Carpal tunnel syndrome
Nerve compression causing numbness, tingling, night symptoms or loss of hand function.
HAND SURGERY · ALICANTE · COSTA BLANCA
David Fernández-Fernández, MD
Specialist orthopaedic assessment for hand, wrist, tendon, nerve, trauma and reconstructive upper-limb conditions, with a focus on precise diagnosis, surgical planning and functional recovery.
Private assessment
Precise planning
Care in EN / ES

Who this page is for
A hand surgery assessment may be appropriate when pain, loss of strength, numbness, stiffness, deformity or reduced function affects daily activity, work, sport or recovery after trauma.
Persistent hand or wrist pain
Numbness or tingling in the hand
Tendon problems or triggering
Fractures or post-traumatic deformity
Stiffness after injury or surgery
Suspected nerve compression
Degenerative joint problems
Previous surgery with persistent symptoms
Clinical focus
Nerve compression causing numbness, tingling, night symptoms or loss of hand function.
Tendon irritation causing painful locking, catching or difficulty extending the finger.
Progressive finger contracture that can affect hand opening and function.
Fractures affecting alignment, stability, movement and long-term function.
Flexor, extensor or chronic tendon problems requiring precise assessment.
Assessment of nerve symptoms, compression or post-traumatic nerve involvement.
Pain, reduced grip strength or mechanical symptoms after injury or degeneration.
Residual stiffness, deformity, nonunion, malunion or persistent symptoms after injury or surgery.
Surgical and non-surgical assessment
Treatment is based on diagnosis, severity, functional limitation, imaging findings and patient-specific goals. Surgery is considered when conservative management is insufficient or when anatomy, instability, compression or trauma requires intervention.
Carpal tunnel release — when clinically appropriate
Trigger finger release — when clinically appropriate
Dupuytren’s surgery — when clinically appropriate
Fracture fixation — when clinically appropriate
Tendon repair or reconstruction — when clinically appropriate
Nerve decompression or assessment — when clinically appropriate
Wrist and hand reconstructive procedures — when clinically appropriate
Complex trauma reconstruction — when clinically appropriate

Reconstruction
Complex hand and wrist cases often require more than a standard diagnosis. Alignment, soft-tissue balance, tendon function, nerve symptoms, joint stiffness and previous treatment history must be considered together.
Post-traumatic deformity, malunion or nonunion, stiffness, failed or incomplete previous treatment and reconstructive planning are assessed with return of useful function as the strategic goal.
Request a Complex Hand Case AssessmentSecond opinion
A second opinion can help clarify diagnosis, timing and treatment options before deciding on hand or wrist surgery, especially in persistent symptoms, complex trauma, previous surgery or uncertain indications.
Request a Hand Surgery Second OpinionPatient access
DF Trauma provides a structured route for patients living in Alicante, Ciudad Quesada, Torrevieja, Orihuela Costa and the wider Costa Blanca area, as well as international patients seeking orthopaedic assessment in Spain.
Care includes English or Spanish communication, private clinical review, secure imaging or report review when appropriate, and coordinated follow-up when clinically indicated.
Contact DF TraumaRecovery-focused pathway
Hand surgery is not only about correcting anatomy. Recovery depends on accurate diagnosis, surgical indication, soft-tissue handling, postoperative guidance and progressive functional rehabilitation when required.
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Diagnosis, hand function, previous treatment and personal goals are reviewed together.
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Surgical and non-surgical options are considered according to the condition and its impact.
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Anatomy, stability, soft tissues, tendon or nerve needs and recovery priorities guide planning.
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Swelling control, stiffness prevention, wound guidance and hand therapy are reviewed when appropriate.
Clinical profile
Dr. David Fernández-Fernández is an orthopaedic surgeon with activity in hand surgery, trauma surgery, joint reconstruction and complex orthopaedic cases. His hand surgery work includes nerve compression, tendon pathology, fractures, trauma sequelae and reconstructive decision-making.
Patient information
When pain, numbness, weakness, stiffness, deformity or loss of function persists or affects daily activity, work or recovery after injury.
No. Treatment depends on severity, symptoms, nerve involvement and response to conservative measures.
Sometimes. Treatment depends on severity, duration, functional impact and previous treatment.
The goal is to improve function, reduce symptoms and address the underlying anatomical or mechanical problem when clinically appropriate.
Yes. A second opinion may help clarify diagnosis, timing and treatment options before surgery.
Not always. Initial assessment can often begin with clinical information and a structured consultation pathway, followed by in-person assessment when appropriate.
No. Recovery depends on diagnosis, severity, surgery, rehabilitation, biology and patient-specific factors.
Private hand assessment
For hand, wrist, tendon, nerve, trauma or reconstructive conditions, DF Trauma can provide a structured private assessment and guide the next clinical step.
For non-urgent enquiries only. In an emergency, contact emergency services or your treating medical centre.