Hand surgery

The carpal tunnel is a narrow tunnel inside the wrist with the nerve and nine flexor muscles. Due to pressure on the nerve, tingling and pain occur, if the pressure persists, eventually the palm muscles weaken, resulting in clumsiness of the fingers and dropping objects from the hand. As long as the problems are mild and of a transient nature, it is possible to manage them with occasional immobilization braces and medication. A severely contused nerve can be released by a small incision in order to break the ligament that forms the roof of the carpal tunnel. The procedure is short, it is performed under local anaesthesia, and the recovery takes up to two months.

A pathological accumulation of connective subcutaneous tissue in the form of lumps eventually forming a thick cord that can pull one or more fingers into a bent position and in time they prevent the fingers from stretching and the normal functioning of the hand. Surgery may prevent the progression of the disease. We recommend you to visit us at an early stage of the disease when a small and hard lump is formed on the palm or when one or more fingers is being pulled inwards, as the results of early surgical treatment are very good. During rehabilitation, which takes 6 to 8 weeks, with exercises and splints or even through the operation, the gained flexibility of your fingers will be increased.

A trigger finger is due to the narrowing the tendon sheath in the palm which aggravates the movement of the fl exor tendons. It is possible to bend or extend the diseased fi nger only with a disturbing or even very painful pop. A severely affected finger is completely locked. More than one finger may be affected at a time. Occasional triggering may be calmed down by an anti-inflammatory injection and an immobilization splint. Permanent and painful triggering is resolved by a surgical procedure under local anaesthesia: the surgeon will cut the sheath that is restricting the tendon, release the tendon and thus eliminate the cause of the disorder. Often, it is possible to cut the tendon sheath with the needle without cutting the skin. The dexterity of the fi nger improves immediately after the procedure.