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Can operate is possible for natural arms problem
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Bone and Orthopedic Conditions
Question #17493
169 days ago
230

Can operate is possible for natural arms problem - #17493

Rajpoot

Hello Doctor, I would like to get a professional opinion regarding a congenital (by birth) condition affecting my arms, elbows, and hands. Since birth, my elbow joints are not straight, and when I extend my arms, they do not fully straighten like normal arms. Both arms are affected. This appears to be related to the structure and alignment of my elbow joints, not due to any injury or accident. Additionally, I have four fingers on each hand and no thumb (congenital absence of the thumb). The length of my arms is slightly shorter than average. Functionally, I am able to perform most daily activities using my hands and fingers. I do not experience severe pain, and my condition has been stable over time. However, the main concern is the appearance, alignment, and overall structure, which causes emotional and psychological distress. I would like to ask: 1. Whether this type of congenital condition is treatable through surgery at any stage of life 2. If surgery is possible, whether it is usually done only for functional improvement or also for structural or cosmetic correction 3. If surgery is not advisable, are there any non-surgical approaches that could improve alignment or function 4. What diagnostic tests or imaging (such as X-rays, MRI, or others) would normally be required to properly assess my case 5. What level of realistic improvement could be expected I understand that online consultation cannot replace physical examination. I am only requesting an initial professional opinion to help me decide on future medical steps. Thank you very much for your time and consideration.

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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
169 days ago
5

Hello,

Surgery is possible in some cases, but it depends on your exact bone structure. Options include: Corrective surgery to improve elbow or wrist alignment Limb-lengthening (major and slow surgery) Thumb reconstruction Prosthesis can be done

Not all cases can be fully corrected, but improvement is often possible.

You need an evaluation by an orthopedic surgeon (hand & upper limb specialist) with X-rays to know your exact options.

I hope this helps Thank you

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Based on the description, the congenital condition you’re dealing with involves both structural and functional challenges. In terms of surgical treatment, it’s indeed possible to undertake surgery for conditions like yours, though it heavily depends on individual circumstances. Surgery can address functional impairments and, in many cases, aim for structural or even cosmetic improvement. This usually involves a multidisciplinary approach including orthopedic and plastic surgeons. In some cases, procedures like tendon transfers, joint realignment, or creating an opposable thumb function if absent, are among the options. It’s crucial to assess risks versus benefits, especially if functionally you are mostly doing well.

For non-surgical options, physical therapy can provide some functional improvements and better overall management. Occupational therapy might help you adapt activities to minimize stress on your joints and hands. Custom splints or orthotic devices could aid in improving alignment subtly and reducing any potential discomfort. Such approaches, while not altering the structural anomalies, might support functional adaptation and maintenance of joint health.

Regarding diagnostics, initial assessment typically includes detailed physical examination and comprehensive imaging. Likely, you’d need X-rays to understand bone structure, and possibly MRIs for soft tissue and joint conditions. This imaging helps in detailed pre-operative planning and provides a baseline to address treatable elements of your condition.

As for realistic expectations of improvement, surgical interventions can often offer functional benefits. Structural improvements might also aid appearance, although perfection should not always be expected. The level of improvement varies greatly and relies on individual factors, surgical technique, and rehabilitation efforts post-surgery. Consulting with specialists who can tailor the approach to your specific needs is advisable. They’d provide a more accurate prognosis based on detailed evaluations.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
169 days ago
5

Hello dear Yes there is a lot of improvement in medical technology for replacement of missing thumbs Iam suggesting some options Non surgical Prosthetic replacement Adaptive devices If possible training for good functioning Surgical treatment Polisization surgery Thumb reconstruction by grafts and soft tissues Microsurgery Kindly get the best treatment done from cosmetic/ general surgeon for good success Tests will be prescribed by concerned physician only including x ray,mri or USG hand Regards

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2 replies
Rajpoot Queen
Client
169 days ago

And what about for elbow joint issue Thanks for you best opinion about thumb

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
169 days ago
5

Hello dear Thank for kind response It will also be replaced by prosthetic devices or robotic application Regards

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