Ask a Hand Surgeon: Dr Peng Yeong Pin from Mount Elizabeth Novena Hospital Singapore

Ask a Doctor ForumCategory: Hand SurgeryAsk a Hand Surgeon: Dr Peng Yeong Pin from Mount Elizabeth Novena Hospital Singapore
Dr Peng Yeong Pin asked 2 years ago
I am Dr Peng Yeong Pin, Hand Surgeon based in Mount Elizabeth Novena Hospital Singapore. Ask Me Anything! I graduated from the National University of Singapore Medical School in 1993 and became a Fellow of the Royal College of Edinburgh in 1999. I obtained my specialist accreditation as a Hand Surgeon from the Ministry of Health (Singapore) in 2002. I went on to complete a Microsurgical Fellowship at the prestigious Chang Gung Memorial Hospital in Taiwan, which has developed numerous world-renowned reconstructive microsurgery techniques. In 2003 to 2004, I received the Higher Manpower Development Award and undergone further training at the respected Hand Surgery Centre, Kleinert and Kutz Associates, in Louisville, USA. Upon my return, I set up the microsurgical training laboratory in the National University Hospital (NUH), Singapore and was the Clinical Director and Consultant in the Department of Hand & Reconstructive Microsurgery from 2006 – 2008. I headed the department from 2009 – 2012 and under my headship, the Hand and Reconstructive Microsurgery Centre was established with a staff of 11 Hand Surgeons. My clinical interests are in hand and wrist trauma surgery, replantation and reconstructive microsurgery. I also provided microsurgical support to the liver transplant teams. I have published on new surgical flap techniques in the lower limb and was on the teaching faculty for flaps of the hand at the American Society for Surgery of the Hand conference. My other clinical interest covers care for degenerative conditions of the hands. A strong believer that good clinical outcomes will result in cost effective treatment in hand surgery, I continue to pursue outcome based clinical research. During my tenure in NUH, I was a Clinician Educator and was actively involved in undergraduate and postgraduate teaching. I am frequently invited to speak in local and international meetings. I was a member of the Specialist Training Committee in Hand Surgery as well as the Residency Accreditation Committee at Ministry of Health. I was appointed as the President of the Singapore Society for Surgery of the Hand from 2009 – 2011. Learn more about me here: https://patients.smarterhealth.sg/specialist-doctor/peng-yeong-pin/ I am excited to be here to share/discuss Hand & Wrist conditions with everyone. I will be actively sharing questions. Whether you've got questions about hand and wrist injuries, hand and wrist surgery, hand replantation or hand reconstructive microsurgery, ask me anything! === Want to ask a question? Submit your question at the bottom of this page. Don’t forget to include your name and email address to get notified when the doctor answers your question.
16 Answers
Lionel answered 2 years ago

I sprained my hand when I was tidying up my apartment. I went to see a doctor and my hand was put in a cast. After I removed the cast, I compressed it with ice. Now the swelling is gone but the pain persists. The sprain happened a month ago. Would you consider this normal knowing it has only been a month?

Dr Peng Yeong Pin replied 2 years ago

Hello.
From the history you provided, I believe it is unlikely that you have a fracture in the wrist.
The most likely diagnosis is that of a tendinitis, either DeQuervain’s tenosynovitis or extensor carpi ulnaris tendinitis.
This is best managed with a steroid injection into the tendon sheath with an appropriate splint to rest the right tendon.
In the meantime, you should avoid heavy use of the hand.

Benjamin answered 2 years ago

The outer side of my right palm has been bruised since 3 days ago. I have compressed it with ice but it doesn’t seem to get better. The bruise hurts when I press on it. I didn’t fall or injure it previously. But around a month ago, I had an open wound there when I accidentally cut it. Is it perhaps an infection? But the wound scabbed up and seemed fine.

Dr Peng Yeong Pin replied 2 years ago

The first clinical diagnosis would be to rule out an infection.
it can also be an underlying blood clot, the previous cut could have injured a vessel that clotted initially and
because of minor trauma, could have started bleeding again.

Perhaps a short course of antibiotics will be useful for the infection.
It will be useful to see a hand surgeon for a consult

Kean answered 2 years ago

There is a pea-sized lump on my wrist and it hurts my joint when I rotate my hand. But, when I press it, it doesn’t hurt. How should I have it checked?

Dr Peng Yeong Pin replied 2 years ago

Most of the swellings in the hand are benign, ie not dangerous.
If it causes you pain, it can be removed surgically.
we would need to examine it and advise accordingly.

Melanie answered 2 years ago

I used to play basketball actively and had a basketball land on my right little finger previously. It was swollen for perhaps a week and then the swelling went down and I never thought too much about it. Recently when I was getting my ring finger fitted for my ring, I noticed my little finger is bent at the joint and cannot “close” up to the ring finger properly. Is there anything I can do to fix it?

Dr Peng Yeong Pin replied 2 years ago

There was probably some degree of ligament or tendon injury to the little finger from the previous basketball trauma.
If it does not affect your use of the hand, it can be left alone.
If you would like to have it fixed, we would need to examine it and see

Lim Li Yong answered 2 years ago
Hi, i have been experiencing stiffness in my 3rd, 4th and last fingers of my right hand in the early hours of the morning. They feel kind of "locked" and i need to clench my fingers into a fist, open and close a few times to gain dexterity. During the day, sometimes i feel they are stiff when eg. holding a broom or wringing a rag. My left hand is ok. I am right-handed and i am 48. Does my condition warrant medication? Will taking Uc-II help?
Dr Peng Yeong Pin replied 2 years ago

Yes, it sounds like probably a little bit of early arthritis. Ff there is no triggering factor, UC 2 collagen can help.

Edwin answered 2 years ago

There is a wart on my forefinger. I notice it has grown bigger and because of it, my finger is swollen and has difficulty being bent. Do I need to treat it?

Dr Peng Yeong Pin replied 2 years ago

In this instance, the answer is different.

If the patient is sure that the lesion is a viral wart, this is a superficial lesion.
The most minimally invasive treatment for a wart is with laser by a dermatologist.

If it is large , then surgical excision may be required.

Often, warts do not cause swelling of the finger.
Your symptoms may be more attributable to a cyst arising from the joint of the finger.
This can be surgically excised by hand surgery if symptomatic.

It will require a proper consult to advise accordingly.

Ronnie answered 2 years ago

I have been living with arthritis in my wrist for close to 2 years now. Is there any way to cure it permanently?

Dr Peng Yeong Pin replied 2 years ago

In arthritis of the wrist, it starts with activity modification and anti-inflammatory medication use when the pain is bad
In more severe cases, steroid injections can be given for symptom relief.
If a more permanent solution is needed, surgery can be done to excise or replace the joints

Wen Ming answered 2 years ago

Hi Doctor. My question is on behalf of my 75 year old grandfather. We have noticed that the skin on his palms is thickening. He says that it sometimes hurts, and sometimes feels numb. What condition is this? Do we need to take him to a doctor?

Dr Peng Yeong Pin replied 2 years ago

If your grandfather is caucasian, he could be having Dupuytren’s disease affecting the palms. This can cause skin chord thickenings and joint contractures.
The hand surgeons can do something for him. Surgery can be done to excise the diseased tissue if functionally required.
On top of that, the numbness could be because of carpal tunnel syndrome, compression of the median nerve in the palm. It can be surgically treated at the same time.

Terence answered 2 years ago

I have carpal tunnel syndrome. I am treating it with braces and painkillers. However, the pain is only relieved temporarily and the tingle still persists. What treatment would you recommend if I want to fix it for good?

Dr Peng Yeong Pin replied 2 years ago

Surgical decompression can achieve a cure for carpal tunnel syndrome.
It will resolve the problem long term as it creates more space for the median nerve and stops the compression.

Please do note that following surgical decompression, there will be a period of up to 2 months when there will be some aches
in the wrist when you grip or carry something heavy- otherwise known as pillar pain.
This is a result of movement of the released ends of the ligament being temporarily unstable.
It goes away with time as the new ligament forms.

Kelvin answered 2 years ago

Is it true that cracking knuckles can lead to arthritis? I do it all the time, almost every day. Am I hurting my hands? And will I suffer from joint disease or pain in my old age?

Dr Peng Yeong Pin replied 2 years ago

There is no evidence that cracking knuckles will lead to arthritis.
It is a more habitual thing.
Of course if it causes pain you should not do it anymore

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