Skip to content
Hand emergency Severed or crushed fingers — call before you travel
+977 9841333456
Surgeons operating under a surgical microscope in a brightly lit theatre, using micro-instruments for hand reconstruction.

10,000+ surgeries

By Dr. Shilu Shrestha, chief consultant

Hattigauda & Tripureshwor, Kathmandu

Expert hands. Specialized care. Better function.

Paanik Hand & Research Center treats conditions of the hand, wrist and upper limb. Evaluation, hand surgery and hand therapy happen under one roof.

Acute injuries and complex trauma, nerve, tendon and joint problems, and reconstruction. The surgeons and hand therapists plan each recovery together, so treatment continues after the operation.

Hand surgery consultation
Specialized hand therapy
Custom splints
Hand surgeons
2 Hand surgeons Dr. Shilu Shrestha and Dr. Chandan Jayswal.
Hand therapists
2 Hand therapists Evaluation, therapy and custom splints, planned with your surgeon.
Centres in Kathmandu
2 Centres in Kathmandu Hattigauda and Tripureshwor.
Years of hand surgery
12+ Years of hand surgery Dr. Shrestha’s practice in hand and upper limb surgery.

Areas of specialisation

What we treat

From acute hand trauma to complex microsurgical reconstruction, across the whole upper limb.

A surgeon examines a patient's bandaged hand in an operating theatre.

01

Hand trauma & replantation

Emergency

Amputation, crush and degloving injuries. Circulation must be restored within hours, so these cases are triaged the day they arrive.

  • Replantation & revascularisation
  • Crush and blast injuries
  • Open fractures & dislocations
Hand emergency guide
A hand surgeon tests sensation in a patient's hand during a consultation.

02

Brachial plexus & nerve surgery

Nerve

Complex nerve reconstruction to restore movement and sensation — a subspecialty very few surgeons in Nepal offer.

  • Brachial plexus exploration
  • Nerve grafting & transfer
  • Compression neuropathies
Nerve conditions
A microsurgical team works through an operating microscope in theatre.

03

Reconstructive microsurgery

Microsurgery

Sub-millimetre repair of vessels, nerves and soft tissue under the microscope, including free tissue transfer.

  • Free flaps & tissue transfer
  • Tendon reconstruction
  • Vascular repair
How microsurgery works
A surgeon reviews a wrist X-ray with a patient wearing a forearm splint.

04

Orthopaedic trauma & fractures

Trauma

Complex fractures, dislocations and multi-ligament injuries, treated to restore full function and limit long-term complications.

  • Complex & intra-articular fractures
  • Ligament injuries
  • Joint instability
Trauma care
A hand surgeon observes a child stacking blocks while her mother sits beside her.

05

Congenital hand differences

Paediatric

Children born with a difference in the hand. Surgical timing is planned around growth and how the child actually uses the hand.

  • Congenital reconstruction
  • Post-injury deformity
  • Soft tissue reconstruction
Paediatric care
A hand therapist guides an older patient through an exercise with therapy putty.

06

Chronic & degenerative conditions

Ongoing

Long-standing wrist and hand pain, arthritis and stiffness, managed with surgical and non-surgical treatment and hand therapy.

  • Arthritis & joint pain
  • Tendon disorders
  • Guided hand therapy
Conditions treated

Teaching & outreach

Closing the hand surgery gap in Nepal

Hand surgery is highly specialised and Nepal has few dedicated experts. That gap delays diagnosis and leaves injuries under-treated. The work outside the operating theatre is what narrows it: training, camps and public education.

Hand injury first aid

What to do in the first hour after a finger is cut or crushed, and what not to do.

Read the guidance
More on teaching and outreach

Remote district camps

Health camps in remote districts, including the 2021 National Hand Surgery Awareness campaign across 50 camps.

Training surgeons

Teaching the next generation of hand surgeons, and the colleague other surgeons call on difficult cases.

Patient education

Plain-language videos on hand injuries, infection signs, and when a cut finger needs a surgeon.

Hand therapy team

Guided rehabilitation and follow-up continue until you are back to normal use.

Recovery does not end in theatre

The hand therapists plan rehabilitation with your surgeon: evaluation, therapy matched to the operation, and splints made for your hand.

Or explore more:

The team

Hand surgeons and hand therapists

Surgeon, hand therapist and patient work as one team, from the first assessment to the end of rehabilitation.

Meet the team
Assoc. Prof. Dr. Shilu Shrestha standing with arms folded in an operating theatre, wearing surgical scrubs beneath the theatre lights.

Chief consultant, orthopaedic and hand surgeon

Assoc. Prof. Dr. Shilu Shrestha

Nepal’s pioneer woman orthopaedic surgeon. Trained at Kathmandu University, with a hand surgery fellowship in Singapore.

Experience
12+ yrs
Surgeries
10,000+
View profile
Dr. Chandan Jayswal with arms folded in an operating theatre, wearing dark scrubs and a theatre cap beneath the surgical lights.

Consultant orthopaedic and hand surgeon

Dr. Chandan Kumar Jayswal

Fellowship in hand and reconstructive microsurgery at Ganga Hospital, Coimbatore. Trained in brachial plexus surgery.

Fellowship
Ganga Hospital
Registration
NMC 9702
View profile

Hand therapists

Rehabilitation planned with your surgeon, to a working hand.

  • Sanju Tandukar

    Hand therapist

  • Tek

    Hand therapist

“We want every patient to feel that they are seen, that their hand matters, and that we will do everything possible to restore it.”
Paanik Hand & Research Center

What happens next

From first call to follow-up

Every hand injury needs assessment quickly. Tell us what happened and we will tell you what to do next.

  1. First contact Call, message, or walk in. Urgent cases are seen the same day.
  2. Assessment A thorough evaluation, with your diagnosis explained in plain language.
  3. Your plan A treatment plan built around how you actually use your hand.
  4. Treatment & recovery Surgery where needed, then guided hand therapy and follow-up.

Severed or crushed finger?

Do not use this form. Go to the nearest hospital emergency department without delay, and call +977 9841333456 on the way. Read the first-aid steps.

Optional.
Include the date and time of the injury if it was an accident. It changes what is surgically possible.
Drop your files here or click here to upload You can upload up to 5 files.
Optional. JPG, PNG or PDF.
  • Kathmandu University Medical training
  • Singapore fellowship Hand & reconstructive surgery
  • Pioneer Pioneer woman orthopaedic surgeon in Nepal
  • Assoc. Professor Teaching appointment