the restriction of debilitating symptoms due to hand condition, disease, or injury. Hand surgery is an investment in yourself and your future which can yield infinite return.

Dr. Steven Williams and the expert team of medical professionals at Tri Valley Plastic Surgery are renowned for providing exceptional surgical results. If you would like to learn more about how your hand mobility, function, and appearance can be restored, please contact Tri Valley Plastic Surgery during normal business hours to schedule your consultation. Tri Valley Plastic Surgery accepts most PPO insurance plans.

We are leaders in breast enhancement, body sculpting, and facial cosmetic surgery, serving the entire San Francisco Bay area. Whether you live in the Bay Area or are coming in from out of town, we’re happy to answer any questions you may have on your path to your new self. Schedule an intro call with us today to take the first step towards realizing the look you’ve always wanted for yourself.

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