expert type icon EXPERT

Dr. Jay S. Talsania, MD

Hand Surgeon

Dr. Jay S. Talsania MD is a top Hand Surgeon in Allentown, . With a passion for the field and an unwavering commitment to their specialty, Dr. Jay S. Talsania MD is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Jay S. Talsania MD is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Jay S. Talsania MD is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Allentown, PA, Dr. Jay S. Talsania MD is a true asset to their field and dedicated to the profession of medicine.
33 years Experience
Dr. Jay S. Talsania, MD
  • Allentown, PA
  • Bucknell University
  • Accepting new patients

Trigger finger therapies?

Most definitely. There is literature to support the role of splinting and injections. I tell my patients that for a routine trigger finger, approximately half of the patients will READ MORE
Most definitely. There is literature to support the role of splinting and injections. I tell my patients that for a routine trigger finger, approximately half of the patients will get better (resolution) with one injections and of those that fail the first injection (meaning it got better, but returned at some time frame later) another half will get better with a second injections. If patients do not want to try an injections, I have them purchase a 15 $ trigger splint on amazon. Many triggers can resolve spontaneously as well. I would always suggest trying other options before surgery. This is the link for the trigger splint on amazon:

https://www.amazon.com/Original-Handfix-Patented-Trigger-Natural/dp/B00K1MQXKS

Can surgery be done for carpal tunnel?

To answer your main question, yes, surgery can be done for carpal tunnel. Typically, patients with carpal tunnel syndrome will complain of numbness and tingling in their thumb, READ MORE
To answer your main question, yes, surgery can be done for carpal tunnel. Typically, patients with carpal tunnel syndrome will complain of numbness and tingling in their thumb, index, and long fingers (and sometimes half the ring finger) and waking up at night time from their hand symptoms. Often in early cases, night time splinting with OTC splints can be very helpful. Often a nerve conduction/EMG test can confirm and determine the severity if splinting is not effective. In mild cases, a steroid injection can be administered. The worry in not seeking out a hand surgeon is that one can wait too long in obtaining the correct diagnosis, and atrophy can occur or worsen. Patients that present with carpal tunnel may often have associated trigger digits or tendonitis of their flexor tendons inhibiting them from closing their fist. Please consult a fellowship-trained hand surgeon given your description of symptoms. Surgery can be very successful in treating carpal tunnel.

What is the treatment for hand osteoarthritis?

First of all, depending on your age, osteoarthritis of the hands is very common and often does not cause pain or problems with function. In my practice, the most common joints READ MORE
First of all, depending on your age, osteoarthritis of the hands is very common and often does not cause pain or problems with function. In my practice, the most common joints that I see involved are the DIP (the joint closest to the finger nail), however, the most common joint that people seek out help for pain is the base of their thumb. In the beginning, education, oral or topical medications, splinting both soft and rigid, and injections are common methods of treatments, Most people do not require surgery. For each of the joints in the hand and wrist, there are surgical options such as joint replacement or fusions. In the base of the thumb arthritis, we often perform a suspension plasty and less frequently a fusion.

My nephew is born with webbed hands. At what age can he do his surgery?

I think it is important to have a consultation at this age, but most surgery can be delayed until the baby is older and larger, typically after one year of age. X-rays and clinical READ MORE
I think it is important to have a consultation at this age, but most surgery can be delayed until the baby is older and larger, typically after one year of age. X-rays and clinical examination will determine if it is a simple syndactyly (just soft tissue connections) or a complex (bony) syndactyly. It is important for the physician to evaluate for other associated medical issues that can be seen with "webbed fingers" and also note that is more crucial to separate the border digits (i.e., ring and small and thumb and index) first as the shorter digits can tether the neighbor digit. Also, note that if there are more than two digits involved it will be done in stages and may require skin grafting.

I have oil accumulation around my wrist. Can I remove this with surgery?

I am not aware of "oil accumulation " however there are multiple reasons to have a painful mass on the wrist. The most common one is a called ganglion which is a collection of READ MORE
I am not aware of "oil accumulation " however there are multiple reasons to have a painful mass on the wrist. The most common one is a called ganglion which is a collection of synovial fluid that can feel quite hard and can sometimes be painful. It is important to have it evaluated especially if painful, often a simple aspiration can determine if it is a ganglion . Sometimes imaging studies are helpful such as an mri, if can't be aspirated or nothing is obtained from the aspirate. Assuming it is a ganglion , they can be removed surgically if conservative measures fail, such as spitting, aspiration and time. Most ganglions to not need surgical excision and can resolve on their own. It is critical to have it evaluated to determine the diagnosis. Other entities that present commonly with a painful swelling can be a giant cell tumor, extensor tenosynovitis, cmc boss, neuromas, and many others.

My son jammed his thumb while playing tennis. Could there be a permanent damage?

It is critical that your son be evaluated by a hand surgeon, as there can be severe injuries to the soft tissue such as an ulnar or radial collateral ligament injury that may require READ MORE
It is critical that your son be evaluated by a hand surgeon, as there can be severe injuries to the soft tissue such as an ulnar or radial collateral ligament injury that may require immobilization or sometimes surgery. Often, a good clinical exam and stress exam is helpful. On occasion, an MRI to evaluate the soft tissue is indicated. If he is still having pain, please have him evaluated. Check for a local hand surgeon at ASSH.org.

Is carpal tunnel surgery safe for a diabetic person?

If you husband is medically stable and blood sugar is under good control, it is typically safe to proceed with carpal tunnel release surgery. Has he failed conservative treatment READ MORE
If you husband is medically stable and blood sugar is under good control, it is typically safe to proceed with carpal tunnel release surgery. Has he failed conservative treatment with a night splint ? has he had a nerve conduction / EMG study ?

What is the reason for the bulge in my wrist?

I can only answer this question with a broad brush stroke. A bulge can be one of several things, the most common is a ganglion cyst (benign sac of fluid) that can develop. Other READ MORE
I can only answer this question with a broad brush stroke. A bulge can be one of several things, the most common is a ganglion cyst (benign sac of fluid) that can develop. Other reasons for masses can be tenosynovitis (inflammation surrounding the tendons), and then many other types of tumors. I am not aware of any of these involving "oil accumulation." It should be evaluated by a medical professional, after a history and proper physical exam. Often, an aspiration with a needle can confirm the diagnosis. If not, further work up may be necessary. There can be malignant lesions in the wrist and hand, but they are very rare.

Are my symptoms a sign of nerve compression?

This sounds like symptoms of nerve compression. Typically, if it involves the thumb, index, and long fingers, this can be a pinched nerve at the cervical spine or, more commonly, READ MORE
This sounds like symptoms of nerve compression. Typically, if it involves the thumb, index, and long fingers, this can be a pinched nerve at the cervical spine or, more commonly, carpal tunnel. If it has only been going on for several days, I would recommend a very simple approach, a wrist splint on each wrist at night. These can be purchased over the counter. If symptoms continue over another week or two despite splinting, I would recommend you see a hand surgeon for a history and examination. There are other reasons for pins and needles. Online questions can only be answered in generic ways as, without a thorough history and examination, it is impossible to give an accurate diagnosis. Many nerve compression problems do not require surgery.

How long does it take for a wrist fracture to heal?

This is a very broad question and there are several important pieces of information that are critical to know. Factors that I need to know to better answer are what bone is broken, READ MORE
This is a very broad question and there are several important pieces of information that are critical to know. Factors that I need to know to better answer are what bone is broken, how old you are, do you smoke, was the fracture displaced, did you have surgery to align the bone, etc. If you are relatively young and healthy and had a non displaced distal radius fracture (the end of the large bone at the wrist), don't smoke, the bone can heal typically between 6 and 8 weeks. On the other hand, if you broke your scaphoid bone, which is common in falls in younger people, despite casting and not smoking, the bone may not heal at all. My suggestions are to follow your doctor's advice, as he or she has the ability to examine you for tenderness, look at your X-rays, and know your history.

I have been diagnosed with trigger finger syndrome. What is the course of treatment for this?

I recently posted a review video of this exact topic on my Facebook page...jay talsania hand surgery. Literature supports that about 50 % of people with a trigger finger get better READ MORE
I recently posted a review video of this exact topic on my Facebook page...jay talsania hand surgery. Literature supports that about 50 % of people with a trigger finger get better with a simple cortisone injection to the sheath. One can also try a trigger splint available on line. If conservative treatment with a shot or two and splinting doesn't work, an outpatient release is performed with very predictable outcomes is performed. Please watch my video and let me know your thoughts.

I am experiencing stiffness in my finger after an injury. What could be the reason?

This is a common complaint after and injury. First, it is important to evaluate what has been injured. Often a simple sprain (ligament injury) can cause a lot of swelling and inhibit READ MORE
This is a common complaint after and injury. First, it is important to evaluate what has been injured. Often a simple sprain (ligament injury) can cause a lot of swelling and inhibit motion, but it is imperative to see a physician to make sure there has not been a fracture or significant ligament or tendon injury before proceeding with treatment. X-rays and a physical exam are critical in determinin what structures have been injured. If it truly is just a "jammed" finger, edema control (getting rid of the swelling ) and early motion is important. If you are stiff because there has been a fracture, one has to make sure it is a stable injury and early motion is acceptable or perhaps it needs to be addressed surgically. I apologize for answering so broadly but the differential diagnosis for why someone is stiff one week after injury is so encompassing. I have seen patients who thought it was a simple "jammed finger" yet had a obvious dislocation or tendon avulsion that needed immediate attention. Please visit your local hand surgeon.

After a fracture my finger seems tilted. Why?

This is a good question. Did you have a surgical procedure? What bone was injured ? Sometimes surgeons will accept a slight deformity in a fracture as opposed to fixing the bone READ MORE
This is a good question. Did you have a surgical procedure? What bone was injured ? Sometimes surgeons will accept a slight deformity in a fracture as opposed to fixing the bone surgically, sometimes a fracture will settle or change position after the original injury X-ray. Often in hand injuries, there can be a rotational mal-alignment that makes the finger look crooked. What has your treating doctor told you and have you had a follow up X-ray?

I have a ganglion cyst in my left wrist

It is important to make sure that indeed your mass is a ganglion (benign fluid filled mass). Typically your hand surgeon may check an X-ray and then try to transilluminate the READ MORE
It is important to make sure that indeed your mass is a ganglion (benign fluid filled mass). Typically your hand surgeon may check an X-ray and then try to transilluminate the mass with a penlight and/or aspirate with a needle to confirm its truly a ganglion. Most ganglions do not cause significant pain or dysfunction and rarely need to be removed surgically. If your mass is bothering you it should be evaluated. Assuming it is a ganglion, sometimes simple wrist splinting and / or aspiration can help your symptoms and many will resolve over time. Please go to ASSH.org (American Society for Surgery of the Hand) and read about ganglion cysts under common conditions , you can also find a fellowship trained hand surgeon near you for an evaluation.

Carpal Tunnel Syndrome?

It is important to know your symptoms, for example are you constantly numb or is the numbness intermittent, do you have any motor weakness in your thumb or difficulty with opposition READ MORE
It is important to know your symptoms, for example are you constantly numb or is the numbness intermittent, do you have any motor weakness in your thumb or difficulty with opposition tasks, does your hand wake you from sleep? Have you had a nerve conduction / electromyograph study to determine severity of you carpal tunnel and confirm carpal tunnel . Assuming you have failed a night time splint, and assuming that you do not have any atrophy or constant numbness, one could consider a carpal tunnel steroid injection to give relief.